The Journal of Minimally Invasive Gynecology
Volume 17, Issue 4 , Pages 456-460 , July 2010

Single Port Access Laparoscopic-Assisted Vaginal Hysterectomy for Large Uterus Weighing Exceeding 500 Grams: Technique and Initial Report

  • Taejong Song, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • These authors contributed equally to this paper.
    • ,
  • Tae-Joong Kim, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • These authors contributed equally to this paper.
    • ,
  • Min-Kyu Kim, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Hwangshin Park, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Joo Sun Kim, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Yoo-Young Lee, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Chul Jung Kim, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Chel Hun Choi, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Jeong-Won Lee, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Byoung-Gie Kim, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • ,
  • Duk-Soo Bae, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, Samsung Medical Center, Seoul, South Korea
    • Corresponding Author InformationCorresponding author: Duk-Soo Bae, MD, PhD, Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Irwon-dong, Gangnam-gu, Seoul, 135-710, Korea.

Received 20 October 2009 ,Accepted 25 February 2010.

References 

  1. Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obstet Gynecol. 1999;180:270–275
  2. Canes D, Desai MM, Aron M, et al. Transumbilical single-port surgery: evolution and current status. Eur Urol. 2008;54:1020–1029
  3. Podolsky ER, Rottman SJ, Poblete H, King SA, Curcillo PG. Single port access (SPA) cholecystectomy: a completely transumbilical approach. J Laparoendosc Adv Surg Tech A. 2009;19:219–222
  4. Fader AN, Escobar PF. Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report. Gynecol Oncol. 2009;114:157–161
  5. Lee YY, Kim TJ, Kim CJ, et al. Single-port access laparoscopic-assisted vaginal hysterectomy: a novel method with a wound retractor and a glove. J Minim Invasive Gynecol. 2009;16:450–453
  6. Kim TJ, Lee YY, Cha HH, et al. Single port access laparoscopic-assisted vaginal hysterectomy versus conventional laparoscopic-assisted vaginal hysterectomy: A comparison of perioperative outcomes. Surg Endosc. 2010 Feb 23;[Epub ahead of print]
  7. Kim TJ, Lee YY, Kim MJ, et al. Single port access laparoscopic adenexal surgery. J Minim Invasive Gynecol. 2009;16:612–615
  8. Yoon G, Kim TJ, Lee YY, et al. Single Port Access (SPA) Subtotal Hysterectomy with Transcervical Morcellation: A Pilot Study. J Minim Invasive Gynecol. 2010;17:78–81
  9. Kim TJ, Lee YY, Kim MJ, et al. Single port access (SPA) laparoscopic adenexal surgery. J Minim Invasive Gynecol. 2009;16:612–615
  10. Ferrari MM, Berlanda N, Mezzopane R, Ragusa G, Cavallo M, Pardi G. Identifying the indications for laparoscopically assisted vaginal hysterectomy: a prospective, randomised comparison with abdominal hysterectomy in patients with symptomatic uterine fibroids. BJOG. 2000;107:620–625
  11. Salmanli N, Maher P. Laparoscopically-assisted vaginal hysterectomy for fibroid uteri weighing at least 500 grammes. Aust N Z J Obstet Gynaecol. 1999;39:182–184
  12. Chang WC, Huang SC, Sheu BC, et al. LAVH for large uteri by various strategies. Acta Obstet Gynecol Scand. 2008;87:558–563

 The authors have no financial disclosure to report.

PII: S1553-4650(10)00085-3

doi: 10.1016/j.jmig.2010.02.009

The Journal of Minimally Invasive Gynecology
Volume 17, Issue 4 , Pages 456-460 , July 2010

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