Abstract

1. Abstract
Vaginal myomectomy for a large fibroid is not a common surgical procedure because of difficult vaginal access and hemostatic issue. Surgical myomectomy for large fibroids is usually performed either laparoscopically or abdominally. This paper reported a novel vaginal morcellation technique of vaginal myomectomy to demonstrate the feasibility and safety even for a very large anterior fibroid. The step-by-step surgical technique of vaginal myomectomy using a surgical instrument called “Jia’s myomectomy screw” is described.