Single-port access subtotal hysterectomy with transcervical morcellation: a pilot study

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Uterine fibroids (myomas) and adenomyosis are common gynecologic conditions.
• Traditional hysterectomy can result in significant scarring and longer recovery times.
• Minimally invasive surgical techniques are increasingly preferred for gynecologic procedures.

Purpose of the Study:

• To evaluate the feasibility and safety of single-port access subtotal hysterectomy.
• To assess the operative outcomes of this technique for myoma and adenomyosis management.
• To determine the cosmetic results of the single-port approach.

Main Methods:

• Single-port access subtotal hysterectomy was performed.
• Transcervical morcellation was utilized for tissue removal.
• A wound retractor and surgical glove were employed for the procedure.

Main Results:

• The procedure demonstrated feasibility and safety.
• Positive operative outcomes were achieved in managing myomas and adenomyosis.
• The technique resulted in minimal visible scarring, offering excellent cosmetic results.

Conclusions:

• Single-port access subtotal hysterectomy with transcervical morcellation is a safe and effective surgical option.
• This approach provides excellent cosmetic outcomes for patients.
• Further experience and advanced instrumentation may enhance this minimally invasive procedure.