Surgeons in Bengaluru successfully performed a complex laparoscopic procedure to remove a massive 4.65-kg parasitic fibroid from a 28-year-old woman while preserving her uterus.

  • A specialized medical team in Bengaluru removed a 4.65-kg uterine fibroid from a 28-year-old woman.
  • The tumor weighed more than a full-term newborn baby.
  • Doctors utilized a specialized mini-laparotomy morcellation technique to preserve the uterus.
  • The mass was a rare 'parasitic fibroid' receiving blood supply from the omentum.

Bengaluru: In a remarkable feat of surgical precision, a medical team at a private hospital in Bengaluru has successfully removed a massive 4.65-kg uterine fibroid from a 28-year-old unmarried woman. The tumor, which was exceptionally large, weighed more than a full-term newborn baby, making the extraction a high-stakes medical challenge.

The procedure was performed using 5 mm laparoscopic incisions. Because the mass was too large to pass through standard laparoscopic ports, the surgical team employed a specialized mini-laparotomy morcellation technique. This involved cutting the tumor into smaller pieces and extracting it through a small 4-cm incision, allowing the doctors to successfully reconstruct the patient’s uterus and preserve her fertility.

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Why This Matters

BozokMedia analysis shows that this case highlights the increasing complexity of gynecological issues among younger demographics. The tumor was identified as a rare 'parasitic fibroid', meaning it had established an additional blood supply from the omentum (the fatty tissue covering abdominal organs). Its location on the lateral wall of the uterus, in close proximity to major pelvic blood vessels and the ureter, placed the patient at an extremely high risk of life-threatening hemorrhage.

"This was a technically demanding surgery because we were dealing with an exceptionally large fibroid in a very restricted space," stated Dr. Madhuri Vidyashankar P.

To ensure patient safety, the medical team, including Dr. Vijaylakshmi, spent six weeks stabilizing the patient's elevated thyroid levels and optimizing her hemoglobin levels before attempting the critical stage of ligating the feeding blood vessels.

Historical Context & Rising Trends

Traditionally, uterine fibroids were considered a condition primarily affecting women in mid-life. However, global health data is painting a different picture. The recent 'Global Burden of Disease' study indicates that the incidence of fibroids in India is rising faster than in almost any other region worldwide, with diagnoses increasingly occurring in adolescents and young adults.

Did You Know?: Many women live with fibroids for years without symptoms; in this case, the patient had regular, pain-free cycles since age 15 before the mass caused pain.

Frequently Asked Questions

1. What makes a 'parasitic' fibroid different?
A parasitic fibroid is unique because it draws its blood supply from tissues outside the uterus, such as the omentum.

2. Can a woman keep her uterus after fibroid removal?
Yes, advanced minimally invasive techniques like laparoscopy allow for fibroid removal while preserving the uterus.