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Mini-plus percutaneous setting in total laparoscopic hysterectomy.

Selim Misirlioglu¹, Burak Giray², Dogan Vatansever³

¹Department of Obstetrics and Gynecology, VKF Koc University Hospital, Istanbul, Turkey.

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy

|July 30, 2020

Summary

The mini-plus percutaneous instrument (MpPc) approach is a feasible and safe method for total laparoscopic hysterectomy (TLH). This study evaluated its preliminary use in 43 patients, showing promising results for gynecological surgery.

Keywords:

Laparoscopy hysterectomy minimal invasive surgery

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Area of Science:

Minimally Invasive Gynecological Surgery
Surgical Technology Innovation

Background:

Total laparoscopic hysterectomy (TLH) is a standard procedure.
Evaluating novel instrumentation for TLH is crucial for improving outcomes.

Purpose of the Study:

To analyze the preliminary experience with the mini-plus percutaneous instrument (MpPc) in total laparoscopic hysterectomy (TLH).

Main Methods:

A prospective study included 43 women undergoing MpPc-TLH.
The technique utilized a 5-mm optical trocar, a 5-mm ancillary port, and a 2.4-mm or 3-mm percutaneous instrument.

Main Results:

The median patient age was 48 years.
Common indications included uterine myomas, benign adnexal masses, and endometrial pathologies.
Median operating time was 100 minutes with a median blood loss of 30 ml.
Median postoperative pain score was 3 on the Visual Analog Scale.

Conclusions:

The mini-plus percutaneous instrument (MpPc) approach is a feasible and safe surgical option for TLH.
This technique shows potential for minimally invasive gynecological procedures.