2122 5mm Mini Single Hole Incision Laparoscopic Hysterectomy: Series of Five Cases

Abstract

Study Objective To investigate the feasibility and safety of single-port laparoscopic hysterectomy with 5mm mini incision. Design The clinical data of 5 patients who underwent 5mm mini-incision single-port laparoscopic hysterectomy were retrospectively analyzed. Setting Department of Obstetrics and Gynecology, C the Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University. Patients or Participants 5 patients who underwent 5mm mini-incision single-port laparoscopic hysterectomy. Interventions The median longitudinal incision of the umbilicus is about 5mm long, and the subcutaneous sneak expansion space is 3-5mm. The 40/50 small abdominal retractor expands and retracts the incision approach, using small lenses such as pediatric surgical laparoscopy, cystoscopy or hysteroscopy. Place the operating instrument to perform the operation. Measurements and Main Results Five patients in this group were successfully operated. No other channels were added during the operation, and no laparotomy was performed. The operation time is 100-195 min, in which the puncture establishes the surgical access part for 5-10 min, and the umbilical hole reconstruction part 3-5 min; The intraoperative blood loss was 50-100 ml, the body temperature was 36.5°C to 37.5°C after 1 day, and the anus exhaust time was 1.0-1.5 days. The patient was discharged from hospital for 6-7 days. The postoperative umbilical wounds healed well, almost no surgical scars were seen, and no postoperative umbilical hernia and other serious complications occurred. Conclusion Under the premise of mature laparoscopic technique, it is safe and effective to perform a 5mm mini incision laparoscopic hysterectomy.