Laparoscopic supracervical hysterectomy using a single-umbilical puncture (mini-laparoscopy).

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Surgical Innovation
• Laparoscopic Procedures

Background:

• Traditional hysterectomy often involves multiple incisions, increasing patient recovery time and potential complications.
• Minimally invasive techniques are increasingly preferred for gynecologic procedures.
• The single-puncture approach aims to further reduce invasiveness in hysterectomy.

Purpose of the Study:

• To present the first-time use of single-puncture laparoscopic supracervical hysterectomy with bilateral salpingo-oophorectomy (mini-laparoscopy).
• To evaluate the surgical outcomes and effectiveness of this novel technique.
• To establish mini-laparoscopy as a viable alternative to the multiple-puncture method.

Main Methods:

• Four patients underwent laparoscopic supracervical hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture site.
• The procedure involved removal of the uterus and adnexa through the umbilical port.
• Careful management of the endocervical canal was performed to mitigate malignancy risk.

Main Results:

• The surgical outcomes for the four patients demonstrated the effectiveness of the single-puncture technique.
• This approach was found to be a suitable alternative for patients with specific criteria (healthy cervix, no prolapse, moderate uterine enlargement).
• Advantages observed included reduced blood loss, shorter operating time, and decreased risk of injury to surrounding organs.

Conclusions:

• Single-puncture laparoscopic supracervical hysterectomy with bilateral salpingo-oophorectomy is an effective minimally invasive surgical option.
• The technique minimizes operative trauma and offers potential benefits over traditional methods.
• It significantly reduces the risk of stump malignancy through thorough endocervical management.