Munish Sood
Mandi
In a remarkable medical breakthrough, a team of doctors at a private hospital in Mandi has created history by successfully removing a massive 5.21-kilogram uterine fibroid through pure laparoscopic surgery — a feat that is being hailed as a national record in minimally invasive gynecological surgery.
The complex procedure was performed on January 7, 2026, at Mandav Hospital in Gutkar, where a woman suffering for years from severe abdominal swelling, excessive menstrual bleeding, and extreme pelvic pressure finally found relief from a condition that had severely affected her quality of life.
Medical investigations revealed that the fibroid had grown to the size of a full-term pregnancy, severely distorting the pelvic anatomy and compressing surrounding organs. Given the extraordinary size and associated risks, surgery became unavoidable.
A High-Risk Case, Handled with Precision
Considering the scale of the tumour and the complexity involved, the medical team opted for an advanced laparoscopic approach instead of conventional open surgery — a decision that demanded exceptional surgical expertise and meticulous planning.
The surgery, which lasted nearly three hours, was performed by senior gynecologist and advanced laparoscopic surgeon Dr. Uday Bhanu Rana, who led the highly skilled multidisciplinary team.
Surgeons faced multiple challenges during the operation, including:
• Severely distorted pelvic anatomy
• Extremely limited working space
• Excessive blood supply to the enlarged uterus
• High risk of bleeding and organ injury
Despite these challenges, the team successfully completed the surgery using advanced 3D laparoscopic vision, stepwise dissection, and precise de-vascularisation techniques — all without any intra-operative or post-operative complications.
A New National Benchmark
According to available medical literature, the largest uterine fibroid previously removed laparoscopically in India weighed around 4.5 kilograms. The 5.21-kilogram fibroid removed in Mandi now sets a new national benchmark and places the surgery among the largest pure laparoscopic fibroid removals recorded globally.
Medical experts say the achievement demonstrates how modern technology, combined with surgical excellence, can push the boundaries of minimally invasive surgery and offer safer treatment with faster recovery for patients.
Team Effort Behind the Success
Dr. Rana was supported by a highly experienced surgical team, including:
• A fellow gynecologist
• A senior anesthetist
• Dedicated OT nursing staff
• Skilled operation theatre assistants
Their seamless coordination played a decisive role in the success of this extraordinary procedure.
A Surgeon of National Standing
Dr. Uday Bhanu Rana is a senior gynecologist with over 14 years of experience in advanced laparoscopic and minimally invasive gynecological surgery. He specializes in endometriosis, complex pelvic surgeries, and gynecologic oncology. Over the years, he has performed more than 10,000 laparoscopic procedures, including over 8,000 complex surgeries.
Having previously served at leading government institutions, he is currently associated with Mandav Hospital, Gutkar.
A New Dawn for the Patient — and for Medical Science
For the patient, the surgery has brought a new lease on life. For the medical community, it marks a milestone that reinforces India’s growing leadership in advanced surgical care.
The historic operation not only sets a new national record but also proves that with expertise, technology, and determination, even the most complex surgical challenges can be overcome through minimally invasive techniques — offering patients safer treatment and faster recovery.
