This video titled "Laparoscopic Myomectomy for Large Panmural Fibroid Uterus: An Ideal Surgical Approach" showcases a complex yet expertly executed procedure aimed at removing large, deeply embedded fibroids through a minimally invasive route. At World Laparoscopy Hospital, under the guidance of Prof. Dr. R. K. Mishra, advanced laparoscopic techniques are employed to treat even the most challenging cases of panmural fibroids, offering patients a safe, fertility-preserving, and cosmetically favorable alternative to open surgery.

Understanding Panmural Fibroids

Panmural fibroids are those that extend across multiple layers of the uterus—subserosal, intramural, and submucosal—making their removal technically demanding. These fibroids can significantly distort uterine anatomy, cause heavy menstrual bleeding, pelvic pressure, infertility, and recurrent pregnancy loss. Traditional approaches often recommend laparotomy for such cases, but laparoscopic myomectomy has proven to be equally effective when performed by experienced hands.

Key Surgical Steps Highlighted in the Video

Port placement and patient positioning for optimal ergonomics
Uterine manipulation and fibroid mapping using laparoscopic ultrasound or visual cues
Precise serosal incision over the fibroid using harmonic scalpel or monopolar hook
Enucleation of large fibroids while preserving surrounding myometrium
Meticulous hemostasis using bipolar energy or vasopressin injection
Multilayered uterine suturing with intracorporeal knotting for anatomical restoration
Morcellation and safe tissue retrieval through containment systems

The video offers clear intraoperative visuals, expert narration, and practical tips on handling distorted uterine anatomy, reducing blood loss, and achieving a strong uterine closure for future fertility.

Advantages of Laparoscopic Myomectomy in Large Panmural Fibroids

Minimally invasive with significantly smaller incisions and minimal scarring
Preserves uterine function, making it ideal for women desiring future pregnancy
Shorter hospital stay and quicker return to daily activities
Lower risk of adhesions compared to open surgery
Enhanced precision and cosmetic outcome

Who Should Consider This Procedure?

This approach is suitable for:

Women of reproductive age with large or multiple fibroids
Patients with a desire to preserve fertility and avoid hysterectomy
Women experiencing severe symptoms unresponsive to medical therapy
Candidates seeking quicker recovery and reduced postoperative complications

Conclusion

Laparoscopic myomectomy for large panmural fibroid uterus is not only feasible but highly effective in experienced hands. As demonstrated in this educational video from World Laparoscopy Hospital, this advanced technique delivers exceptional surgical outcomes while preserving uterine function. It redefines the standard of care for women with complex fibroid pathology, proving that even the most challenging cases can be managed with precision, safety, and minimal invasiveness.

Watch the full video for a step-by-step demonstration of this high-level laparoscopic surgery and gain insights into cutting-edge techniques in gynecologic endoscopy.
Don’t forget to like, comment, and subscribe for more surgical tutorials and advanced training videos from World Laparoscopy Hospital, the global leader in minimal access surgery education.