Minilaparoscopic Single-Site Total Hysterectomy

Area of Science:

• Minimally invasive surgical techniques
• Gynecologic surgery
• Surgical innovation

Background:

• Laparoendoscopic single-site surgery and minilaparoscopy are recent advances in ultraminimally invasive surgery.
• These techniques were combined to develop single-incision, transumbilical, minilaparoscopic hysterectomy.

Purpose of the Study:

• To develop and evaluate a novel technique for single-incision, transumbilical, minilaparoscopic hysterectomy.
• To assess the feasibility and outcomes of this ultraminimally invasive approach.

Main Methods:

• The procedure involved endoscopic detachment of the uterus using two 3-mm minilaparoscopic trocars inserted via the umbilicus.
• A uterine manipulator was used, followed by transvaginal extraction and cuff closure.

Main Results:

• Twenty procedures were performed with one conversion (5%) due to adhesions.
• No intraoperative or postoperative complications occurred, with early discharge within 30 hours.
• Postsurgical pain was significantly low, measured at 2, 2, and 0 on a visual analog scale at 1, 3, and 8 hours, respectively.

Conclusions:

• Single-site total minilaparoscopic hysterectomy using two 3-mm umbilical ports is a feasible surgical option.
• This technique further minimizes incisional trauma compared to conventional methods.