This video demonstrate all the steps of laparoscopic myomectomy. Surgeons who have the experience and skill and know the size, number, and position of fibroids are able to select the appropriate candidates for laparoscopic myomectomy. Authors of a study of 2,050 laparoscopic myomectomies found that fibroids larger than 5 cm, removal of more than 3 fibroids, and broad ligament fibroids were more likely to be associated with major complications, including visceral injury, conversion to laparotomy, and bleeding requiring blood transfusion. For all women considering laparoscopic or robot-assisted myomectomy, Surgeon should order pelvic MRI with and without contrast. Having the radiologist limit the number of MRI sequences may reduce the cost and make it comparable to that of other imaging modalities. Fibroids may affect quality of life—they may cause heavy menstrual bleeding, pelvic pain or pressure, or urinary frequency or incontinence. For many women who want large or numerous fibroids removed but the uterus preserved, abdominal myomectomy is required. Smaller and less numerous fibroids usually can be managed laparoscopically or with robotic assistance.

Laparoscopic myomectomy is a minimally invasive surgical procedure used to remove fibroids (also called myomas) from the uterus while preserving the uterus itself. It has become increasingly popular due to reduced recovery time, minimal scarring, and lower risk of complications compared to traditional open surgery. For medical professionals, students, and patients interested in understanding the procedure, a step-by-step video guide can be an invaluable resource.

What is Laparoscopic Myomectomy?

Myomectomy refers to the surgical removal of uterine fibroids, which are noncancerous growths in the uterus that can cause symptoms such as heavy menstrual bleeding, pelvic pain, and infertility. Laparoscopic myomectomy uses small incisions and a laparoscope—a thin tube with a camera and light—to perform the surgery with precision.

Benefits of Laparoscopic Myomectomy

• Minimally invasive: Only small incisions are made.

• Faster recovery: Most patients return to daily activities within 1–2 weeks.

• Reduced blood loss compared to open surgery.

• Preservation of fertility: Ideal for women planning future pregnancies.

• Minimal scarring: Small incisions reduce cosmetic concerns.

Step-by-Step Procedure (Video Guide)

A high-quality video demonstration helps in visualizing each step of the surgery. The following steps are typically included:

1. Preoperative Preparation

   • Patient evaluation, including ultrasound or MRI to locate fibroids.

   • General anesthesia is administered.

   • Patient is positioned in the lithotomy or Trendelenburg position for optimal access.

2. Port Placement

   • Small incisions (usually 3–4) are made in the abdominal wall.

   • A laparoscope is inserted through the main port.

   • Additional ports are used for surgical instruments.

3. Uterine Access and Fibroid Identification

   • The uterus is visualized using the laparoscope.

   • Fibroids are located and assessed for size, number, and location.

4. Injection and Incision

   • Vasopressin may be injected into the myometrium to reduce bleeding.

   • A small incision is made over the fibroid to access it.

5. Fibroid Enucleation

   • Fibroids are carefully separated from the uterine wall using specialized instruments.

   • Complete removal is ensured without damaging surrounding tissue.

6. Uterine Closure

   • The uterine wall is sutured in layers to maintain strength and prevent bleeding.

   • Barbed sutures or conventional sutures may be used depending on surgeon preference.

7. Specimen Removal

   • Fibroids are removed via morcellation (in small pieces) or through an enlarged incision if necessary.

   • Care is taken to avoid spreading tissue within the abdominal cavity.

8. Final Inspection and Closure

   • The surgical area is inspected for bleeding.

   • Ports are removed, and incisions are closed with sutures or adhesive strips.

Learning Through Video

A step-by-step video of laparoscopic myomectomy allows surgeons, trainees, and even patients to:

• Understand the precise technique of fibroid removal.

• Observe suturing methods and tissue handling.

• Recognize potential complications and their management.

• Gain confidence before performing or undergoing the procedure.

Conclusion

Laparoscopic myomectomy is a safe, effective, and fertility-preserving procedure for women with uterine fibroids. A step-by-step video guide offers a visual and practical understanding of the surgery, bridging the gap between theory and real-life surgical practice. For anyone interested in minimally invasive gynecologic surgery, such videos are an essential learning tool.