To improve enucleation of uterine myomas, we designed a reusable 5-mm lapar
oscopic drill with a distal forked pin and locking system. Because the devi
ce is jointed, it can apply traction not only along its own axis, but also
along planes, depending on its bending radius. We compared enucleation lime
for myomas 5 to 8 cm in size before and after introduction of the drill. T
he last 23 procedures performed with this instrument were easier, with a re
duction in operating time of about 28.5% for the enucleation part of the pr
ocedure (p <0.001).