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Single port laparoscopic layered processing technique for large hysterectomy.

Ping Cheng¹, Mei Kong¹, Junzi Wei¹

¹Gynecology Department, Urumqi Maternal and Child Health Hospital, Urumqi, China.

Gynecology and Pelvic Medicine

|May 29, 2026

Summary

This case study highlights a successful single port laparoscopic hysterectomy using a novel layered technique. This minimally invasive approach offers reduced recovery time and improved patient satisfaction for hysterectomy procedures.

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Area of Science:

Minimally Invasive Gynecologic Surgery
Laparoscopic Surgery
Surgical Techniques

Background:

Adenomyosis can cause severe dysmenorrhea and heavy menstrual bleeding.
Hysterectomy is a common treatment for symptomatic adenomyosis.
Single port laparoscopy offers potential benefits over traditional methods.

Purpose of the Study:

To present a case of successful single port laparoscopic hysterectomy using a layered technique.
To evaluate the safety and efficacy of the layered technique in this procedure.
To highlight the advantages of single port laparoscopy for hysterectomy.

Main Methods:

A 44-year-old female with adenomyosis and anemia underwent single port laparoscopic total hysterectomy, bilateral salpingectomy, and pelvic adhesion separation.

Keywords:

Single port laparoscope complete hysterectomy for giant uterus layered technology

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A "layered technique" was employed, involving meticulous dissection of peritoneal and connective tissue layers.

This technique aimed to fully expose vital structures like blood vessels and ureters for enhanced safety.

Main Results:

The surgery was completed successfully in 1 hour with minimal blood loss (approximately 20 mL).
The patient experienced a smooth postoperative recovery, being able to eat and ambulate within 6-8 hours.
The layered technique facilitated reduced surgical difficulty and ensured procedural safety.

Conclusions:

Single port laparoscopic hysterectomy with the layered technique is a safe, effective, and feasible option.
This approach offers benefits including reduced postoperative discomfort, shorter recovery, and increased patient satisfaction.
The layered technique shows promise for wider clinical adoption and further refinement.