Dilute ornitin vasopressin and a myoma drill for laparoscopic myomectomy

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).