title: Total laparoscopic hysterectomy with single-port access without vaginal surgery.
abstract: There has been increasing attention to decreasing incisional morbidity and improving cosmetic outcomes in laparoscopic surgery by using fewer and smaller ports. Hysterectomy through single-port access has been reported in which the cuff was closed transvaginally. We report total laparoscopic hysterectomy through a single-port without vaginal surgery. Using improved instruments and bidirectional self-retaining sutures, the laparoscopic technique is almost as easy to perform as with the traditional 4-port access. This case illustrates the advantages and limitations of single-access laparoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, Oslo University Hospital, Ullevål, Oslo, Norway. anton.langebrekke@uus.no
authors.forename: Anton
authors.initials: A
authors.lastname: Langebrekke
authors.forename: Erik
authors.initials: E
authors.lastname: Qvigstad
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*