This video demonstrate How to do Safe Laparoscopic Myomectomy - Lecture by Dr R K Mishra. Deep fibroids that protrude into the cavity of the uterus (submucous myomas) are the most difficult to take out laparoscopically. The advantage of laparoscopic surgery is that a larger incision is replaced by several smaller incisions. Recovery is generally faster than if a regular incision is made, but this can vary. Risks of laparoscopic myomectomy include: Excessive blood loss. Many women already have low blood counts (anemia) due to heavy menstrual bleeding, so they're at a higher risk of problems due to blood loss. ... Scar tissue. ... Pregnancy or childbirth complications. ... Rare chance of hysterectomy. ... Rare chance of spreading a cancerous tumor.

How to do Safe Laparoscopic Myomectomy by Dr. R. K. Mishra at World Laparoscopy Hospital

Laparoscopic Myomectomy is a minimally invasive surgical procedure performed to remove uterine fibroids while preserving the uterus. It is widely preferred for women who wish to maintain fertility and avoid open surgery. At World Laparoscopy Hospital, this procedure is taught and demonstrated with high standards of safety and precision by renowned laparoscopic surgeon Dr. R. K. Mishra. His approach focuses on meticulous surgical technique, proper patient selection, and advanced laparoscopic skills to ensure optimal outcomes. 

Preoperative Preparation

Safe laparoscopic myomectomy begins with thorough preoperative evaluation. Patients undergo detailed clinical examination, ultrasound, or MRI to determine the number, size, and location of fibroids. Proper patient counseling is also essential so that the patient understands the procedure, benefits, and possible risks. At World Laparoscopy Hospital, surgeons are trained to follow strict preoperative protocols to reduce complications and improve surgical success. 

Port Placement and Surgical Setup

According to the technique taught by Dr. R. K. Mishra, correct port placement is critical for ergonomic and safe surgery. Typically, a primary camera port is inserted through the umbilicus, while additional working ports are placed in the lower abdomen under direct vision. This arrangement provides excellent visualization and allows the surgeon to manipulate instruments effectively during fibroid removal. Proper positioning of the patient and surgical team further enhances precision and safety. 

Identification and Enucleation of Fibroids

Once access is achieved, the uterus is carefully examined to identify fibroids. A dilute vasoconstrictive solution may be injected to minimize bleeding. A precise incision is then made over the fibroid using laparoscopic instruments. Following the technique emphasized by Dr. R. K. Mishra, the fibroid is gently dissected and enucleated from the surrounding myometrium while preserving healthy uterine tissue. Careful traction and counter-traction help maintain clear planes and reduce blood loss. 

Suturing and Uterine Reconstruction

One of the most crucial steps in safe laparoscopic myomectomy is proper suturing of the uterine wall. At World Laparoscopy Hospital, surgeons are trained extensively in intracorporeal suturing techniques. After removal of the fibroid, the uterine defect is closed in multiple layers to restore strength and reduce the risk of future uterine rupture during pregnancy. Advanced laparoscopic suturing skills are essential for ensuring proper healing and long-term safety. 

Specimen Removal and Final Inspection

After successful reconstruction, the removed fibroid is extracted using a laparoscopic specimen retrieval technique, often through morcellation or a protected extraction method. The surgeon then performs a final inspection of the abdominal cavity to ensure complete hemostasis and confirm that no complications are present. This step is essential for maintaining patient safety and preventing postoperative issues. 

Postoperative Care and Recovery

One of the main advantages of laparoscopic surgery is faster recovery. Patients usually experience less pain, minimal scarring, and shorter hospital stays compared to open surgery. Under the guidance of Dr. R. K. Mishra, postoperative protocols at World Laparoscopy Hospital focus on early mobilization, pain control, and proper follow-up to ensure smooth recovery and long-term reproductive health. 

Conclusion

Safe laparoscopic myomectomy requires a combination of surgical expertise, careful planning, and advanced laparoscopic training. The technique taught by Dr. R. K. Mishra at World Laparoscopy Hospital emphasizes precision, patient safety, and effective uterine reconstruction. Through structured training and hands-on practice, surgeons learn how to perform this complex procedure with confidence and excellent outcomes. As minimally invasive surgery continues to evolve, laparoscopic myomectomy remains a gold standard for the management of uterine fibroids while preserving fertility and improving patient quality of life.