A Novel System for Single-Port Laparoscopic Surgery: Preliminary Experience

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Surgical Technology Innovation
• Adnexal Pathology Management

Background:

• Benign adnexal pathologies require effective surgical treatment.
• Single-access laparoscopic surgery offers potential cosmetic and recovery benefits.
• New surgical devices aim to enhance single-access procedures.

Purpose of the Study:

• To evaluate the preliminary data of single-access laparoscopic surgery for benign adnexal pathologies.
• To assess the feasibility and safety of a new multiport trocar system.
• To analyze outcomes including operative time, complications, pain, and cosmesis.

Main Methods:

• Ten women with benign adnexal pathologies underwent single-access laparoscopy using a new multiport trocar.
• Procedures included salpingectomy (n=4) and ovarian/para-ovarian cyst enucleation (n=6).
• Key metrics analyzed: trocar introduction time, operative time, blood loss, complications, hospital stay, and pain/cosmesis scores.

Main Results:

• Successful port placement in all patients.
• Mean operative time was 50.0 ± 9.2 min with minimal blood loss (28.5 ± 8.8 ml).
• No intra- or postoperative complications; patients experienced reduced pain and good cosmetic results, with a mean hospital stay of 1.6 days.

Conclusions:

• Single-access adnexal surgery with the innovative multiport trocar is feasible, safe, and effective.
• The technique significantly reduces postoperative pain and maintains cosmetic appearance.
• The device is suitable for obese patients and prevents port site contamination.