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Updated: Jun 5, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Single-incision total laparoscopic hysterectomy.

Rakesh Sinha¹, Meenakshi Sundaram, Chaitali Mahajan

¹Department of Gynaecological Endoscopy, BEAMS Hospital, 674, 16 Cross Road, Behind Khar Gymkhana, Khar Pali, Mumbai 400052, India.

Journal of Minimal Access Surgery

|January 4, 2011

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Single-incision laparoscopic surgery offers cosmetic benefits and potentially fewer complications compared to traditional methods. Further development may increase its use in gynecologic procedures like hysterectomy.

Area of Science:

Minimally Invasive Surgery
Gynecologic Surgery

Background:

Single-incision laparoscopic surgery (SILS) is an alternative to conventional multiport laparoscopy.
Transumbilical single-access laparoscopy offers cosmetic advantages due to a hidden incision.
Potential benefits include reduced bleeding, infection, hernia formation, pain, and improved cosmetic outcomes.

Purpose of the Study:

To evaluate the feasibility and outcomes of single-incision total laparoscopic hysterectomy.
To highlight the cosmetic and potential clinical advantages of single-access laparoscopy in gynecologic procedures.

Main Methods:

Performance of single-incision total laparoscopic hysterectomy.
Utilizing a single transumbilical port with three instrument ports.
Application of advanced laparoscopic techniques for gynecologic surgery.

Keywords:

E-NOTES SILS single-incision laparoscopic surgery single-port surgery transumbilical surgery

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Last Updated: Jun 5, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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Published on: September 12, 2025

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Main Results:

The study demonstrates the successful application of single-incision technique for total laparoscopic hysterectomy.
The transumbilical approach provides significant cosmetic benefits.
Potential for reduced patient morbidity compared to multiport laparoscopy.

Conclusions:

Single-incision laparoscopic hysterectomy is a viable option in gynecologic surgery.
Ongoing refinement of technique and instrumentation will likely expand SILS applications.
This approach offers a promising alternative with enhanced cosmetic results and potential for reduced complications.