Supracervical hysterectomy by laparoendoscopic single site surgery

Area of Science:

• Minimally invasive gynecological surgery
• Surgical innovation
• Laparoscopic procedures

Background:

• Hysterectomy is a common gynecological procedure.
• Minimally invasive techniques aim to reduce patient morbidity.
• Single port access surgery offers potential cosmetic and recovery benefits.

Purpose of the Study:

• To assess the feasibility of performing laparoscopic supracervical hysterectomy (LSH) using a single port access (SPA) technique.
• To evaluate the efficacy of transcervical morcellation in conjunction with SPA LSH.
• To determine the safety and outcomes of this combined surgical approach.

Main Methods:

• An observational study involving 40 women undergoing hysterectomy.
• Laparoscopic supracervical hysterectomy was performed using a single port access device.
• Transcervical morcellation was utilized for tissue removal.
• Data collected included operating time, hospital stay, uterus weight, blood loss, and complications.

Main Results:

• The procedure was successfully completed in 37 out of 40 patients (93.5%).
• Mean operating time was 128 minutes, with a mean hospital stay of 3.5 days.
• The average uterus weight was 310g, and mean estimated blood loss was 250ml.
• Four patients (10%) required further surgical intervention, including two for endocervical bleeding.

Conclusions:

• Laparoscopic supracervical hysterectomy with single port access and transcervical morcellation is a feasible surgical option.
• The technique shows promise for minimally invasive gynecological surgery.
• Further research may explore optimizing outcomes and reducing complications.