Laparoendoscopic Single-Site Hysterectomy: A Single Surgeon Experience in a Tertiary Hospital

Özet

OBJECTIVE: To evaluate the clinical and surgical outcomes of the total hysterectomy cases performed with the laparoendoscopic single-site surgery. STUDY DESIGN: A total of 24 women who underwent total hysterectomy by the laparoendoscopic sin- gle-site technique due to benign gynecological disorders were retrospectively evaluated. The duration of the operation, estimated blood loss, weight of the uterus, intra- and postoperative complications, pre- and postoperative day 1 hemoglobin and hematocrit levels, postoperative 6- and 24-hour visual ana- logue scale scores, duration of hospital stay, and postoperative complications were evaluated. RESULTS: The mean total operation time was 112.1±24 minutes. The average time between the um- bilical incision and starting the hysterectomy was 10±2.1 minutes. Estimated blood loss was 50±25 ml. The average duration of the hospital stay was 1.5±0.4 days. The mean uterus weight was 135 g. The mean difference between the pre- and postoperative hemoglobin values was 1.1 g/dl. The mean visual analogue scale scores were 4.1 (0-7) and 1.9 (0-4) in 6- and 24-hour postoperative periods. None of the women had an intraoperative complication. One patient (4.2%) had a port site hernia 6 months after the operation. CONCLUSION: The total hysterectomy with laparoendoscopic single-site technique is a reasonable method in selected patients with similar safety and feasibility, especially for women who prefer a single incision in umbilicus. The patient should be informed before the operation about potential complications such as a port-site hernia.