Best Laparoscopic Surgery in Nigeria by Indian Surgeon | Fibroid surgery cost in Nigeria
Mrs. Abiola got married at the age of 27. The family was very happy till the point they realized that Mrs. Abiola when she was 33 years old, was not able to conceive even after repeated attempts. Some of the other symptoms were extremely heavy periods, fatigue, weakness, anxiety, and depression from feeling full all the time and can’t eat. Also frequently urinating and her leg is beginning to go numb from sciatica.
They visited a gynecologist and with investigations, it turned out that she is having Fibroids in Uterus. With her research and with the support of her doctors she got to understand that there are two ways to remove the fibroid. Open surgery is one option, while minimally invasive laparoscopic surgery is another.
She tried to find solutions for fibroid removal. Her gynecologist suggested getting the open surgery to be done. However, she was keen to find better options. She was even planning to visit India for her surgery.
She started searching on the internet and came across one of our pages where our initiatives of surgical camps are highlighted.
She got in touch with the team and booked the surgery. We conducted laparoscopic myomectomy successfully. She was released three days after her admission.
She is now a proud mother of a lovely daughter, who is two years old.
Laparoscopic Gynecological surgeries like Fibroid removal surgery in Nigeria by Indian Doctors are a reality now.
Fibroid has always been one of the main reasons for fertility issues in Nigeria. Females were undergoing open surgeries for fibroid and success rates were always a matter of concern and pushed the females to defer the surgeries. Few females were so clueless about how to move forward and enter the phase where they start doubting whether they can ever enjoy motherhood. At times, females used to choose to go to India for advanced and minimally invasive techniques like laparoscopic surgeries.
Let’s take a look at how MedicoExperts operates and makes a difference in the lives of Nigerians.
MedicoExperts for Nigerians
MedicoExperts is bridging the healthcare gap in Nigeria by advancing hospitals in skills and technology to support the people of Nigeria to get treated in Nigeria with the finest of doctors from India.
MedicoExperts provides diagnostic and surgical care to Nigerian women with the help of its experienced gynecologists and surgeons from India.
Many patients who are seeking advanced treatment from the best doctors in the world are benefiting from the initiative.
Medicoexperts have performed laparoscopic surgeries laparoscopically for thousands of females and are blessed to claim that we have delivered desired results and satisfaction.
MedicoExperts is performing all the possible gynecological surgeries including but not limited to Myomectomy, ovarian cystectomy, adhesiolysis, and diagnosis for infertility are done through laparoscopic methods.
Now, the people of Nigeria need not visit other countries for treatment and thereby saving time and money in traveling.
What is Gynecologic Surgery?
Any surgical procedure on a woman’s reproductive system, including the vagina, cervix, uterus, fallopian tubes, and ovaries, is referred to as gynecologic surgery. Gynecologic surgeons are frequently called upon to perform procedures on a woman’s urinary tract, including the bladder.
Common gynecologic surgeries include:
- Tubal ligation (tubes tied)
- Ovarian cysts removal (non-cancerous growths on an ovary)
- Fibroids removal (non-cancerous growths) in the uterus
- Cervix growth removal (the lower part of the uterus that connects to the vagina)
- Uterine artery embolization is a procedure that stops the flow of blood to a uterine fibroid, causing it to shrink.
- Uterus removal (hysterectomy), ovaries removal, or other parts of a woman’s reproductive system
- Gynecological cancers (cervical, uterine, and ovarian) are treated surgically.
- Cystoscopy is a procedure that allows a doctor to examine the inside of the urinary tract for growths, bladder stones, and other issues.
- Hysteroscopy is a procedure that allows a doctor to examine the inside of the uterus by passing a thin tube through the vaginal and cervix.
The primary goal of minimally invasive surgery is to avoid making a large incision in the abdomen. In comparison to traditional open surgery, minimally invasive surgery uses fewer and smaller incisions, and in some cases, no incisions at all.
Our gynecological surgeons are able to achieve a high level of precision for delicate procedures by using specialized instruments. For the patient, this has several advantages, including:
- Faster recovery
- Less pain
- Smaller incisions
- Shorter hospital stays
- Easier return to normal activities
Open surgery is performed through traditional large incisions (similar to a cesarean section), is associated with longer hospitalizations, and longer postoperative recovery times.
