Richard Haines Demir, MD, Miranda Loai Yousif
Desert Women’s Care, Scottsdale, Arizona USA (Dr. Demir)
(Student), Arizona State University, Tempe, Arizona USA (Ms. Yousif)
Introduction: Although the conventional method of total laparoscopic hysterectomy has been multi-port access, advances in equipment have permitted fewer and smaller incisions.
Case Description: We present the first known case of single incision, 8.5-mm total laparoscopic hysterectomy employing 3-mm instruments. Three separate trocars were inserted through a single skin incision in a triangular array and hysterectomy was performed in the usual manner.
Conclusions: With advancements in laparoscopic instrumentation fewer and smaller incisions can be used to accomplish hysterectomy. This case represents the continued convergence back toward total vaginal hysterectomy as the “gold standard” minimally invasive hysterectomy.
Key Words: Total laparoscopic hysterectomy, Single incision, Multiple incision.