Fruit and fibroid: An alternative use of the Kiwi device.

The Kiwi® vacuum assisted foetal delivery device (OmniCup) is used in many maternity units globally, and is renowned for the safe delivery of babies. Why should its use be limited to assisting the delivery of a baby? Currently, open myomectomy procedures involve an abdominal incision (midline or pfannenstiel), and potentially requiring a myomectomy screw for exteriorisation. The size of the incision is determined by the size and location of the fibroids, and the use of the myomectomy screw usually contributes to the total blood loss. We present three cases where the Kiwi® was used in open myomectomy procedures to exteriorise the uterus.