Laparoendoscopic single site surgery for cervical myomectomy: surgical technique

Area of Science:

• Gynecology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Cervical fibroids are rare and can cause complications due to their location.
• Traditional multiport laparoscopy (MPL) for cervical myomectomy poses risks of tumor cell dissemination during specimen retrieval.
• Laparoendoscopic single-site (LESS) surgery offers a potential solution for tumor-free specimen extraction.

Purpose of the Study:

• To introduce the surgical techniques for cervical fibroid management using LESS myomectomy.
• To highlight the advantages of LESS surgery in achieving tumor-free specimen retrieval.
• To present a case study of LESS myomectomy for a large cervical fibroid.

Main Methods:

• A 28-year-old female patient with a diagnosed broad ligament fibroid underwent single-port laparoscopic resection.
• The procedure involved a cervical fibroid measuring 10 cm × 7 cm × 6 cm.
• Specimen extraction was performed through the umbilical incision using a specimen bag.

Main Results:

• The cervical fibroid was successfully resected using LESS myomectomy.
• The surgery lasted 73 minutes with minimal blood loss (20 mL).
• The patient was discharged on postoperative day three with no severe complications.

Conclusions:

• LESS myomectomy via the umbilicus is a viable and effective surgical option for cervical fibroids.
• This technique facilitates tumor-free specimen retrieval, addressing concerns associated with traditional laparoscopy.
• LESS myomectomy demonstrates a favorable safety profile and outcomes for cervical fibroid treatment.