Single-port laparoscopic myomectomy using transumbilical GelPort access

Objective To describe our initial experience with single-port laparoscopic myomectomy (SP-LM) using transumbilical GelPort access and the surgical technique used and to evaluate the safety and feasibility of this procedure Study design A prospective observational study was performed at a university teaching hospital from January 2009 to December 2009 Fifteen patients with symptomatic subserosal or superficial intramural myomas (<= 8 cm) underwent SP-LM Results The mean age and body mass index were 35 0 +/- 86 years and 22 6 +/- 2 6 kg/m(2) Two patients had a history of previous abdominal surgery consisting of one and two cesarean deliveries The mean operating time hemoglobin change return of bowel activity and length of hospital stay were 81 +/- 21 5 min 11 +/- 05 g/dL 343 +/- 59 h and 3 1 +/- 05 days respectively In one patient (67%) SP-LM was converted to two port LM There were no surgical or wound complications in any patient and the histopathological result was leiomyoma in all the cases Conclusion SP-LM is feasible in selected patients with symptomatic myoma (C) 2010 Elsevier Ireland Ltd All rights reserved