Laparoscopic Management of Posterior Intramural Fibroid

This video demonstrates laparoscopic management of posterior intramural fibroid (performed by Dr. R K Mishra at World Laparoscopy Hospital). Uterine fibroids (also known as leiomyomas or myomas) are the most common form of benign uterine tumors. Clinical presentations include abnormal bleeding, pelvic masses, pelvic pain, infertility, bulk symptoms, and obstetric complications. Almost a third of women with leiomyomas will request treatment due to symptoms. Current management strategies mainly involve surgical interventions, but the choice of treatment is guided by the patient's age and desire to preserve fertility or avoid ‘radical’ surgery such as hysterectomy. The management of uterine fibroids also depends on the number, size, and location of the fibroids. Other surgical and non-surgical approaches include myomectomy by hysteroscopy, myomectomy by laparotomy or laparoscopy, uterine artery embolization, and interventions performed under radiologic or ultrasound guidance to induce thermal ablation of the uterine fibroids.