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How Are Large Fibroids Removed Through a Small Incision During Laparoscopic Surgery? Many patients ask about the techniques used to remove large fibroids with minimal incisions during laparoscopic surgery. Here’s an overview of the three common methods: 1️⃣ Morcellation: A power instrument called a morcellator with a rotating blade is used to cut the fibroid into small pieces within a bag, preventing tissue from spreading in the abdomen. These pieces are then removed through a 15 mm incision. 2️⃣ Culdotomy: In this approach, a small incision is made behind the uterus, allowing the fibroid to be removed through the vagina. 3️⃣ Suprapubic Incision: For very large fibroids, a 2-3 cm incision above the pubic area is used. The fibroid is divided into small pieces with a knife and removed. Each method is tailored to minimize incisions and promote a quicker recovery. Consult with a specialist to determine the best approach for your unique needs.