Endometriosis, ovarian cysts, fibroids, abnormal bleeding, intrauterine scarring, damaged fallopian tubes, pelvic pain, or abnormal reproductive tract development are all conditions that may require surgery.
Doctor choose open surgery if your fibroid size is bigger and multiple fibroids. Myomectomy is the surgical procedure to remove the fibroid. A large incision in the abdomen is used to access the uterus and remove the fibroids during an abdominal myomectomy.
Robot-assisted surgery is the result of technological advancement, and because of its minimally invasive approach, the patient experiences less pain and tissue damage, allowing for a quicker recovery. It also produces the best results due to its high precision and flexibility.
Smaller incisions, which may result in less post-operative pain, reduced blood loss and fewer blood transfusions, and a potentially faster recovery and return to normal activities are all potential benefits of laparoscopic and robot-assisted laparoscopic hysterectomy and other gynecologic procedures over open surgery.
Robotic surgery we are performing only in India.
Gynecology surgeries in Nigeria
What is a fibroid?
Fibroids are abnormal growths in or on the uterus of women. These tumors can grow to be quite large, causing severe abdominal pain and heavy periods. In some cases, they produce no symptoms at all. The growths are usually noncancerous or benign.
Based on your age, the size of your fibroids, and your overall health, your doctor will create a treatment plan for you.
What if Uterine Fibroid is left Untreated?
Fibroids get worse with time. Fibroids can continue to grow in size and number if left untreated. The symptoms will worsen as the tumors take over the uterus.
- The fibroid’s pain will increase.
- Pain during sex
- Bleeding between your periods
- The heavy bleeding will intensify, and severe cramping may accompany it.
- Abdomen swelling
- Scar tissue forms bands that bind organs and tissue together in your abdomen.
- They can increase bladder pressure, resulting in incontinence or frequent urination.
- Fertility issues
- Can put a woman’s life under stress.
If you are having uterine fibroid them you may also experience the above symptoms. The doctor should advise you to remove the fibroid when it is small in size and it is better for your health and pregnancy.
Treatment option for Fibroid removal in Nigeria
Abdominal myomectomy: If you have multiple fibroids, large fibroids, or deep fibroids, your doctor may recommend an open abdominal surgical procedure to remove the fibroids.
Many women who have been told that hysterectomy is their only option can instead opt for an abdominal myomectomy. Scarring from surgery, on the other hand, can have an impact on future fertility.
Hysterectomy: The uterus is removed during this procedure. It is still the only permanent treatment for uterine fibroids.
Your ability to bear children will end after a hysterectomy. If you also have your ovaries removed, you’ll experience menopause and have to decide whether or not to take hormone replacement therapy. Most women with uterine fibroids may be able to keep their ovaries if they so desire.
Please take note: If you’re trying to conceive or think you might want to start a family, a hysterectomy will prevent you from getting pregnant in the future.
If you want to keep your ability to become pregnant, have a thorough discussion with your doctor about the risks and benefits of these procedures. If you’re actively trying to conceive, a complete fertility evaluation is recommended before deciding on a treatment plan for fibroids.
Myomectomy is usually the treatment of choice if you want to keep your fertility. All treatments, however, have risks and benefits. Talk to your doctor about them.
Laparoscopic Surgery to remove Uterine fibroid in Nigeria
Myomectomy is a procedure that allows your doctor to remove fibroids from your uterus without damaging it. Myomectomy comes in a variety of forms. The type of procedure that will work best for you will be determined by the location of your fibroids, their size, and the number of fibroids you have. The following are examples of myomectomy procedures for removing fibroids:
Laparoscopic Hysteroscopy: A scope (a thin, flexible tube-like tool) is inserted through the vaginal and cervix and into the uterus to perform this procedure. During this procedure, no incisions are made. The scope will be used to cut away the fibroids during the procedure. The fibroids will then be removed by your doctor.
Robotic laparoscopic myomectomy: In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place.
If your fibroids are few in number, you and your doctor may choose a laparoscopic or robotic procedure, which removes fibroids from your uterus using slender instruments inserted through small incisions in your abdomen.
Larger fibroids can be removed by breaking them into pieces (morcellation), which can be done inside a surgical bag, or by extending one incision to remove the fibroids.
