An intranodal morcellation technique employing loop electrosurgical excision procedure for large prolapsed pedunculated myomas.

For minimally invasive resection of large prolapsed pedunculated submucous myomas, improved techniques need to be established. An intranodal loop electrosurgical excision procedure (LEEP) was specifically developed for the morcellation of myoma tissue during vaginal myomectomy. Vaginal myomectomy was performed on a 28-year old woman with a large myoma occupying the small pelvis. A prolapsed pedunculated leiomyoma of the uterus 13 cm in maximal diameter was resected by intranodal morcellation of the myoma tissue employing LEEP. Intranodal morcellation technique utilizing LEEP is an effective method for the minimally invasive resection of large prolapsed pedunculated myomas.