Laparoscopic Myomectomy: A Safe and Effective Procedure in Multiple Submucosal Fibroids

We report a case of 31 year old nulligravida with multiple sub mucosal and intramural fibroid uteri which was managed by laparoscopic myomectomy. She was asymptomatic and was diagnosed with multiple fibroid uterus and primary infertility. She and her partner were evaluated completely for other causes of infertility and all investigations were normal. She was further evaluated with mapping of myomas on Magnetic resonance imaging and underwent laparoscopic removal of all 10 fibroids in the same sitting. In this case report, we highlight the advantage and the technical challenges in laparoscopic removal of multiple sub mucosal fibroids in the same sitting that overcomes the complications encountered during hysteroscopic removal of multiple fibroids.