A small camera attached to one of the instruments allows your doctor to view your abdominal area on a monitor. Robotic myomectomy provides your surgeon with a magnified, three-dimensional view of your uterus, allowing for greater precision, flexibility, and dexterity than other techniques.
Laparotomy: An incision is made in your abdomen during this procedure, and the fibroids are removed through this single larger cut.
There are additional surgical options that your healthcare provider may recommend if you aren’t planning future pregnancies. If pregnancy is desired, these options are not recommended, and there are surgical options to remove the uterus.
Hysterectomy: Your uterus is removed during this procedure. Fibroids can only be treated with a hysterectomy. The fibroids won’t return after your uterus is removed completely, and your symptoms should go away. After a hysterectomy, if your uterus is removed but your ovaries are left in place, you will not experience menopause. If you have large fibroids or are experiencing heavy bleeding from your fibroids, this procedure may be recommended. When hysteroscopy is recommended, it is best to use the least invasive procedure possible. Vaginal, laparoscopic, and robotic procedures are examples of minimally invasive procedures.
Uterine fibroid embolization: An interventional radiologist teams up with your gynecologist to perform this procedure. Small particles are used to block the flow of blood from the uterine artery to the fibroids using a small catheter placed in the uterine artery or radial artery. The loss of blood flow causes the fibroids to shrink, which improves your symptoms.
Radiofrequency ablation (RFA): Radiofrequency energy is used to destroy uterine fibroids and shrink the blood vessels that feed them during this procedure. This can be done either laparoscopically or transcervical.
Your doctor will make two small incisions in your abdomen to insert a slim viewing instrument (laparoscope) with a camera at the tip during laparoscopic radiofrequency ablation (Acessa), also known as Lap-RFA. Your doctor locates fibroids to be treated using a laparoscopic camera and a laparoscopic ultrasound tool.
After locating a fibroid, your doctor will insert several small needles into it with a specialized device. The needles cause the fibroid tissue to heat up and die. The destroyed fibroid instantly changes consistency, going from being hard as a golf ball to soft as a marshmallow. The fibroid continues to shrink over the next three to twelve months, helping reduce symptoms.
Doctors consider Lap-RFA to be a less invasive alternative to hysterectomy and myomectomy because no uterine tissue is cut. After 5 to 7 days of recovery, the majority of women who have the procedure return to their normal activities.
Fibroid surgery cost in Nigeria
The cost of fibroid removal surgery starts from 380000 Naira.
What is an Ovarian cyst?
A fluid-filled sac develops on one of your ovaries and is known as an ovarian cyst. Many are caused by changes in your menstrual hormones, which usually go away on their own after a few weeks without any treatment. Ovarian cysts are usually asymptomatic. You may need treatment if they grow larger or do not go away on their own.
Cysts in the ovaries are very common. They come in a variety of sizes, ranging from the size of a pea to that of a large melon (occasionally even larger). There are several types, including:
- Functional ovarian cysts: This is the most common type of ovarian cyst. When there is a functional problem with ovulation, they form in some women of childbearing age (women who still have periods). They’re quite common. There are two kinds of them:
- Follicular cysts: A follicle can sometimes enlarge and fill with fluid. They are more common in women undergoing infertility treatment.
- Corpus luteum cysts: Corpus luteum cysts form when the corpus luteum fills with fluid or blood and forms a cyst. A hemorrhagic cyst is a cyst that is filled with blood.
- Dermoid cysts: Dermoid cysts, also known as teratomas, form from embryonic cells and can contain tissue such as hair, skin, or teeth. They aren’t usually cancerous.
- Cystadenomas: Cystadenomas arise from the cells that cover the ovary’s outer layer. There are various types. Serous cystadenomas, for example, fill with a thin fluid, whereas mucinous cystadenomas fill with a thick mucous-like fluid. Rather than growing within the ovary, these cysts are frequently attached to it by a stalk. Some of them get quite big. The majority of them are benign, but some are cancerous.
- Endometriomas: Endometriosis is a condition in which endometrial tissue, which lines the womb (uterus), is found outside of the uterus. It can sometimes form blood-filled cysts.
