This educational surgical presentation from World Laparoscopy Hospital demonstrates the minimally invasive management of a round ligament fibroid using a two-port laparoscopic approach. The procedure highlights advanced laparoscopic principles, careful anatomical identification, precise dissection, and effective specimen removal while maintaining the advantages of minimally invasive surgery.

Round ligament fibroids are uncommon benign tumors that can present diagnostic and technical challenges because of their location and relationship with surrounding pelvic structures. A thorough understanding of pelvic anatomy is therefore essential before beginning laparoscopic excision. This surgical demonstration provides valuable insight into how a structured approach can facilitate identification of the lesion and its relationship to the round ligament and adjacent tissues.

The two-port technique emphasizes efficient port placement, appropriate camera positioning, instrument coordination, and economical movement within the abdominal cavity. Reducing the number of access ports can provide an excellent opportunity to demonstrate advanced laparoscopic ergonomics and the importance of maintaining adequate triangulation despite limited access.

During the procedure, careful dissection is essential to separate the fibroid from surrounding tissues while preserving important anatomical structures. The surgeon must maintain continuous awareness of the course of the round ligament and nearby vessels, pelvic sidewall structures, and other vital anatomy. Controlled traction and counter-traction, sharp and blunt dissection, and appropriate use of energy devices are important components of safe laparoscopic tissue handling.

The demonstration also highlights the importance of securing the vascular supply of the fibroid and achieving meticulous hemostasis throughout the operation. Once adequately mobilized, the fibroid can be detached and retrieved using an appropriate specimen extraction technique. Proper tissue handling and specimen retrieval are important considerations in minimally invasive surgery.

For surgeons and gynecologists undergoing advanced laparoscopic training, this case offers an excellent opportunity to understand how uncommon pelvic pathology can be approached through minimally invasive techniques. It reinforces the importance of anatomical knowledge, surgical planning, precise dissection, and controlled instrument manipulation.

The procedure presented at World Laparoscopy Hospital reflects the institution's emphasis on advanced laparoscopic education and hands-on surgical learning. Such demonstrations help trainees appreciate how innovative port strategies can be incorporated into gynecological surgery while maintaining surgical safety and procedural efficiency.

This case is particularly valuable for gynecologists, laparoscopic surgeons, fellows, postgraduate trainees, and medical professionals interested in advanced minimally invasive gynecological procedures and challenging pelvic dissections.