This video ovarian Laparoscopic fibroid removal is a minimally invasive procedure to remove uterine fibroids, benign (not cancerous) growths in a woman's uterus. The procedure can help relieve uterine fibroid symptoms such as abnormally heavy menstrual bleeding, pain in the pelvic region, and pressure on the bladder or bowel.

Laparoscopic fibroid removal surgery, medically known as laparoscopic myomectomy, is a minimally invasive surgical procedure used to remove uterine fibroids while preserving the uterus. At World Laparoscopy Hospital (WLH), this advanced technique is performed using high-definition laparoscopic systems, modern energy devices, and refined suturing techniques, ensuring excellent patient outcomes, faster recovery, and preservation of fertility.

Introduction to Uterine Fibroids

Uterine fibroids are non-cancerous growths that develop in the muscular wall of the uterus. Many women remain asymptomatic, but symptomatic fibroids can cause heavy menstrual bleeding, pelvic pain, pressure symptoms, infertility, or pregnancy complications. Myomectomy is usually recommended when fibroids produce symptoms or affect fertility potential.

Fibroid removal can relieve symptoms such as:

• Heavy or irregular bleeding

• Pelvic pressure or pain

• Urinary or bowel symptoms due to pressure

• Infertility or recurrent miscarriage risk

Concept of Laparoscopic Fibroid Removal

Laparoscopic myomectomy is performed through small incisions (typically 5–12 mm) using a laparoscope (camera) and specialized instruments. Compared with open surgery, laparoscopic procedures generally offer less trauma, reduced bleeding, and quicker recovery.

Research shows that laparoscopic removal provides advantages such as:

• Shorter hospital stay

• Less postoperative pain

• Faster return to normal activity

• Lower adhesion formation

• Better cosmetic results

Preoperative Preparation at World Laparoscopy Hospital

At WLH, patient preparation includes:

1. Detailed Evaluation

   • Pelvic ultrasound or MRI

   • Hemoglobin assessment (as many fibroid patients have anemia)

2. Medical Optimization

   • Iron therapy for anemia

   • Hormonal therapy (sometimes) to reduce fibroid size before surgery

3. Counselling

   • Fertility planning discussion

   • Surgical risk explanation

   • Recovery expectations

Step-by-Step Surgical Procedure

1. Anesthesia and Patient Positioning
General anesthesia is given. The patient is placed in lithotomy position with Trendelenburg tilt.

2. Port Placement
Small abdominal incisions are made for insertion of camera and surgical instruments.

3. Visualization of Uterus
The laparoscope provides magnified visualization of fibroids and surrounding anatomy.

4. Fibroid Identification and Dissection
The fibroid capsule is incised, and fibroid is carefully dissected from uterine muscle.

5. Hemostasis Control
Advanced bipolar or ultrasonic energy devices are used to minimize bleeding.

6. Uterine Reconstruction
The uterine wall is sutured laparoscopically in layers to restore strength and anatomy.

7. Fibroid Removal
Fibroids are removed through small incisions using contained morcellation or mini-incision techniques.

Advantages of Laparoscopic Fibroid Removal

Compared to open surgery, laparoscopic myomectomy offers:

• Less blood loss and lower transfusion risk

• Smaller scars and improved cosmetic outcome

• Reduced postoperative pain

• Faster recovery (usually 2–3 weeks)

• Lower risk of hernia and adhesions

Most patients can go home the same day or within 24 hours.

Risks and Limitations

Although safe, laparoscopic myomectomy carries some risks:

• Bleeding

• Infection

• Adhesion formation

• Rare need to convert to hysterectomy

• Possible future pregnancy risks such as uterine rupture

• Small risk if hidden cancer is present in fibroid tissue

However, complication rates remain low when performed by experienced surgeons.

Fertility Outcomes

One of the biggest advantages of myomectomy is preservation of fertility. Many women experience improved chances of pregnancy after fibroid removal, though doctors usually advise waiting 3–6 months before trying to conceive.

Recovery and Postoperative Care

Typical recovery includes:

• Early mobilization within 6–12 hours

• Oral diet same or next day

• Return to routine work in 2–3 weeks

• Avoid heavy lifting for 4–6 weeks

Symptom relief is usually significant, with lighter periods and reduced pelvic discomfort.

Role of World Laparoscopy Hospital

World Laparoscopy Hospital is globally recognized for:

• Advanced minimal access surgical training

• Evidence-based surgical protocols

• High-definition laparoscopic infrastructure

• Expertise in complex fibroid surgery

WLH focuses on organ-preserving surgery, fertility preservation, and enhanced recovery protocols.

Conclusion

Laparoscopic fibroid removal surgery represents a major advancement in gynecological surgery. At World Laparoscopy Hospital, this procedure is performed with precision, safety, and patient-centered care. By combining modern technology, expert surgical skill, and standardized protocols, WLH ensures optimal outcomes with minimal invasiveness. For women suffering from symptomatic fibroids who wish to preserve their uterus and fertility, laparoscopic myomectomy remains one of the most effective and preferred treatment options in modern gynecology.