Single-Port Access Laparoscopy-Assisted Vaginal Hysterectomy: Our Initial Experiences with 100 Cases

Abstract EN

|Objectives.

To present our initial experiences with laparoscopically assisted vaginal hysterectomy performed using homemade transumbilical single-port system.

Materials and Methods.

We reviewed the medical records of one hundred patients who underwent single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH).

SPA-LAVH was performed with homemade single port system and conventional rigid laparoscopic instruments.

Results.

All procedures were successfully completed through the single-port system and vagina without need for extraumbilical puncture or conversion to laparotomy.

The median patient age was 48.2 ± 6.5 years.

Thirty-three patients had history of past abdominopelvic surgery.

The median total operative time, largest dimension of the uterus, and weight of the uterus were 73.1 ± 24.6 min, 10.5 ± 2.1 cm, and 300.8 ± 192.5 gram, respectively.

The median decline in the hemoglobin from before surgery to postoperative day 1 was 1.8 ± 0.9 g/dL.

Bladder injury in occurred one patient who was repaired through intraoperative laparoscopic suture.

The postoperative course was uneventful in most patients except for three who had a transient paralytic ileus, five who had pelvic hematoma, but they were recovered following conservative managements.

No port-related complications were noted, and the cosmetic results were excellent.

Conclusions.

SPA-LAVH is technically safe procedure, and the homemade single-port system offers reliable access for single-port surgery.