Advanced laparoscopic myomectomy is an important uterus-preserving procedure for women with symptomatic uterine fibroids who may benefit from minimally invasive surgical management. In this educational surgical video, Dr. R.K. Mishra at World Laparoscopy Hospital (WLH) demonstrates the advanced laparoscopic removal of a pedunculated myoma, focusing on surgical anatomy, precise dissection, pedicle management, hemostasis, and safe specimen removal.

A pedunculated myoma is a fibroid that projects from the uterus and remains connected through a narrow stalk or pedicle. Because of its distinctive attachment, laparoscopic removal requires careful identification of the myoma, uterine attachment, surrounding pelvic structures, and vascular supply. Proper visualization and controlled surgical movements are essential for minimizing bleeding and preserving healthy uterine tissue.

The procedure demonstrates important principles of advanced laparoscopic myomectomy, including adequate exposure of the operative field, appropriate traction and counter-traction, careful handling of the myoma, controlled management of the vascular pedicle, and meticulous separation of the fibroid from the uterus. After removal, appropriate attention to hemostasis and management of the uterine defect is essential for completing the operation safely.

Laparoscopic surgery provides magnified visualization of pelvic anatomy and can offer the benefits of smaller abdominal incisions, reduced postoperative pain, shorter hospital stay, and faster recovery in appropriately selected patients. The specific surgical technique, however, depends on the size and location of the fibroid, its vascularity and attachment, the patient's symptoms, reproductive plans, and overall clinical condition.

This video is especially useful for surgeons, gynecologists, laparoscopic surgeons, and medical professionals interested in advanced minimally invasive gynecological procedures. The surgical demonstration by Dr. R.K. Mishra highlights the importance of anatomical orientation, precision, disciplined tissue handling, and systematic laparoscopic technique during myoma removal.

At World Laparoscopy Hospital, advanced laparoscopic and robotic surgical education provides surgeons and gynecologists with opportunities to understand modern minimally invasive surgical techniques through structured academic teaching, operative demonstrations, and practical training.

Watch this detailed surgical video to understand the operative principles involved in pedunculated myoma removal by advanced laparoscopic myomectomy and to observe the step-by-step laparoscopic approach demonstrated by Dr. R.K. Mishra at WLH.