- Polycystic ovary syndrome (PCOS): PCOS (polycystic ovary syndrome) is characterized by a large number of cysts. If you have PCOS, you will develop a large number of small benign ovarian cysts. The cysts form as a result of a hormonal imbalance causing a problem with ovulation. Period issues, reduced fertility, hair growth, obesity, and acne are all linked to PCOS.
- Others: There are also other rare types of ovarian cysts. There are several types of benign ovarian tumors that are not cystic and are solid (do not have fluid in the middle).
What If Ovarian Cyst is left untreated?
If an ovarian cyst is left untreated can lead to infertility. Ovarian cysts commonly do not cause any symptoms. However, as the cyst grows, symptoms may appear. Among the signs and symptoms are:
- Although most cysts are harmless, some have the potential to become cancerous.
- Abdominal bloating or swelling
- A cyst can bleed into itself or burst at any time. This can result in severe lower abdominal pain.
- Painful bowel movements
- Pelvic pain can occur before, during, or after the menstrual cycle.
- Painful intercourse
- Pain in the lower back or thighs
- Breast tenderness
- Nausea and vomiting
Laparoscopic Surgery to remove Ovarian cyst in Nigeria
The type of surgery required is decided by the cyst’s size and appearance on ultrasound. The following are some of the procedures that have been used:
Laparoscopy: Laparoscopy is a procedure in which the doctor inserts a small device into the abdomen through a small incision. Using the device, he or she can see the reproductive organs and the pelvic cavity. The cyst can be removed through small incisions made by the doctor.
Laparotomy: This procedure removes the cyst through a larger incision. The cyst will be evaluated for cancer. If cancer is found, the doctor may need to remove one or both ovaries, the uterus, the omentum (a fold of fatty tissue), and some lymph nodes. Lymph nodes are small bean-shaped structures that produce and store infection-fighting cells, but they may also contain cancer cells.
What is fallopian tube blockage?
The fallopian tubes are two thin tubes on either side of the uterus that assist in the passage of the mature egg from the ovaries to the uterus. A blocked fallopian tube, also known as tubal factor infertility, occurs when an obstruction prevents the egg from traveling down the tube.
The egg cannot reach the uterus and the sperm cannot reach the egg if one or both fallopian tubes are blocked, preventing fertilization and pregnancy.
What If fallopian tube blockage is left untreated?
Infertility is caused mainly by blocked fallopian tubes. For fertilization, sperm and an egg meet in the fallopian tube. They may be unable to join due to a blocked tube.
Without treatment, pregnancy will be impossible if both tubes are completely blocked. You may be able to conceive if your fallopian tubes are partially blocked. The risk of an ectopic pregnancy, on the other hand, rises.
Blocked fallopian tubes can cause mild, consistent pain on one side of the abdomen in some cases.
Symptoms of conditions that can lead to a blocked fallopian tube can occur on their own. Endometriosis, for example, frequently causes painful and heavy periods as well as pelvic pain. It can put you at risk of having your fallopian tubes clogged.
Blocked fallopian tubes treatment in Nigeria
Tubal Ligation Reversal Surgery: If you had your fallopian tubes cut or blocked to prevent pregnancy, tubal ligation reversal surgery can help you undo the procedure. Reconnecting the parts of the tubes that were blocked or cut, it will allow your eggs to travel through them again.
Salpingostomy (Neosalpingostomy): Salpingostomy, also known as neosalpingostomy or fimbrioplasty, is a procedure in which your doctor makes a hole in your fallopian tube. A hydrosalpinx is a blocked and swollen tube that is usually filled with fluid.
Salpingectomy: The salpingectomy, unlike the salpingostomy procedure, repairs your blocked fallopian tube while leaving it intact, removes it entirely during surgery. To improve your chances of in vitro fertilization, your doctor may recommend bilateral salpingectomy or the removal of both fallopian tubes.
Fimbrioplasty: If you have a blockage in the part of your fallopian tube closest to the ovary, your doctor may recommend a fimbrioplasty procedure. This procedure clears the blocked tube and saves the fimbriae tissue, allowing your eggs to pass through.
MedicoExperts Success ratio of surgeries in Nigeria
MedicoExperts have an excellent track record of 98.6% successful surgeries in Nigeria. 1.4% of people got some infection post surgeries which was also cured with medication.
