Successful Laparoscopic Hysterectomy for a 12 × 10 cm Fibroid at Sangolkar Hospital, Sangli

arge Fibroids Don't Always Need Open Surgery – Advanced Laparoscopy Makes Minimally Invasive Treatment Possible

👨‍⚕️ Surgeon: Dr. Rahul Ramhari Sangolkar – Advanced Laparoscopic Gynecologist🏥 Hospital: Sangolkar Hospital, Near Maratha Samaj, Ambedkar Road, Sangli – 416416🩺 Qualification: MBBS, DGO, DNB (Mumbai), Diploma in Laparoscopy (Germany)

Case Overview

A woman presented to Sangolkar Hospital, Sangli, with a large uterine fibroid measuring 12 × 10 cm, causing significant symptoms that required surgical treatment.

Large fibroids are often considered technically challenging for laparoscopic surgery, leading many patients to believe that open surgery is the only option. However, with modern laparoscopic techniques and surgical expertise, minimally invasive surgery can be performed safely even in selected patients with very large fibroids.

Diagnosis: Large Symptomatic Uterine Fibroid

Clinical examination and imaging confirmed:

• Large uterine fibroid measuring 12 × 10 cm

• Symptomatic fibroid requiring hysterectomy

• Suitable candidate for an advanced laparoscopic approach

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Procedure: Total Laparoscopic Hysterectomy

🛠️ Surgical Highlights:

• Complete laparoscopic hysterectomy performed using advanced minimally invasive techniques

• Careful dissection despite limited operating space

• Secure control of blood vessels to minimize blood loss

• Specimen removed using specialized vaginal extraction (coring) techniques

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🎥 A short surgical video demonstrates the laparoscopic management of this challenging large fibroid.

Execution & Surgical Expertise

👨‍⚕️ Performed by: Dr. Rahul Ramhari Sangolkar

Large fibroids present several technical challenges during laparoscopy, including:

• Limited space for instrument movement

• Difficulty obtaining adequate traction on the fibroid

• Increased risk of bleeding

• Technical difficulty in specimen retrieval

  
  

With advanced laparoscopic instruments and extensive surgical experience, these challenges were managed successfully, allowing the patient to benefit from minimally invasive surgery.