Laparoscopic Single-port Subtotal Hysterectomy: Technique and Advantages

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Surgery

Background:

• Single-port laparoscopy aims to minimize surgical trauma and improve patient recovery.
• While evidence supports single-port hysterectomy's safety and efficacy, its adoption is geographically limited.
• This report details the first described single-port subtotal hysterectomy in Canada.

Observation:

• A 47-year-old woman with severe dysmenorrhea underwent a single-port laparoscopic subtotal hysterectomy, with cervix conservation.
• The procedure utilized readily available materials with a low equipment cost of $230.
• The surgery was completed in 2 hours, with same-day discharge and no need for postoperative narcotics.

Findings:

• The patient reported high satisfaction with wound cosmesis six weeks post-surgery.
• Perioperative outcomes were favorable, aligning with existing literature on single-port hysterectomy.
• This case demonstrates the feasibility of single-port subtotal hysterectomy in a Canadian setting.

Implications:

• Single-port subtotal hysterectomy presents a viable, less invasive surgical alternative.
• This technique may enhance patient satisfaction and recovery following hysterectomy.
• Further studies are warranted to assess broader adoption and long-term outcomes.