1. Strategy of cervical myomectomy under laparoscopy
Wen-Chun Chang, M.D., Szu-yu Chen, M.D., Su-Cheng Huang, M.D., Daw-Yuan Chang, M.D., Ph.D., Li-Yun Chou, M.D., Bor-Ching Sheu, M.D., Ph.D. 
Fertility and Sterility 
Volume 94, Issue 7, Pages (December 2010)
DOI: /j.fertnstert
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

2. Figure 1
Laparoscopic myomectomy in an anterior cervical myoma, posterior cervical myoma, and central cervical myoma. (A) Preoperative ultrasonographic image of the anterior cervical myoma. (arrow = uterine body; M = myoma.) (B) The myoma is under the bladder. The dotted line indicates the incision. (C) The myoma is exposed with the aid of a myoma screw. (D) Morcellation is performed. (E) The cervical endothelium, the muscle layer, and serosa are sutured with interrupted sutures. (F) Preoperative ultrasonographic picture of the posterior cervical myoma. (arrow = uterine body; M = myoma.) (G) The posterior cervical myoma is above the rectum. The dotted line indicates the incision. (H) Preoperative ultrasonographic picture of the central cervical myoma. (arrow = uterine body; M = myoma.) (I) The central cervical myoma is under the uterine body and resembles a snowman. The dotted line indicates the incision.
Fertility and Sterility  , DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

3. Figure 2
Laparoscopic myomectomy in a lateral cervical myoma. (A) Preoperative ultrasonographic image. (arrow = uterine body; M = myoma.) (B) The myoma arises from the lateral cervix and is growing into the broad ligament. The dotted line indicates the incision. (C) A transverse incision is made at the prominent part of myoma. (D) The myoma is exposed with the aid of a myoma screw, and morcellation is performed. (E) Bipolar coagulation of the pedicular vessels is performed. (F) The wound is sutured with two-layer interrupted sutures.
Fertility and Sterility  , DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

4. Figure 3
Laparoscopic myomectomy in a deep-rooted cervical myoma. (A) Preoperative ultrasonographic image shows the myoma projecting into the vagina. (arrow = uterine body; M = myoma.) (B) The main part of myoma is deep-rooted in the vagina. The dotted line indicates the incision and the arrowheads indicate the bilateral ureters. (C) A transverse incision is made just below the uterine body. (D,G) Attempts to expose the myoma with the aid of a myoma screw have failed. (E, F) The cervical myoma is pushed upward manually in the direction of abdominal cavity. (H) Morcellation is performed. (I) The wound is sutured with two-layer interrupted sutures.
Fertility and Sterility  , DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions