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Myomectomy, removal and innoculation of the myoma.

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Once the uterine incisions are done, then

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the myoma will be visible as glicining and white and no capsules

4
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and there might be some adhesions between the myoma nd myometrium

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and it should be dissected using artery forceps or scissors

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and to facilitate removal of the myoma from

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its bed, the surgeon has to widen the incisions on both ways, depending on the size of the myoma

8
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and every possible adhesion or attachment

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between the myoma and the surrounding myometrial tissue should be

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cut or dissected with a blunt or sharp dissections

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and the assistant or the surgeon will grasp the

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the myoma with the myoma hook, or sometimes

13
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with a tall clips and through twisting movement

14
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it should be pulled up and twisted

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at the same time the attachment of the myoma from the surrounding tissue

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should be dissected using blunt dissection

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by gause or sometimes by scissors, and

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then in the end it will be completely removed out