Managing a broad ligament fibroid during Total Laparoscopic Hysterectomy requires a thorough understanding of distorted pelvic anatomy and a carefully planned laparoscopic surgical technique. In this educational video, Dr. R.K. Mishra demonstrates an advanced minimally invasive approach to hysterectomy in a patient with a broad ligament fibroid at World Laparoscopy Hospital.

A broad ligament fibroid can create significant anatomical distortion because the mass may occupy the space between the layers of the broad ligament and displace nearby pelvic structures. During laparoscopic hysterectomy, this can make the usual anatomical landmarks less obvious and may increase the technical difficulty of identifying and safely dissecting around the ureter, uterine vessels, adnexal structures, and surrounding tissues. A systematic approach and precise dissection are therefore important components of safe surgery.

This video focuses on the practical surgical principles used during a challenging laparoscopic hysterectomy. Dr. R.K. Mishra demonstrates how careful laparoscopic visualization, progressive dissection, identification of important anatomical structures, and controlled management of vascular pedicles can help the surgeon navigate altered anatomy. The procedure also provides an educational perspective on maintaining orientation throughout the operation and selecting appropriate planes of dissection around a large or strategically positioned fibroid.

For surgeons and gynecologists learning advanced laparoscopy, this case provides an opportunity to observe the decision-making and technical considerations associated with complex benign gynecologic surgery. Understanding how pelvic anatomy changes in the presence of fibroids is essential for developing confidence in difficult laparoscopic hysterectomy cases.

The video is intended as an educational resource for gynecologists, laparoscopic surgeons, fellows, residents, and medical professionals interested in advanced minimally invasive surgery. Watch the complete surgical video to learn about the operative principles and laparoscopic management of broad ligament fibroid during Total Laparoscopic Hysterectomy by Dr. R.K. Mishra at World Laparoscopy Hospital.