title: Single-incision laparoscopic myomectomy with intracorporeal suturing.
abstract: OBJECTIVE
  To assess the feasibility, safety, and operative outcomes of single-incision laparoscopic myomectomy with intracorporeal suturing.
  
  
  METHODS
  Retrospective descriptive study.
  
  
  METHODS
  Tokyo Medical and Dental University Hospital, Tokyo, Japan.
  
  
  METHODS
  Twelve patients who underwent single-incision laparoscopic myomectomy between July 2009 and June 2010 to remove single or multiple uterine myomas.
  
  
  METHODS
  All cases of single-incision laparoscopic myomectomy were performed by a single surgeon (N.Y.).
  
  
  METHODS
  Technical feasibility and operative outcomes.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Comprehensive Reproductive Medicine, Regulation of Internal Environment and Reproduction, Systemic Organ Regulation, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. n.yoshiki.crm@tmd.ac.jp
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Yoshiki
authors.forename: Tomomi
authors.initials: T
authors.lastname: Okawa
authors.forename: Toshiro
authors.initials: T
authors.lastname: Kubota
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000517:prevention & control; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007564:Japan; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000601:surgery*; D018231:Leiomyomatosis / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*