A 4- to 5-cm incision in the posterior fornix is performed in the vaginal mucosa and fascia with a surgical scalpel to identify the peritoneum. The posterior peritoneum is opened up to increase ...

The procedure then continues in the same manner as for posterior myomectomy (Figures 19-22). After the peritoneum suture, the vesico-uterine ligaments are reconstructed using a 00 long absorbable ...