20 CM Large Intramural Fibroid's Laparoscopic Myomectomy

20 CM Large Intramural Fibroid's Laparoscopic Myomectomy

br Laparoscopic myomectomy has revolutionized the surgical management of uterine fibroids, offering a minimally invasive approach even for large and complex cases. One such remarkable case involves the removal of a 20 cm large intramural fibroid — a condition once considered suitable only for open surgery due to its size and deep location within the uterine wall.br br Intramural fibroids develop within the muscular wall of the uterus and can cause symptoms like heavy menstrual bleeding, pelvic pressure, infertility, and abdominal distension. A fibroid as large as 20 cm presents unique challenges, including significant distortion of the uterine anatomy, increased vascularity, and the need for precise surgical technique to preserve uterine integrity and fertility.br br Using advanced laparoscopic techniques, such as vasopressin injection to minimize blood loss, careful enucleation of the fibroid, and multilayer uterine suturing, experienced surgeons can safely remove such large fibroids laparoscopically. The use of morcellation — either in-bag or manual — facilitates the extraction of the large mass through small incisions.br br The key advantages of laparoscopic myomectomy over open surgery include reduced postoperative pain, shorter hospital stay, faster recovery, and less scarring. This approach also ensures minimal disruption to the uterus, which is crucial for women planning future pregnancies.br br Successful laparoscopic myomectomy of a 20 cm intramural fibroid demonstrates the capability of modern gynecologic endoscopy and highlights the importance of surgical expertise and careful patient selection. It offers hope and healing to women who seek relief from debilitating fibroid symptoms without compromising their reproductive goals.


User: Laparoscopic Training

Views: 10

Uploaded: 2025-06-16

Duration: 41:52

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