Single-incision total laparoscopic hysterectomy with conventional laparoscopy ports

Objective: To study the feasibility of performing single-incision total laparoscopic hysterectomy using conventional ports and instruments. Methods: Patients undergoing laparoscopic surgery at Galaxy Care Laparoscopic Institute, Pune, India, between January 2007 and December 2010 were selected for participation. All procedures were performed using conventional laparoscopic instruments and trocars. Operative data including operative time (from incision to port closure), blood loss, additional ports used, energy sources used, and intraoperative complications were recorded. Results: Twenty-three procedures were performed during the study period. All procedures were completed via single incision only. Operative time, blood loss, and hospital stay were comparable with those associated with conventional laparoscopy. Conclusion: It is debatable whether laparoscopic surgery via a single incision would threaten the position of the current gold standard of conventional laparoscopic procedures. The present study showed that single-incision laparoscopic surgery using conventional instruments is feasible and effective. (C) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.