This video demonstrate Laparoscopic Myomectomy for Large Posterior Intramural Myoma. Fibroids that grow within the wall have limited space. Sooner or later their growth causes them to bulge in one of two directions—either into the uterine cavity (when they become known as submucous) or into the abdominal cavity (when they become known as subserous). Fibroids are abnormal growths that develop in or on a woman's uterus. Sometimes these tumors become quite large and cause severe abdominal pain and heavy periods. In other cases, they cause no signs or symptoms at all. The growths are typically benign, or noncancerous. Laparoscopic or robotic myomectomy. In laparoscopic or robotic myomectomy, minimally invasive procedures, your surgeon accesses and removes fibroids through several small abdominal incisions. Laparoscopic myomectomy. Your surgeon makes a small incision in or near your bellybutton.