Скачать или смотреть Laparoscopic Myomectomy of Anterior Cervical Fibroid | Minimally Invasive Approach at WLH

Watch a step-by-step demonstration of laparoscopic myomectomy for a large anterior cervical fibroid, performed by Dr. R.K. Mishra, one of the world’s most experienced laparoscopic surgeons. This complex case highlights the challenges of deep pelvic dissection, identification of critical structures, and bloodless enucleation of a fibroid in close proximity to the bladder and cervix.

An anterior cervical uterine fibroid is a type of leiomyoma (uterine fibroid) that originates from the anterior wall of the cervix, projecting toward the bladder. Although fibroids are more commonly located in the uterine body, cervical fibroids account for less than 5% of all uterine fibroids.

Key Features:
• Location: Arises from the anterior cervical stroma, often distorting the cervix and lower uterine segment.
• Clinical Implications: Can compress the urinary bladder, leading to symptoms like frequency, urgency, or retention.
• Surgical Challenge: Proximity to the bladder, ureters, and uterine vessels makes surgical dissection more complex.
• Imaging: May appear as a low-lying, centrally located mass on ultrasound or MRI, often displacing the uterus posteriorly.

🛠️ Key Surgical Highlights:
• Use of Harmonic Scalpel and Ligasure for precise dissection and hemostasis
• Strategic port placement and uterine manipulation
• Techniques to minimize blood loss and preserve fertility
• Intracorporeal suturing of myometrial defect

🎓 Performed at: World Laparoscopy Hospital, Gurugram
👨‍⚕️ Surgeon: Dr. R.K. Mishra, MS, MRCS, PhD (Hon), FICRS
🌐 Visit: www.laparoscopyhospital.com

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