Embryonic–natural orifice transumbilical endoscopic surgery is currently used for adnexectomy or hysterectomy. Embryonic–natural orifice transumbilical endoscopic surgery for myomectomy with traction of two directional sutures in a 32-year-old woman enabled the minimal surgical approach for myomectomy and efficient and safe morcellation and retrieving of myoma. This novel surgical approach could be used as part of minimal surgery in the surgical management of myoma.
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