Fig. 1
Surgical procedures of transvaginal morcellation of the uterus. This patient who underwent TLH and BS was a 47-year-old woman with multiple uterine leiomyomas. The largest leiomyoma was 8.4 cm in diameter, as detected by magnetic resonance imaging (MRI) during an outpatient examination. The size of the uterus was 90 × 65 mm, as detected by TVUS (a). She did not receive administration of GnRHa. She had a history of 0 gravidity and 0 parity, and her BMI was 20.9 kg/m2. The operation time was 134 minutes, and the blood loss volume was 75 ml. Four trocars were placed at the incision sites. The total weight of the uterus and bilateral tubes was 317.8 g. b Gross appearance of the uterus at the start of TLH. c Circumferential colpotomy using a cylinder-shaped vaginal pipe (arrow). d Collected uterus and tubes in 1200-ml MemoBag™. e, f Visualization of the vaginal wound with the Small Alexis® Wound Protector/Retractor and morcellated uterus (e inside, f outside). g Gross appearance of the uterus and tubes removed during surgery