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Live video of Laparoscopic Myomectomy for Intramural Fibroid using Baseball Suturing
Gynecology / Sep 11th, 2021 12:05 pm     A+ | a-


This video demonstrates Laparoscopic Myomectomy for Intramural Fibroid using Baseball Suturing by Dr. R K Mishra at World Laparoscopy Hospital.
The ‘baseball’ suture technique for closure of the uterine incision is a safe and effective method for use in laparoscopic myomectomy. Uterine leiomyoma (fibroid) is the most common benign tumor in the reproductive system of women of childbearing age, with a prevalence of between 30–35%. Myomectomy is the treatment of choice for women who have symptoms and who wish to preserve their future fertility. During the last two decades, there have been rapid developments in minimally invasive surgical methods for myomectomy, and currently, a variety of endoscopic techniques are now used, including laparoscopy, hysteroscopy, and robotic-assisted surgery.
 

Laparoscopic Myomectomy for Intramural Fibroid using Baseball Suturing by Dr. R. K. Mishra at World Laparoscopy Hospital

Laparoscopic surgery has revolutionized modern gynecological practice by offering minimally invasive solutions for complex uterine conditions. One such advanced procedure is Laparoscopic Myomectomy, a technique used to remove fibroids from the uterus while preserving the uterus itself. At the renowned World Laparoscopy Hospital, this procedure is performed and taught with exceptional expertise under the guidance of Dr. R. K. Mishra, a globally respected laparoscopic surgeon and educator. His innovative approach, particularly the Baseball Suturing technique, has improved surgical outcomes and enhanced uterine reconstruction after fibroid removal.

Intramural fibroids, which develop within the muscular wall of the uterus, are among the most common types of Uterine Fibroids. These fibroids can cause symptoms such as heavy menstrual bleeding, pelvic pain, infertility, and pressure symptoms. Traditionally, open surgery was required to remove these fibroids, leading to larger incisions, longer recovery times, and increased postoperative discomfort. However, laparoscopic myomectomy has emerged as a safer and more effective alternative that offers minimal trauma, smaller scars, and faster recovery.

During laparoscopic myomectomy, small incisions are made in the abdomen through which specialized instruments and a high-definition laparoscope are inserted. The surgeon carefully identifies and excises the intramural fibroid while preserving the healthy uterine tissue. One of the most critical steps in this procedure is the proper closure of the uterine defect after the fibroid is removed. This step ensures adequate healing of the uterine wall and reduces the risk of complications such as bleeding or uterine rupture in future pregnancies.

This is where the Baseball Suturing technique introduced and taught by Dr. R. K. Mishra plays a significant role. The technique involves a continuous suturing method that resembles the stitching pattern used in a baseball. It allows the surgeon to approximate the myometrial layers securely while maintaining uniform tension along the suture line. The advantages of this method include excellent hemostasis, strong uterine repair, reduced operative time, and improved cosmetic healing of the uterine wall.

At World Laparoscopy Hospital, surgeons and gynecologists from across the world receive hands-on training in advanced laparoscopic techniques, including laparoscopic myomectomy with baseball suturing. The hospital is widely recognized for its commitment to surgical excellence and education in minimal access surgery. Through structured training programs, live demonstrations, and simulation-based learning, participants gain practical skills that they can apply in their own clinical practice.

Another major benefit of laparoscopic myomectomy is its positive impact on fertility preservation. Women who wish to conceive in the future can benefit from the precise and tissue-sparing approach offered by minimally invasive surgery. The strong uterine closure achieved with baseball suturing further supports the structural integrity of the uterus, which is crucial for safe pregnancy outcomes.

In conclusion, laparoscopic myomectomy for intramural fibroids represents a major advancement in gynecologic surgery. The innovative baseball suturing technique practiced by Dr. R. K. Mishra at World Laparoscopy Hospital has enhanced the safety, efficiency, and effectiveness of this procedure. By combining surgical expertise with modern minimally invasive technology, this approach not only removes fibroids successfully but also promotes faster recovery, better uterine healing, and improved quality of life for patients.

1 COMMENTS
Sheena
#1
Nov 15th, 2021 1:56 pm
Sir what is the suture material & size used for suturing myoma and port closure.Is the supraumbilical port closed here?
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