UNITTAS – meaning "United" in Spanish. Our hospital is conceived by the united efforts and collective participation of senior, well experienced medical professionals and professionals from other service sectors.

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Laparoscopic Surgery for Adenomyosis in Chennai

Laparoscopic surgery for adenomyosis in Chennai offers an effective, minimally invasive solution for women suffering from persistent symptoms of this condition. Adenomyosis occurs when the inner lining of the uterus grows into the muscular wall, causing an enlarged uterus, heavy menstrual bleeding, and severe pelvic pain. Commonly affecting women in their 30s and 40s, it can disrupt daily life and fertility if left untreated.

While hormonal medications may provide temporary relief, laparoscopic surgery is ideal for cases that do not respond to conservative treatment, especially focal adenomyosis. At Unittas Hospital, our expert gynecologists perform advanced laparoscopic adenomyomectomy to remove affected tissue, preserve the uterus, and ensure faster recovery with minimal scarring.

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What is Adenomyosis?

Adenomyosis involves the endometrial tissue invading the myometrium, the uterus's thick muscle layer, causing it to thicken and bleed excessively during cycles. Unlike endometriosis, where tissue grows outside the uterus, adenomyosis stays within its walls but can mimic similar discomfort.

Common Symptoms Include:

Risk factors encompass multiple pregnancies, prior uterine surgeries like C-sections, and ages 35-50, though the exact cause remains unclear. Diagnosis typically starts with a pelvic exam, followed by transvaginal ultrasound to spot irregularities, and MRI for detailed confirmation of tissue invasion.

Early intervention prevents complications like infertility or chronic pain, with conservative approaches favored for women wishing to retain fertility.

When is Laparoscopic Surgery Recommended for Adenomyosis?

Laparoscopic surgery suits women with focal adenomyosis, localized lesions rather than widespread involvement whose symptoms resist medical management. It's ideal for those prioritizing uterus preservation and future pregnancies.

Key Indications Include:

Surgery is generally avoided in diffuse adenomyosis, where hysterectomy may be more definitive. Our Unittas Hospital specialists conduct thorough evaluations, including hormone level checks and imaging, to tailor recommendations.

How Does the Laparoscopic Procedure Work?

Laparoscopic adenomyomectomy uses small incisions and a camera-guided scope to precisely remove adenomyotic tissue while sparing healthy uterus. Performed under general anesthesia, it lasts 1-3 hours and often incorporates techniques like transient occlusion of uterine arteries (TOUA) to minimize bleeding.

Step Description
1. Preparation Fasting for 8 hours; pre-op MRI/ultrasound review; antibiotic prophylaxis
2. Access 3-4 tiny abdominal incisions (0.5-1 cm); CO2 gas inflates abdomen for visibility
3. Exploration Laparoscope inserted via umbilical port; uterus manipulated to expose lesion
4. Excision Arteries clipped briefly (TOUA); monopolar energy incises myometrium; lesion removed with scissors, preserving 5 mm margins
5. Reconstruction Defect closed in 3 layers with absorbable sutures to restore uterine shape and prevent dead space
6. Completion Tissue extracted via port; clips released; incisions sealed with glue or stitches

This fertility-sparing method allows same-day or overnight discharge, contrasting with more invasive options.

Benefits of Laparoscopic Surgery for Adenomyosis

Opting for laparoscopy provides targeted relief with modern advantages:

Patients experience enhanced well-being, with many resuming exercise and intimacy sooner.

Laparoscopic Adenomyomectomy vs. Hysterectomy

Factor Laparoscopic Adenomyomectomy Hysterectomy
Uterus Preservation Yes No
Procedure Time 1-3 hours 2-4 hours
Hospital Stay 1 day 2-5 days
Recovery Period 1-2 weeks 4-6 weeks
Fertility Impact Preserved Ends natural pregnancy
Recurrence Risk 10-30% None

Potential Risks and Complications

Though safe with complication rates under 5%, awareness empowers informed decisions. Unittas Hospital mitigates risks through expert oversight and advanced monitoring.

Pre-existing endometriosis may elevate risks slightly, discussed during consultations.

Schedule Your Consultation

Our expert team is ready to help you with personalized adenomyosis treatment

Book Appointment: 044-4012-4012

Recovery and Aftercare After Laparoscopic Adenomyomectomy

Post-laparoscopy recovery emphasizes gentle healing and monitoring for optimal results. Expect mild cramping or shoulder discomfort from gas, easing in 48 hours.

