Fig. 1

Surgical procedures of minimal skin incision abdominal myomectomy. This patient was a 36-year-old woman with two uterine leiomyomas. The larger leiomyoma was 10 cm in diameter on admission, and it decreased to 8 cm in diameter after two doses of gonadotropin-releasing hormone analogue. The patient had a history of gravida 2 para 1. The operation time was 75 minutes, and the patient’s blood loss was 28 ml. The incision site was 3.5 cm. We extracted two leiomyomas from the site. The total weight of the leiomyoma was 234 g. a The size of the skin incision. b The appearance of the wound with the Small Alexis® Wound Protector/Retractor. c The leiomyoma was grasped with sharp clamps and pulled through the wound after some cuts were made and the diameter of leiomyoma was reduced. d The appearance of the resected leiomyomas. e The uterine wound was sutured with layered sutures. f The appearance of the sutured skin wound