TY - JOUR
T1 - Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma
AU - Guan, Xiaoming
AU - Walsh, Teresa M.
AU - Osial, Paulina
AU - Xu, Dabao
N1 - Publisher Copyright:
© 2015 AAGL.
PY - 2015
Y1 - 2015
N2 - Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.
AB - Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.
KW - Abnormal uterine bleeding
KW - Laparoscopic myomectomy
KW - Laparoscopy
KW - Myomectomy
KW - SILS
KW - Single-incision laparoscopy
KW - Single-site laparoscopy
KW - Symptomatic myoma
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U2 - 10.1016/j.jmig.2015.05.021
DO - 10.1016/j.jmig.2015.05.021
M3 - Article
C2 - 26070726
AN - SCOPUS:84953347429
SN - 1553-4650
VL - 22
SP - 936
EP - 937
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
IS - 6
ER -