Description

Watch an advanced Skin-to-Skin Diagnostic Laparoscopy with Hysteroscopic Myomectomy performed by Prof. Dr. R. K. Mishra at World Laparoscopy Hospital. This educational surgical video demonstrates a minimally invasive fertility-preserving approach for evaluating the pelvis and treating a symptomatic submucous fibroid in a single operative session. The procedure begins with diagnostic laparoscopy to assess the uterus, ovaries, fallopian tubes, pelvic peritoneum, and surrounding pelvic anatomy. Careful laparoscopic inspection helps identify any associated pathology such as endometriosis, pelvic adhesions, tubal disease, ovarian cysts, or other factors that may contribute to infertility or abnormal uterine bleeding. Following laparoscopic assessment, hysteroscopy is performed to directly visualize the uterine cavity. A submucous fibroid is accurately identified, and hysteroscopic myomectomy is carried out using meticulous surgical technique while preserving the normal uterine architecture. Complete removal of the intracavitary fibroid improves uterine cavity restoration and may enhance future reproductive outcomes. Throughout the operation, Dr. R. K. Mishra explains important surgical principles, patient selection, operating room setup, instrumentation, hysteroscopic landmarks, fluid management, safe tissue dissection, hemostasis, and strategies to minimize complications. The video emphasizes precision, tissue preservation, and evidence-based minimally invasive surgical techniques. This procedure is particularly valuable for women presenting with infertility, recurrent pregnancy loss, heavy menstrual bleeding, intermenstrual bleeding, pelvic pain, or recurrent implantation failure caused by submucous fibroids. Combining laparoscopy and hysteroscopy in a single session provides a comprehensive evaluation while reducing recovery time and avoiding unnecessary open surgery. This video is intended for surgeons, gynecologists, residents, fellows, and medical students seeking to refine their understanding of advanced minimally invasive gynecologic surgery. It also showcases the international-standard surgical training and operative excellence practiced at World Laparoscopy Hospital, one of the world's leading centers for laparoscopic and robotic surgery education.