Laparoscopic Round Ligament Fibroid Removal by Two Port
This video demonstrates laparoscopic surgery for Round Ligament Fibroid Removal by Two Port by Dr. R.K. Mishra at World Laparoscopy Hospital.
Round ligament fibroids occur in the extraperitoneal portion of the ligament and are mostly seen to the right of the adnexa for still unknown reasons. These fibroids usually resemble an inguinal hernia, lymphadenopathies, ovarian cysts, and other pelvic masses because of the localization. There are several cases reporting management of round ligament fibroids via laparotomy in the literature. However, with recent advancements in laparoscopic surgery, laparoscopic approaches are more feasible and advantageous than laparotomy, with the additional benefits of a shorter hospital stay and recovery periods.
The diagnosis of round ligament fibroids is challenging. The presentation may be asymptomatic but must be kept in mind in the differential diagnosis of adnexal torsions. Laparoscopy can be the first choice where operation room settings are available.
2 COMMENTS
Dr. Kunal Bharti
#1
Aug 25th, 2022 9:02 am
Thank you for this video of Laparoscopic Round Ligament Fibroid Removal by Two Port I will be having surgery sometime in the next year and these are very informative for someone who has never been through it before.
Dr. Dhiraj Singh
#2
Oct 27th, 2023 11:06 am
Round ligament fibroids, occurring in the extraperitoneal section of the ligament, often appear on the right side of the adnexa, with unknown reasons for this localization. They can be easily confused with other pelvic masses. Historically, laparotomy was used to manage them, but laparoscopy has become a more beneficial option due to shorter recovery periods. Diagnosing round ligament fibroids can be tricky, and their presence should be considered in the differential diagnosis for adnexal torsions. Laparoscopy is now often the preferred choice when operating room facilities are available.
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