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Updated: Dec 2, 2025

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
LESS hysterectomy through a bluntly created 11 mm incision
Greg J. Marchand1, Ali Azadi2, Sienna Anderson1
1Department of Minimally Invasive Surgery, The Marchand Institute for Minimally Invasive Surgery, Mesa, United States of America
This study introduces a novel technique for laparoscopic hysterectomy using a single, smaller 11 mm port. This advancement in minimally invasive surgery offers a potentially safer and reproducible approach.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gynecologic Surgery
Background:
- The field of minimally invasive surgery continually seeks to reduce invasiveness.
- Current laparoscopic and robotic surgery techniques are explored with fewer and smaller ports.
- Literature review revealed no single-port laparoscopic hysterectomies performed with ports smaller than 15 mm.
Purpose of the Study:
- To describe a novel technique for performing laparoscopic hysterectomy.
- To demonstrate the feasibility of a single-port laparoscopic hysterectomy through an 11 mm port.
Main Methods:
- Development and description of a new surgical technique for laparoscopic hysterectomy.
- The procedure was performed using a single umbilical port measuring 11 mm in diameter.
- The technique is illustrated in an accompanying video.
Main Results:
- Successful performance of a laparoscopic hysterectomy.
- The procedure was achieved through a single 11 mm port, smaller than previously reported.
- The technique is believed to be safe and reproducible.
Conclusions:
- A novel technique for single-port laparoscopic hysterectomy via an 11 mm port has been developed.
- This technique represents a significant advancement in reducing port size for this procedure.
- The described method is considered safe and reproducible for gynecologic surgeons.
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