Key steps :
Proper port positioning
Uterine Artery ligation at origin on both sides
Diluted vasopressin for venous vasoconstriction
Large Vertical incision
Bipolar Shearer n needle holders used
Proper plane dissection
Traction- countertraction technique
Stratafix no. 1 used
2 Layer closure
Deeper layer by box-stitch
Outer layer by baseball suturing
Myoma extraction by minilap incision
Drain put to remove collected blood n clots
Maintained Anatomy ,
Cavity not opened, tubes patent.
