Abstract
Fibroids in pregnancy are a commonly encountered clinical entity seen frequently in multigravidae than primigravida patients. Since they are usually asymptomatic, medical management is preferred which would delay the surgical enucleation until after delivery. However, the presence of fibroid may alter the uterine anatomy, which complicates uterine aspirations of abortions. In the present case report, we describe the laparoscopic enucleation of a large uterine fibroid followed by suction and evacuation of the missed abortion. This advanced laparoscopic approach is safe, it reduces the size of incision with subsequent postoperative scar and reduces intraoperative bleeding and aids in achieving good hemostasis. Thus, with safety and precautions, this advanced technique can be used in antepartum myomectomy.
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