The uterine incisions to make myomectomy
usually should be done by metrocautery or
scalpel, and the principle type and site of incision on the uterus is
as much as possible on the anterior aspect of the uterus and as much as possible
all the myomas should be removed through a single incision [words on screen: ovary uterine incision fundus of the uterus]
made on the anterior aspect of the uterus.
So while doing the incision on the uterus
there might be bleeders coming from the myometrium
but once we reach into the myoma, the myoma will be appearing quite
x and less bleeding
but sometimes it might be difficult to remove all the myomas
through a single incision,
and it might be important to do other incisions
but as much as possible one has to avoid
making multiple incisions so that lesion
and pain and hemorrhage will not be higher