MedicoExperts along with its team of top surgeons from India are proficient in performing the below mentioned surgeries:
|Sr. No.||Procedures||Cost of Procedure USD||Cost in Naira|
|1||Diagnostic Hysteroscopy||1000 – 1200||380000 – 456000|
|2||Hysteroscopic cannulation (cornual)||1000 – 1200||380000 – 456000|
|3||Hysteroscopic Polypectomy||1000 – 1200||380000 – 456000|
|4||Hysteroscopic resection of fibroid||1000 – 1200||380000 – 456000|
|5||Hysteroscopic Resection of Septum||1200 – 1300||456000 – 494000|
|6||Hysteroscopic adhesiolysis for Asherman’s Syndrome||1200 – 1300||456000 – 494000|
|7||Diagnostic laparoscopy for infertility evaluation||1000 – 1200||380000 – 456000|
|8||Ovarian drilling for polycystic ovarian disease (PCOS)||1200 – 1300||456000 – 494000|
|9||Laparoscopic Myomectomy||2500 – 2700||950000 – 1026000|
|10||Laparoscopic Ovarian Cystectomy||2100 – 2300||798000 – 874000|
|11||Laparoscopic conservative surgery for Endometriosis||2100 – 2300||798000 – 874000|
|12||Laparoscopic Abdominal Cerclage for failed vaginal cerclage procedure||1600 – 1800||608000 – 684000|
|13||Laparoscopic Adhesiolysis||2500 – 2700||950000 – 1026000|
|14||Laparoscopic unification for bicornuate uterus||2800 – 2900||1064000 – 1102000|
|15||Salpingostomy in ectopic pregnancy||2000 – 2100||760000 – 798000|
|16||Sling surgery for prolapse of uterus||2800 – 2900||1064000 – 1102000|
|17||Total laparoscopic Hysterectomy||2900 – 3100||1102000 – 1178000|
|18||Laparoscopic Tuboplasty||2400 – 2500||912000 – 950000|
|19||Sacrocolpopexy for vault prolapse||3500 – 3600||1330000 – 1368000|
|20||Vaginoplasty for agenesis of vagina||2500 – 2700||950000 – 1026000|
|21||Correction of transverse vaginal septum||2100 – 2300||798000 – 874000|
Frequently Asked Questions and patient concerns:
1. How is blocked fallopian tubes diagnosed?
In order to completely examine the blockage in the fallopian tubes, a type of x-ray called Hysterosalpingography (HSG) is done. A dye is injected in the uterus and fallopian tubes during HSG. The dye allows the doctor to clearly visualize the insides of the fallopian tube on the x-ray.
Alternatively, an ultrasound called sonohysterogram which is almost like an HSG test but using sound waves is done to picture the fallopian tubes.
At times, keyhole surgery or laparoscopy is done to test for blockage, and this is considered to be the most accurate way to test for blockage. However, it is not recommended in the early stages of diagnosis
2. How many days of hospital stay is expected if I undergo treatment for blocked fallopian tube in India?
Usually, the patients spend about 2-3 days in the hospital to ensure complete and overall recovery, and to address if there are any complications. Another 7-10 days stay in the country is to be expected to warrant that you are recovery and are fit to travel back to your home country.
3. What are the probable causes of fallopian tube blockage?
A number of factors or reasons can be attributed for the cause of blockage in the fallopian tubes. Some of the reasons are as follows:
- History of abdominal surgery
- Sexually transmitted disease like gonorrhoea and chlamydia
- Pelvic inflammatory disease
4. Is there any medication that can help unblock the tubes?
There is no drug or medication that can clear the blockage in the tube, except maybe blockage that is caused by an infection.
5. Can HSG test unblock the fallopian tube?
An HSG or hysterosalpingogram is the common test that determines whether the tubes are blocked or not. Traditionally, it is only a test, however, there are certain cases, in which “tubal flushing” is done by using an oil-based dye that unblocks the tubes. However, the causes of the blockage were primarily unknown.
6. Will I be able to get pregnant after this procedure?
The likelihood of getting pregnant after tubal surgery depends on three factors:
the amount of tube injury, the partner’s sperm health and the woman’s age. If the tubes are badly damaged or even blocked after surgery, a woman can get pregnant by in vitro fertilization (IVF). If the sperm count is low, it could be advised to go straight to IVF, as that can treat both tubal disease and low sperm counts.