This video demonstrate Laparoscopic Myomectomy by Mishra's Knot performed by Dr R K Mishra at World Laparoscopy Hospital. Laparoscopic Myomectomy need a good suturing skill. Laparoscopic Myomectomy by Mishra's Knot by Dr R K Mishra at World Laparoscopy Hospital.

Laparoscopic myomectomy is an advanced minimally invasive surgical procedure used for the removal of uterine fibroids (leiomyomas) while preserving the uterus. This technique is particularly important for women who want to maintain fertility or avoid hysterectomy. At World Laparoscopy Hospital (WLH), the procedure is taught and performed using advanced suturing methods such as Mishra’s Knot, which enhances intracorporeal knot security and surgical efficiency. Laparoscopic myomectomy represents a major advancement in gynecological surgery due to its precision, reduced trauma, and faster patient recovery.

Uterine fibroids are benign tumors arising from the uterine muscle layer. Although many fibroids are asymptomatic, some cause heavy menstrual bleeding, pelvic pain, infertility, or pressure symptoms. Laparoscopic myomectomy removes these fibroids while conserving uterine structure and function, making it a preferred treatment for women of reproductive age. The minimally invasive nature of laparoscopy allows surgeons to excise fibroids with small incisions, reducing surgical trauma compared to open surgery.

At World Laparoscopy Hospital, emphasis is placed on advanced laparoscopic suturing techniques. Mishra’s Knot is a specialized laparoscopic knot-tying technique developed for secure and efficient intracorporeal suturing. During laparoscopic myomectomy, after fibroid removal, the uterine defect must be closed properly to prevent bleeding and future uterine rupture. Mishra’s Knot provides strong tissue approximation, reduces suturing time, and improves surgical ergonomics. This technique is especially useful in myomectomy because uterine muscle is thick and vascular, requiring reliable hemostatic closure.

The procedure generally begins with patient positioning, anesthesia, and creation of pneumoperitoneum. Small ports are inserted to introduce a camera and instruments. The fibroid is identified and dissected from the uterine muscle. After removal, the uterine wall is reconstructed using layered suturing with techniques like Mishra’s Knot. In many cases, fibroid tissue may be removed using morcellation to allow extraction through small incisions.

Laparoscopic myomectomy offers several benefits compared to open surgery. These include less postoperative pain, smaller scars, shorter hospital stay, and faster return to normal activities. Many patients are discharged within 24–48 hours and resume routine work within a few weeks. Additionally, fertility preservation is one of the most significant advantages, and many women can successfully conceive after surgery.

Despite its advantages, laparoscopic myomectomy carries some risks, such as bleeding, adhesions, or recurrence of fibroids. Some patients may require cesarean delivery in future pregnancies due to uterine scar strength considerations. Therefore, careful surgical technique and proper uterine closure, where Mishra’s Knot plays an important role, are essential for long-term safety.

World Laparoscopy Hospital is internationally recognized for training surgeons in advanced laparoscopic skills. The institution focuses on evidence-based surgical techniques, simulation training, and real-time operative teaching. Surgeons trained at WLH gain expertise in advanced suturing methods, including Mishra’s Knot, which improves operative outcomes and enhances patient safety.

In conclusion, laparoscopic myomectomy using Mishra’s Knot represents a blend of minimally invasive surgery and advanced laparoscopic suturing innovation. At World Laparoscopy Hospital, this technique reflects a commitment to surgical excellence, patient safety, and fertility preservation. With continuous advancements in laparoscopic technology and training, procedures like laparoscopic myomectomy will continue to improve outcomes and quality of life for women suffering from uterine fibroids.