Laparoscopic Myomectomy: When It's Needed and When It's Not | Dr. Supriya Puranik ⁠Laparoscopic Myomectomy is a minimally invasive surgery to remove fibroids while preserving the uterus. It’s usually recommended when: You have heavy bleeding not controlled by medication Severe pelvic pain, bloating, or pressure symptoms like constipation Difficulty conceiving due to fibroid-induced uterine cavity distortion Rapidly growing or large fibroids Patient desires uterus preservation and wants to avoid