Single-Port Laparoscopic Supracervical Hysterectomy with Transumbilical Morcellation

Background: Laparoscopic hysterectomy is a well established method, with numerous described variat ions of this technique. The attempt to minimize operati ve ports has led to the descr ipt ion of a “single puncture laparoscopic hysterectomy”. The transumbil ical use of an electromechanical morcellator to faci l itate extraction of the uterus is f irst descr ibed here, in a ser ies of patients having laparoendoscopic singleport subtotal hysterectomy. Methods: A ser ies of 10 patients were subjected to single port supracervical hysterectomy with transumbil ical morcellation using an electromechanical morcellator. Results: Transumbil ical removal of uter i us ing an e lectro mechanical morcellator was successful in al l pat ients included in this series. There were no complicat ions, and the procedure was performed in equivalent t ime to that taken in multi port laparoscopy in our department . Conclusions: Single-port supracerv ical hysterectomy with t ransumbil ical removal of the specimen is a feas ible and safe procedure.