Total laparoscopic hysterectomy using a percutaneous surgical system: a pilot study towards scarless surgery

Area of Science:

• Minimally Invasive Surgery
• Gynecological Surgery
• Surgical Technology

Background:

• Minimally invasive surgery (MIS) aims to reduce surgical trauma while maintaining efficacy and safety.
• The Percuvance™ Percutaneous Surgical System (PSS) is a novel MIS instrument.
• PSS instruments combine micro-invasiveness with operative performance.

Purpose of the Study:

• To assess the capability and safety of the Percuvance™ PSS for laparoscopic total hysterectomy.
• To evaluate the feasibility of PSS in gynecological procedures for benign or early malignant diseases.

Main Methods:

• Prospective and retrospective analysis of 10 cases of laparoscopic total hysterectomy using PSS.
• Data collection included patient demographics, operative details, complications, and outcomes.
• Assessment of capability, safety, operative time, blood loss, recovery, and cosmetic results.

Main Results:

• 10 patients underwent total laparoscopic hysterectomy with PSS; median age 51.5 years.
• Median operative time was 67 minutes with a median estimated blood loss of 50ml.
• No conversions or intraoperative complications; all patients reported high satisfaction with cosmetic results and pain control.

Conclusions:

• PSS total laparoscopic hysterectomy is safe and feasible for gynecological diseases.
• The approach offers good operative time, cosmesis, pain control, and short hospitalization.
• Further comparative studies are needed to evaluate PSS against other MIS approaches.