New tool (Laparotenser) for gasless laparoscopic myomectomy: a multicenter-controlled study  Stefano Palomba, M.D., Errico Zupi, M.D., Angela Falbo, M.D., Tiziana Russo, M.D., Daniela Marconi, M.D., Fulvio Zullo, M.D.  Fertility and Sterility  Volume 94, Issue 3, Pages 1090-1096 (August 2010) DOI: 10.1016/j.fertnstert.2009.04.030 Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Suturing procedure using the Laparotenser instrument. (A) The first point of suture is anchored with a double shift on the right of the myometrial edge and knotted with the laparotomic procedure, and the uterus is tractioned by the assistant surgeon; (B) the suture is passed through the inside of the hysterotomy, and comes out on the left of the myometrial edge; (C) introverting locking single suture is performed starting from the left side; (D) the suture is carried out as in a laparotomy, and is closed on the right side of the myometrial edge with laparotomic procedure. Fertility and Sterility 2010 94, 1090-1096DOI: (10.1016/j.fertnstert.2009.04.030) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Postoperative pain in the experimental and the control group. ∗P<.05 versus the experimental group. Fertility and Sterility 2010 94, 1090-1096DOI: (10.1016/j.fertnstert.2009.04.030) Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions