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http://www.PreOp.com Patient Education Company After you are asleep, a horizontal incision will be made across your lower abdomen. Your doctor will use an instrument called a retractor to pull the skin aside, exposing your abdominal muscles. The surgeon then separates the muscles by making a vertical incision. Another retractor is used to pull aside the muscles and hold them in place. The fibroid will now be visible. Using a pair of forceps, your doctor will take hold of the fibroid and pull it up and away from the wall of the uterus. Next, you doctor will cut the connection between the fibroid and the uterus. The fibroid is then removed. A series of stitches are used to close incisions. First, the uterine wall is closed. Then, the muscle retractor is removed and the abdominal muscles are sewn together. Finally, the incision in the skin is closed and a sterile bandage is applied to the site. Patient Education Company