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. Not all surgeons are trained in laparoscopic surgery; because of the small size of the incisions, removing uterine fibroids with laparoscopic myomectomy requires special training. Fibroids that are attached to the outside of the uterus by a stalk (pedunculated fibroids) are the easiest to remove laparoscopically.