title: Single-port laparoscopically assisted transumbilical ultraminilaparotomic myomectomy.
abstract: The objective of this prospective observational study, performed in a university hospital and a tertiary care center, was to describe the surgical technique and our initial experience with single-port laparoscopically assisted transumbilical ultraminilaparotomic myomectomy (SPLA-TUM). During July and August 2012, 15 women with symptomatic subserosal or superficial intramural myomas (≤ 8 cm) underwent SPLA-TUM. Mean (SD) operative time was 64.9 (9.5) minutes, hemoglobin change was 1.2 (0.5) g/dL, return of bowel activity was 32.8 (3.5) hours, and length of hospital stay was 3.1 (0.4) days. In 1 patient (6.7%), SPLA-TUM did not provide a satisfactory surgical field, and thus the procedure was converted to single-port laparoscopic myomectomy. There were no surgical or wound complications. Compared with single-port laparoscopic myomectomy, SPLA-TUM, which was designed by integrating the surgical techniques of single-port laparoscopy and laparotomy, can reduce operative time by enabling comfortable suturing and reliable knot tying while maintaining the advantages of single-port laparoscopy. SPLA-TUM is a feasible alternative in selected patients with symptomatic myomas.
authors.affiliation: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Jun Hyeok
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Doo Haeng
authors.initials: DH
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address: leemjjm@gmail.com.
authors.forename: Jung Hun
authors.initials: JH
authors.lastname: Lee
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods; D007889:Leiomyoma / Q000601:surgery*; D061646:Operative Time; D011446:Prospective Studies; D063186:Uterine Myomectomy / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*
keywords: Gynecology; Laparoscopy; Myomectomy; Single-port surgery