Faculty:
Dr. Richa Arora Miglani (Sr. Consultant – Gynaecology, Laparoscopic & Robotic Surgery)

A 40-year-old female patient presented with complaints of lower abdominal pain and abnormal vaginal bleeding with history of previous 2 cesarian sections.

Diagnosis:
 Uterus Didelphys (double uterus)  with Multiple Large Fibroids in Both Uteri  

Treatment Performed:

• Total Laparoscopic Hysterectomy (TLH) of Both Uteri
• Right Salpingectomy 
• Bladder & Bowel Adhesiolysis 
• Cystoscopy with Bilateral Ureteric Catheterization  

Key Highlights of the Case: 

• Complex Total Laparoscopic Hysterectomy (TLH) successfully completed in 5 hours 
• Extremely rare anatomical challenge of two separate uteri with multiple large fibroids
• Bladder densely adherent; meticulous adhesiolysis performed to safeguard bladder integrity Rectosigmoid adherent to bladder & uterus.Bowel adhesiolysis done 
• Preservation of ureteric safety with pre- operative bilateral ureteric catheterization 

Setting yet another milestone in Advanced Laparoscopic Gynaecology, RG Pitampura continues to lead with surgical innovation and precision, offering world-class, Minimally Invasive Solutions for even the most complex anatomical anomalies.