Join Prof. Dr. R. K. Mishra, internationally renowned laparoscopic surgeon and founder of World Laparoscopy Hospital, as he performs a Diagnostic Laparoscopy, Laparoscopic Myomectomy, and Tubal Patency Test for the evaluation and treatment of female infertility. This high-definition surgical video demonstrates a meticulous, fertility-preserving minimally invasive approach for women suffering from uterine fibroids and difficulty conceiving.

The procedure begins with a systematic diagnostic laparoscopy to inspect the uterus, ovaries, fallopian tubes, pelvic peritoneum, and pouch of Douglas. Careful assessment is performed to identify pelvic adhesions, endometriosis, ovarian pathology, tubal abnormalities, and other causes of infertility. Following a comprehensive pelvic evaluation, attention is directed toward the uterine fibroid affecting fertility.

Using advanced laparoscopic techniques, Dr. Mishra performs a precise myomectomy with minimal blood loss while preserving the normal uterine architecture. Every step—including vasopressin infiltration, serosal incision, meticulous enucleation of the fibroid, layered myometrial reconstruction, and intracorporeal suturing—is demonstrated with an emphasis on surgical safety and future reproductive outcomes.

Following successful removal of the fibroid, a Tubal Patency Test (Chromopertubation) is carried out by injecting methylene blue dye through the cervix to evaluate the openness and functional integrity of both fallopian tubes. Free bilateral spill confirms tubal patency, which is a critical factor in the fertility work-up. The video explains the clinical significance of chromopertubation and how laparoscopic visualization provides the most accurate assessment of tubal function.

Throughout the procedure, Dr. Mishra shares valuable surgical insights on patient selection, preoperative planning, laparoscopic instrumentation, ergonomic operating techniques, fertility-preserving principles, hemostasis, adhesion prevention, and postoperative care. The video serves as an excellent educational resource for surgeons, gynecologists, residents, fellows, and medical students interested in advanced minimally invasive gynecologic surgery.

World Laparoscopy Hospital is recognized internationally for excellence in laparoscopic and robotic surgery training. Surgeons and gynecologists from more than 108 countries have received advanced hands-on education through its internationally acclaimed fellowship programs. This surgical demonstration reflects the institute's commitment to evidence-based practice, patient safety, and world-class surgical education.

If you are interested in mastering advanced laparoscopic gynecologic procedures, fertility surgery, and minimally invasive surgical techniques, subscribe to our channel and explore more educational operative videos from World Laparoscopy Hospital.