Laparoscopic Removal of Intramural and Broad Ligament Myoma

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This video demonstrate Laparoscopic Removal of Intramural and Broad Ligament Myoma by Dr R K Mishra at World Laparoscopy Hospital. We describe a patient with three fibroids; the largest was a broad ligament fibroid, which was managed successfully with laparoscopic myomectomy. It is well known that myomectomy of a large broad ligament fibroid presents a challenge to the surgeon with intraoperative complications such as excessive bleeding and ureteric injury or later complications such as pelvic hematoma and infection. The aim of presenting this case was to demonstrate that in patients with a large broad ligament fibroid, who want to preserve their reproductive potential, laparoscopic myomectomy is feasible and safe. Trans-vaginal US plays an important role in determining the degree of attachment, location and vascularity between the uterus and the broad ligament fibroid, which in turn helps in the choice of surgical procedure and technique.