Essential Guidelines:

Long-term, 80% maintain relief at 2 years with lifestyle tweaks like balanced hormones.

Why Choose Unittas Hospital for Laparoscopic Surgery for Adenomyosis?

Unittas Hospital is a trusted destination for Laparoscopic adenomyomectomy in Chennai, offering compassionate, advanced care tailored to every patient's journey. Our key highlights include:

Meet Our Doctors - Real People Who Really Care

Dr. Vaidehi

The Doctor Who Delivered 17 Babies During Chennai Floods

Based in Tambaram, Dr. Vaidehi has been helping Chennai women for over 14 years. You might have heard about her - she's the doctor who stayed at the hospital during the 2015 Chennai floods and delivered 17 babies when no one else could reach the hospital. That's the kind of dedication she brings to every patient.

Where to find her: Unittas Hospital, Tambaram West (just 5 minutes from the railway station)

When she's available: Every day, including emergencies at night

Languages: Fluent Tamil and English

Dr. Vaidehi has personally performed over 10,000 procedures. She's known for her gentle approach and often helps women who can't afford the full payment with flexible payment plans.

"I've seen everything in my 14 years. Nothing shocks me, nothing makes me judge. I'm just here to help you safely through this."

Dr. Binu Pattayil

The Multilingual Expert on OMR

If you're working in the IT corridor or living near OMR, Dr. Binu is your closest option. What makes her special? She speaks 7+ languages fluently - Tamil, English, Hindi, Malayalam, Telugu, Kannada, Bengali. So whatever your mother tongue, she can explain everything clearly in your language.

Where to find her: Unittas Hospital, Kelambakkam (right on OMR)

Experience: 16+ years in women's healthcare

Special skill: Minimally invasive procedures that heal faster

Many women from other states working in Chennai prefer Dr. Binu because she can communicate in their native language, making a difficult situation a little easier.

"I'll explain everything in your own language, so you know exactly what's happening at every step."

Dr. Anjana Annal

International Training, Local Heart

Dr. Anjana brings world-class expertise with her UK certification (MRCOG) and advanced laparoscopic training. Despite her international qualifications, she's deeply rooted in Chennai and understands the local context and concerns.

What makes her different: Uses the latest minimally invasive techniques

Languages: English, Tamil, Malayalam

Best for: Women who want the most advanced medical techniques with minimal scarring

Dr. Priyadharshini

10 Years of Experience Across Chennai

With the most extensive experience and a network across 25+ hospitals in Chennai, Dr. Priyadharshini has probably helped someone you know (though you'll never know it - patient confidentiality is sacred to her).

Experience: Over 10 years

Known for: Her motherly approach and ability to calm even the most anxious patients

Frequently Asked Questions

What differentiates focal from diffuse adenomyosis for surgery?

Focal adenomyosis involves isolated lesions suitable for laparoscopic excision, while diffuse spreads throughout the uterus, often requiring hysterectomy.

How does adenomyosis impact fertility before surgery?

It can cause tubal blockages or inflammation, reducing conception rates by 30-50%; laparoscopy clears these for better odds.

Is hormonal therapy needed after laparoscopic surgery?

Often yes, like an IUD for residual tissue control, extending relief up to 3 years.

What anesthesia is used in the procedure?

General anesthesia ensures comfort; local options are rare for abdominal access.

Can laparoscopic surgery treat adenomyosis with fibroids?

Yes, combined excision is common if fibroids contribute to symptoms.

How is lesion size determined pre-surgery?

Via transvaginal ultrasound or MRI; lesions over 5 cm may need adjusted techniques.

What dietary changes aid recovery?

Focus on iron-rich foods (spinach, lean meats) to rebuild blood post-bleeding, plus anti-inflammatory options like berries.

Does insurance typically cover this surgery?

Most plans do for medically indicated cases; pre-authorization via our team streamlines it.

How soon after surgery can I try for pregnancy?

Wait 3-6 months for healing; success rates reach 60% in preserved cases.

What if symptoms return post-laparoscopy?

Early ultrasounds detect it; options include repeat meds or IUD adjustment before re-intervention.

Is adenomyosis hereditary?

No direct link, but family history of endometriosis may slightly elevate risk.

How does laparoscopy compare to ablation for bleeding?

Ablation targets lining only, less effective for deep adenomyosis; surgery addresses root invasion.

Take Control of Your Health Today

Don't let adenomyosis affect your quality of life and fertility

Call Us: 044-4012-4012