Rashmikaben is 44 years patient, NRI patient residing at London. She had visited our website http://www.laparoscopyexpert.com & http://www.ivfclinic.com and stared communication with Dr.Pragnesh Shah since last six months for her Fibroid surgery. She had 20 cms big Intra-mural fibroid (On USG & MRI report at London). She had visited many doctors at London & India and pulled on operation because most of them were are opinion that such fibroid cannot be removed Laproscopically and we may be compelled to remove uterus even if we will attempt Fibroid removal by laparotomy. She had also taken opinion for uterine artery embolisation in London.

Once she was convinced with us that we can remove her big (20 cms/ 1.5 K.G. Fibroid) Fibroid laparoscopically and we can preserve her child bearing potential by preserving uterus. She had communicated with us on our website, through Email & persona phone calls from London. She was admitted at Endoscopy excellence Institute, Bavishi Frertility Institute, Paldi char-Rasta on 14th December, 2007 at 7.00 am. We had done all pre-operative investigations and her pre-operative Hb was 13.5 gm%.

Special technique we have use during operation in the form of using harmonic scalpel and bladder dissection and followed by bilateral uterine vessels ligation with No.1 Vicryl and then in situ Morcellation to debulk with big mass so we can get enough working space to operate further. We have closed uterine defect with No.1 Vicryl sutures completely so she may not end up rupture uterus when she becomes pregnant.

Hysteroscopically we have removed endometrial polyp & laparoscopically Endometriosis were fulgurated with bipolar desiccation on both pelvic walls. Her both tubes are normal & patent. Now she can try pregnancy after 6 wks following Fibroid surgery.

She was taking normal dies within 24 hours and normal activities after 48 hours.