Torsion of a Subserosal Myoma Managed by Gasless Laparoendoscopic Single-Site Myomectomy with In-Bag Manual Extraction

Figure 3

Gasless laparoendoscopic single-site myomectomy was performed through an Alexis wound retractor (small size, Applied Medical, Rancho Santa Margarita, CA) attached via a 2.5 cm midline umbilical skin incision with the surgical view secured by abdominal-wall lifting with an intra-abdominal fan retractor system (Mizuho Co., Tokyo, Japan).