Dr. R. K. Mishra's Lecture on Laparoscopic Myomectomy at CAMLS, University of South Florida, USA. Fellowship of Minimal Acess Surgery Training course conducted by World Laparoscopy Training Institute, Florida, United States of America.

Laparoscopic Myomectomy and Robotic Myomectomy is a surgical procedure of removing fibroids through small abdominal incisions. Laparoscopic Myomectomy is suggested and advised for those who experience problems due to fibroids. This procedure is usually recommended when the woman wants the fibroids to be removed but wants to preserve the uterus. Fibroids affect daily life as they cause problems such as pelvic pain or pressure, heavy menstrual bleeding, urinary frequency, or incontinence.

Why is Laparoscopic Myomectomy done?
If there are many causes and symptoms that trouble your normal activities such as heavy menstrual bleeding, pelvic pressure or urinary incontinence, then doctors can suggest laparoscopic myomectomy. Some of the reasons to choose myomectomy are –

If planning to bear children.
If the uterine fibroids are interfering with fertility.
If you want to keep the uterus and just want to remove the fibroids.
Types of Myomectomy Techniques
Several techniques are used to remove the fibroid inside the uterus. The choice of the technique can depend on various factors such as the location and size of the fibroids as well as the characteristics of the woman. Various types of Myomectomy include –

Laparoscopic Myomectomy is performed to remove the fibroids in the uterus. This technique is performed using a narrow telescopic like an instrument in order to see inside the abdomen. The procedure involves 4 to 5 incision in the navel and lower abdomen. Fibroids are shell outside the uterus repairing the uterus incision. Recovery time is around 2 to 3 weeks and requires one night of hospitalization. Complications such as bleeding, injury to internal organs, an infection might occur during this procedure which is minimal. Robotic-assisted laparoscopic is also performed for the removal of the fibroids where the robotic system translates the surgeon’s hand movement outside of the patient’s body and precise surgical movement inside the abdomen.
Abdominal Myomectomy, also called laparotomy is performed using a vertical or horizontal incision in the abdominal wall. It allows the surgeon to have direct access to the patient’s uterus and usage of traditional surgical techniques and instruments is done. Anesthesia is given to the patient and a full recovery is expected within 4 to 6 weeks.

Hysteroscopic Myomectomy involves removing a submucosal fibroid from the inside wall of the uterus. A narrow telescope-like instrument is passed through the cervix to visualize the uterus activity in order to allow surgery inside the uterus. This procedure is only performed for smaller fibroid. This procedure is performed under anesthesia in an operating room. Some of the complication faced during this procedure includes fluid overload, bleeding, the formation of scarring inside the uterus, and uterine perforation.

Dr. Mishra's Lecture on Laparoscopic Myomectomy at CAMLS, Florida, USA

Laparoscopic surgery has revolutionized the field of gynecology, offering patients minimally invasive solutions with faster recovery times, reduced pain, and minimal scarring. Among the pioneers advancing this field is Dr. R.K. Mishra, a globally recognized laparoscopic surgeon whose expertise has transformed complex gynecological surgeries into precise, safe, and efficient procedures. His lecture on Laparoscopic Myomectomy at CAMLS (Center for Advanced Medical Learning and Simulation), Florida, USA was a landmark event that showcased not only his surgical mastery but also his commitment to education and international surgical training.

The lecture focused on the nuances of laparoscopic myomectomy—a minimally invasive procedure to remove uterine fibroids while preserving the uterus. Dr. Mishra emphasized the importance of careful preoperative planning, the selection of appropriate instrumentation, and meticulous surgical techniques to ensure patient safety and optimal outcomes. Attendees gained valuable insights into handling complex cases, minimizing blood loss, and reducing operative time, which are critical for patient satisfaction and postoperative recovery.

One of the most remarkable aspects of Dr. Mishra’s lecture was his demonstration of the “skin-to-skin” approach, where he illustrated step-by-step techniques with live surgical videos. This visual and practical approach enabled surgeons, gynecologists, and trainees from around the world to understand not just the theoretical aspects but the real-time execution of laparoscopic myomectomy. He also shared his innovations in suturing techniques and tissue handling, which significantly reduce adhesion formation and improve fertility outcomes for patients.

The event at CAMLS was more than a lecture; it was a convergence of knowledge, technology, and mentorship. Dr. Mishra’s ability to combine evidence-based medical practice with hands-on demonstrations allowed participants to gain practical skills that they could immediately apply in their own surgical practices. The interactive Q&A sessions further enriched the experience, allowing attendees to discuss challenges, complications, and advanced strategies in laparoscopic myomectomy.

In conclusion, Dr. Mishra’s lecture at CAMLS, Florida, highlighted the transformative potential of laparoscopic surgery in gynecology. His expertise, teaching style, and innovative surgical techniques not only educated medical professionals but also contributed to improving patient care worldwide. Such international engagements underscore the importance of knowledge exchange in medicine, ensuring that patients everywhere can benefit from advanced surgical care delivered with precision, safety, and compassion.