Laparoscopic Surgery for Large Intramural Fibroid Uterus

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This video demonstrates Laparoscopic Surgery for a Large Intramural Fibroid Uterus by Dr. R.K. Mishra at World Laparoscopy Hospital. Uterine leiomyomas (myomas/fibroid) are benign smooth muscle tumors arising from the myometrium. Most myomas do not cause clinical symptoms and do not require intervention. Nonetheless, the size and location of a myoma are important determinants of its potential to become symptomatic and cause problems ranging from infertility to life-threatening uterine hemorrhage. Leiomyomas may develop anywhere in the myometrium and occasionally in the cervix, broad ligament, and ovaries. Most frequently, they develop in the myometrial wall and can lead to uterine distortion of both the cavity and the overall contour of the uterus, if large and multiple. Historically, symptomatic myomas have been treated surgically, often by hysterectomy. The surgical management of myomas has advanced significantly with newer, less-invasive forms of therapy. Current options for the management of myomas are numerous and allow for the individualized treatment depending on the patient’s desires. Despite these advances, there still are considerable controversies and unanswered questions about optimal surgical or medical management of symptomatic and asymptomatic myomas among physicians.