Single-incision laparoscopic myomectomy with intracorporeal suturing.

OBJECTIVE

To assess the feasibility, safety, and operative outcomes of single-incision laparoscopic myomectomy with intracorporeal suturing.

DESIGN

Retrospective descriptive study.

SETTING

Tokyo Medical and Dental University Hospital, Tokyo, Japan.

PATIENT(S): Twelve patients who underwent single-incision laparoscopic myomectomy between July 2009 and June 2010 to remove single or multiple uterine myomas.

INTERVENTION(S): All cases of single-incision laparoscopic myomectomy were performed by a single surgeon (N.Y.).

MAIN OUTCOME MEASURE(S): Technical feasibility and operative outcomes.

RESULT(S): Cases consisted of six subserosal, four intramural, and two submucosal myomas. The mean operative time and weight of the largest myoma per patient were 100 minutes (range, 52-150 minutes) and 78 g (range, 15-284 g), respectively. Blood loss was minimal in all cases. All procedures were successfully performed, and there were no conversions to conventional multiport laparoscopy or open surgery. There were no postoperative complications or port-site hernias noted.

CONCLUSION(S): We successfully performed single-incision laparoscopic myomectomy with intracorporeal suturing. Single-incision laparoscopic myomectomy with the glove wound retractor system is feasible and safe in select patients, and it provides almost no visible scar.