​Laparoscopic Myomectomy Performed by Prof. Dr. R. K. Mishra, Laparoscopy Hospital, New Delhi, India. Learn more about Laparoscopic Myomectomy at http://www.laparoscopyhospital.com

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This surgical training video is designed for surgeons, gynecologists, and medical professionals who want to enhance their knowledge of advanced laparoscopic hernia repair techniques. The video highlights safety tips, anatomical landmarks, and key steps to achieve optimal surgical outcomes.

While you’re under general anesthesia, your surgeon will make four small incisions. These will each be about ½-inch long in your lower abdomen. Your belly will be filled with carbon dioxide gas to help the surgeon see inside your abdomen.

The surgeon will then place a laparoscope into one of the incisions. A laparoscope is a thin, lighted tube with a camera on one end. Small instruments will be placed into the other incisions.

Laparoscopic Myomectomy is an advanced minimally invasive gynecological procedure performed to remove uterine fibroids (leiomyomas) while preserving the uterus and fertility potential. At World Laparoscopy Hospital (WLH), this procedure is performed using modern laparoscopic technology combined with advanced surgical expertise, ensuring safe surgery, faster recovery, and excellent clinical outcomes.

World Laparoscopy Hospital is an internationally recognized academic medical institute dedicated to patient care, research, and training in minimal access surgery. Established as a center of excellence, it provides advanced laparoscopic, endoscopic, and robotic surgical services with global standards of healthcare.

Understanding Myomectomy

Myomectomy is the surgical removal of fibroids from the uterus. Fibroids are noncancerous growths that develop in or on the uterus and can cause symptoms such as heavy menstrual bleeding, pelvic pain, infertility, and pressure symptoms. Myomectomy is especially recommended for women who wish to preserve fertility or avoid hysterectomy.

Fibroids can be:

• Intramural – within uterine muscle

• Submucosal – inside uterine cavity

• Subserosal – outer surface of uterus

Indications of Laparoscopic Myomectomy

At WLH, laparoscopic myomectomy is commonly performed for:

• Symptomatic fibroids causing heavy bleeding

• Pelvic pain or pressure symptoms

• Infertility associated with fibroids

• Increasing fibroid size

• Recurrent pregnancy loss related to fibroid location

Studies show major indications include pain, abnormal bleeding, fibroid growth in infertile patients, and fertility-related treatment needs.

Advantages of Laparoscopic Myomectomy

Compared to open surgery, laparoscopic myomectomy offers multiple benefits:

• Smaller incisions (5–12 mm)

• Less blood loss and reduced need for transfusion

• Minimal postoperative pain

• Lower adhesion formation

• Faster recovery and early return to work

• Shorter hospital stay

Minimally invasive myomectomy results in fewer complications and faster healing compared with abdominal surgery.

Preoperative Evaluation at WLH

Patients undergo:

• Detailed clinical examination

• Ultrasound or MRI pelvis

• Hemoglobin and hormonal evaluation

• Fertility assessment (if required)

This ensures proper patient selection and safe surgical planning.

Surgical Technique of Laparoscopic Myomectomy

1. Patient Preparation

• General anesthesia is administered

• Patient positioned in lithotomy with Trendelenburg tilt

2. Port Placement

Typically 3–4 ports are placed depending on fibroid size and location.

3. Diagnostic Laparoscopy

Pelvic organs are inspected to confirm fibroid size, number, and location.

4. Vasopressin Injection

Injected into myometrium to reduce bleeding.

5. Myoma Incision and Enucleation

• Serosal incision is made

• Fibroid is dissected from uterine muscle

6. Uterine Reconstruction

The uterine wall is sutured in one or two layers depending on defect depth to restore strength and reduce risk of rupture in future pregnancy.

7. Specimen Retrieval

Fibroid is removed using morcellation or mini-laparotomy.

8. Hemostasis and Closure

Ports are removed and skin closed cosmetically.

Postoperative Care

• Early ambulation within 6–8 hours

• Oral diet same day or next day

• Discharge usually within 24–48 hours

• Return to normal activity in 2–3 weeks

Fertility Outcomes

Myomectomy preserves the uterus and improves chances of pregnancy in many patients. Doctors often advise waiting 3–6 months before attempting conception to allow proper uterine healing.

Possible Complications

Though rare in experienced hands, complications may include:

• Bleeding

• Adhesion formation

• Infection

• Recurrence of fibroids

• Uterine rupture risk in future pregnancy (rare but important)

Why Laparoscopic Myomectomy at WLH

• Advanced laparoscopic infrastructure

• Globally trained surgeons

• Evidence-based surgical protocols

• Dedicated minimal access surgery center

• Integrated training and clinical excellence environment

WLH is known worldwide for minimal access surgical education and high-quality patient care with continuous research and innovation.

Conclusion

Laparoscopic Myomectomy at World Laparoscopy Hospital represents a modern, fertility-preserving, minimally invasive solution for uterine fibroids. With advanced technology, standardized surgical techniques, and expert surgeons, WLH ensures optimal patient outcomes with minimal morbidity and faster recovery.

This procedure remains a cornerstone of modern gynecologic laparoscopic surgery, offering hope and improved quality of life for women suffering from fibroids.

If the surgery is being done robotically, your surgeon will control the instruments remotely using a robotic arm.

Your surgeon may cut your fibroids into small pieces to remove them. If they are too large, your surgeon may change to an abdominal myomectomy and make a larger incision in your abdomen.

Afterward, your surgeon will remove the instruments, release the gas, and close your incisions. Most women who have this procedure stay in the hospital for one night.