title: Single port laparoscopically assisted hysterectomy with the TriPort system. A case report and review of the literature.
abstract: OBJECTIVE
  We report our recent experience with the TriPort system (trademark of Advanced Surgical Concepts, Wicklow, Ireland) to perform a laparoscopically assisted hysterectomy via a single periumbilical incision.
  
  
  METHODS
  A 48-year-old multiparous woman was referred to us on March 2009 because of menometrorrhagia and uterine fibroids.
  
  
  RESULTS
  The procedure was performed without intraoperative complications. The weight of the uterus was 360 gr. At the 10 months follow-up the patient did not refer any problem.
  
  
  CONCLUSIONS
  Although our experience represented a potentially difficult surgery because of the size of the uterus, severe adhesions (two previous caesarean sessions) and the lack of experience with the new system, the procedure demonstrated to be feasible. As for our knowledge the present report represents the first case of single port laparoscopically assisted hysterectomy performed with the TriPort system in Italy.
  
  
  CONCLUSIONS
  Single port laparoscopy is feasible and could potentially decrease postoperative pain as well as increase patient satisfaction. Although the early experience with TriPort system is promising, experienced laparoscopic skills are essential for the safe and effective performing of the procedure.
authors.affiliation: Department of Obstetrics and Gynecology, San Camillo Hospital, Trento, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Rosati
authors.forename: Dorian
authors.initials: D
authors.lastname: Bosev
authors.forename: Roberto
authors.initials: R
authors.lastname: Thiella
authors.forename: Francesco
authors.initials: F
authors.lastname: Capobianco
authors.forename: Umberto
authors.initials: U
authors.lastname: Bracale
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Azioni
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation* / Q000379:methods; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*