1867 Transvaginal Single-Port Laparoscopic Hysterectomy for Large Uterus

Abstract

Video Objective To demonstrate the tansvaginal natural orifice transluminal endoscopic surgery (NOTES) hysterectomy for large uterine (the size of six months pregnancy) with combined transvaginal surgical and single-site surgical skills Setting Academic tertiary care hospital Patient A 55-year-old woman Interventions Transvaginal NOTES hysterectomy with combined transvaginal surgical and single-site surgical skills Measurements and Main Results A 55-year-old woman (gravida 2 para 2) with a preoperative magnetic resonance imaging diagnosis of myoma associated necrosis (the uterine is as large as 6 months pregnancy) requested hysterectomy and bilateral adnexectomy. She presented with a 5-year history of myoma. The operation took roughly 85 minutes, and total blood loss was approximately 100ml. The patient recovered well and was discharged 2 days after surgery. The pathology revealed a necrotic myoma. Conclusion Combined with traditional transvaginal anterior / posterior colpotomy, single-site surgical skills allow the surgeon to accomplish hysterectomy for large uterine without abdominal incision, and let patient recover rapidly.