ABSTRACT

Dilute Pitressin (vasopressin 1 cc; 20 units in 60-100 cc NaCl) is injected into the base of the stalk at the junction of the uterine fundus (Figure 2). Pedunculated leiomyomas are removed by coagulating and cutting the stalk, and bleeding areas controlled with bipolar forceps. For intramural myomas, dilute vasopressin is injected in multiple sites between the myometrium and the fibroid capsule.