Chennai, June 26, 2025: SRM Global Hospitals successfully treated a 48-year-old woman diagnosed with a rare condition involving two wombs—each containing large tumours—and two sizable ovarian cysts, through a minimally invasive hysterectomy, relieving her of severe abdominal pain.
The procedure, known as Total Laparoscopic Hysterectomy (TLH) with bilateral salpingo-oophorectomy, involved the removal of the uteruses, both fallopian tubes, and both ovaries. In addition, the patient underwent four other procedures during a single operation lasting about three hours. These included: a keyhole surgery to remove a septum (a dividing wall) inside the vagina; another keyhole procedure to remove endometriosis from the surface of the bowel without cutting into it; an appendicectomy to remove the appendix affected by endometriosis; and vaginal morcellation—a minimally invasive technique used to break large uterine growths into smaller pieces for removal through the vagina.
Despite undergoing as many as five procedures, the patient was discharged within 48 hours, demonstrating the surgical expertise that made the procedures smooth and complication-free. The surgical team was headed by Dr Prithvi and Dr Subhashree, Gynaecologists, and assisted by Dr Varun, the Anesthetist.
In his comments, Dr. P. Sathyanarayanan, President, SRM Global Hospitals, said, “We are immensely proud of the surgical team’s exceptional expertise and dedication in successfully managing this highly complex and rare case. To the best of our knowledge and thorough literature review, this appears to be the first reported instance worldwide of performing Total Laparoscopic Hysterectomy on a patient with bilateral uterine horns bearing large adenomyomas in the setting of uterine didelphys complicated by extensive endometriosis. Given the patient’s history of primary infertility and multiple failed IVF attempts, achieving relief from her severe symptoms is truly rewarding. This milestone underscores our commitment to delivering advanced, patient-centered care even in the most challenging situations.”
Talking about the complexities involved in the procedures, Dr. Prithvi, Consultant – Obstetrics & Gynaecology, SRM Global Hospitals said, “The patient had uterine didelphys with two large wombs—each about 16 centimeters—and extensive adenomyomas and endometriotic cysts causing severe pain and heavy bleeding. In addition to the Total Laparoscopic Hysterectomy to remove both cyst-laden wombs, we performed four other complex procedures in the same sitting, including removal of a vaginal septum, excision of endometriosis from the bowel surface without bowel resection, appendicectomy, and vaginal morcellation. Managing all these through minimally invasive techniques required high surgical precision and coordination. Many hospitals deferred surgery due to the complexity and rarity of this case, but we embraced the challenge. We are proud that this comprehensive approach provided the patient with significant relief and improved quality of life.”
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