Open Surgery vs Laparoscopic Surgery for Fibroids: What’s Better in Which Case?

Uterine fibroids are non-cancerous growths that develop in or around the uterus, affecting many women during their reproductive years. While fibroids are usually harmless, they can sometimes cause heavy menstrual bleeding, pelvic pain, bloating, or fertility issues. When medications are not effective, surgery becomes the next step. Two main surgical options are available – open surgery and laparoscopic surgery. Understanding the difference between these procedures is essential in deciding which one suits your case best. In this guide, Dr. Anuja Ojha from Care For Her explains everything you need to know about open surgery vs laparoscopic surgery, including their benefits, risks, and recovery times.   What Are Fibroids and When Is Surgery Needed Fibroids are benign tumors made up of muscle and connective tissue from the uterine wall. Their size can vary from a small seed to large masses that distort the uterus. Many fibroids don’t cause symptoms, but when they do, treatment becomes necessary. Your doctor may recommend surgical treatment if you experience:

• Heavy or prolonged menstrual bleeding 
• Severe pelvic pain or pressure 
• Difficulty conceiving or recurrent miscarriages 
• Rapidly growing fibroids 

In such cases, the choice between open surgery vs laparoscopic surgery for fibroid removal depends on several factors, including the number, size, and location of the fibroids, as well as your overall health and fertility goals.   What is Laparoscopic Surgery Laparoscopic surgery is a minimally invasive procedure performed through small incisions in the abdomen. A thin, lighted tube called a laparoscope is inserted to view the uterus and remove the fibroids using specialized instruments. Fibroids laparoscopic surgery offers several advantages over traditional open methods. Since the incisions are smaller, recovery is faster, pain is reduced, and there is minimal scarring. Patients who undergo fibroids laparoscopic surgery typically return to normal activities within 1 to 2 weeks. This technique is ideal for women with small to moderately sized fibroids and those who prefer a quicker recovery and less postoperative discomfort.   What is Open Surgery for Fibroid Removal Open surgery for fibroid removal (also known as abdominal myomectomy) involves making a larger incision in the lower abdomen to access the uterus directly. This allows the surgeon to remove fibroids that are large, deep, or numerous. Although this method is more invasive, open surgery for fibroid removal provides better access and control, especially in complex cases. It is often the preferred option for women with very large fibroids, extensive growths, or when other organs like the bladder or bowel are affected. Recovery after open surgery for fibroid removal generally takes longer, around 4 to 6 weeks, and patients may experience more discomfort initially. However, it remains a safe and effective procedure for treating challenging cases.   When is Fibroids Laparoscopic Surgery Recommended Fibroids laparoscopic surgery is typically recommended when:

• Fibroids are less than 10 cm in diameter 
• There are fewer fibroids present 
• The patient wants a faster recovery and minimal scarring 
• The fibroids are located in areas easily accessible through a laparoscope 

This approach is also suitable for women who wish to preserve their uterus for future pregnancy. Since laparoscopic surgery causes less tissue damage, it reduces the risk of adhesions and promotes faster healing of the uterus. However, not every case can be managed through laparoscopy. The success of fibroids laparoscopic surgery depends on the size, location, and depth of fibroid growth, as well as the surgeon’s expertise.   When is Open Surgery for Fibroid Removal a Better Option While laparoscopic surgery is less invasive, open surgery for fibroid removal is sometimes the only feasible option. It is preferred when:

• Fibroids are very large or numerous 
• Fibroids are deeply embedded in the uterine wall 
• The uterus is significantly enlarged 
• There are previous abdominal surgeries or scar tissues that make laparoscopy difficult 
• The patient has associated complications, such as severe bleeding or pelvic adhesions 

In such situations, open surgery for fibroid removal allows the gynecologist to access and remove all fibroids thoroughly, ensuring complete treatment and minimizing the chance of recurrence.   Benefits and Risks of Each Approach Both surgical options are effective, but understanding their pros and cons helps set realistic expectations. Benefits of Laparoscopic Surgery

• Smaller incisions and less visible scarring 
• Shorter hospital stay and faster recovery 
• Reduced postoperative pain 
• Quicker return to daily activities 
• Lower risk of infection 

Benefits of Open Surgery for Fibroid Removal

• Allows removal of large or multiple fibroids 
• Better visualization and control during surgery 
• Suitable for complicated or high-risk cases 

Possible Risks (for both types)

• Bleeding or infection 
• Adhesion (scar tissue) formation 
• Recurrence of fibroids over time 
• Temporary fertility challenges in some cases 

Dr. Anuja Ojha always evaluates each patient’s medical condition carefully before recommending the right treatment. The goal is to balance safety, effectiveness, and recovery comfort.   Recovery and Postoperative Care Recovery differs depending on whether you have fibroids laparoscopic surgery or open surgery. After laparoscopic surgery, most women can return to light work within a week and resume normal activities soon after. You may experience mild abdominal discomfort or bloating, which usually resolves within a few days. After open surgery for fibroid removal, rest and recovery take longer. Your doctor will advise you to avoid heavy lifting, strenuous exercise, and sexual activity for several weeks. Following your gynecologist’s postoperative care plan is crucial for optimal healing and to prevent complications. Regular follow-ups ensure your uterus heals well and helps monitor for any signs of recurrence.   Summary Both open surgery and laparoscopic surgery are safe and effective ways to remove fibroids, but the best option depends on your specific case. Laparoscopic surgery offers faster recovery, smaller scars, and less discomfort, making it ideal for smaller fibroids. On the other hand, open surgery for fibroid removal is preferred when fibroids are large, numerous, or located deep within the uterus. At Care For Her, Dr. Anuja Ojha provides expert guidance on choosing between open surgery vs laparoscopic surgery, ensuring each patient receives individualized care based on their medical needs and lifestyle. Whether you need minimally invasive treatment or a more extensive approach, you can trust our expertise to restore your health with compassion and precision.   Why Choose Us? Choose Care For Her as your trusted partner in women’s health. Led by Dr. Anuja Ojha, a dedicated and compassionate obstetrician and gynecologist, we offer personalized care through every stage of womanhood from adolescence to pregnancy, and beyond. Our patient-first approach ensures you receive empathetic guidance, advanced medical expertise, and holistic care in a comfortable environment. Whether it’s routine check-ups, fertility consultations, or pregnancy care, we’re here to support your journey with trust and transparency. To learn more, contact us at 7400424637 or visit www.careforher.in