TLH In 24 Wks Big Size Uterine Fibroid

DIGNOSIS:- - 10 x 10cm Fundo Post. Wall Fibroid - 5.3 x 5.3 cm Fundo Ant. Wall Fibroid TREATMENT (PLAN OF SURGERY) :- TLH + BS OPERATIVE NOTES:- -Operation done under general anaesthesia by dr amit and Done By Dr.Pravin Kanani. - Primary trocher 10mm, 3 secondary trocher 5mm insertion done. - Both cornual ligament coagulation done with ligasure and cutting done with covidion knife. - Both ovary preserve which was normal. - Bilateral salphingectomy done with covidion knife. - Broad ligament open and disection done to denading of uterus vessels. - Uterine ligation with vessel sciller and cutter done with covidion knife. - U/S ligament + ligament seperation done. - Haemostasis - All procedure done opposite site manner. - Valt open at U/S ligament. - Uterus deliverd from vagina route. - Specimen send for HPE. - Valt closer done with vicryl no 1(2347). - Saline wash given/ all ligament seen from bleedy which was normal. - Gas remove from cavity and stitch at port done with stepler. - End of surgary her vital data was normal. - Patient send in POST OPERATIVE CARE UNIT.