Myomectomy, removal and innoculation of the myoma.

Once the uterine incisions are done, then

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

and there might be some adhesions between the myoma nd myometrium

and it should be dissected using artery forceps or scissors

and to facilitate removal of the myoma from

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

and every possible adhesion or attachment

between the myoma and the surrounding myometrial tissue should be

cut or dissected with a blunt or sharp dissections

and the assistant or the surgeon will grasp the

the myoma with the myoma hook, or sometimes

with a tall clips and through twisting movement

it should be pulled up and twisted

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

should be dissected using blunt dissection

by gause or sometimes by scissors, and

then in the end it will be completely removed out