Single-incision laparoscopic hysterectomy using conventional laparoscopic instruments: initial experience with 25...

Area of Science:

• Minimally Invasive Gynecological Surgery
• Surgical Techniques
• Laparoscopic Procedures

Background:

• Laparoscopic hysterectomy is a common gynecological procedure.
• Single-incision laparoscopic surgery aims to reduce invasiveness and improve cosmetic outcomes.
• Conventional instruments are widely available and familiar to surgeons.

Purpose of the Study:

• To assess the feasibility and safety of single-incision laparoscopic hysterectomy (SI-LAH) utilizing standard surgical instruments.
• To compare SI-LAH with traditional multi-port laparoscopic hysterectomy (MP-LAH).

Main Methods:

• A comparative study involving 25 patients undergoing SI-LAH and 25 patients undergoing MP-LAH.
• Patients were matched based on uterine size.
• Key outcomes including operative time, blood loss, hospital stay, and complications were analyzed.

Main Results:

• SI-LAH showed significantly less estimated blood loss (30 mL vs. 50 mL) compared to MP-LAH.
• No significant differences were observed in operative time, hemoglobin decrease, or hospital stay between the groups.
• No intraoperative or postoperative complications, additional port incisions, or conversions to laparotomy occurred. No incisional hernias were noted at 2-month follow-up.

Conclusions:

• Single-incision laparoscopic hysterectomy with conventional instruments is a feasible and safe approach.
• The technique is suitable for patients with uterine size < 12 weeks gestation and without severe pelvic adhesions.
• Successful implementation requires advanced surgical skills from the operating surgeon.