Two-phase laparoendoscopic single-site cervical ligament-sparing hysterectomy: A novel approach in difficult laparoscopic hysterectomy

Mun-Kun Hong, Tang-Yuan Chu, Tang‐Yuan Chu, Dah-Ching Ding, Dah‐Ching Ding
Taiwanese journal of obstetrics & gynecology · 2016 · vol. 55(3) , pp. 423–426 · doi:10.1016/j.tjog.2016.04.019 · PMID:27343328 · W2463399836
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This paper describes a novel two-phase laparoendoscopic single-site cervical ligament-sparing hysterectomy technique for difficult cases, demonstrating it is easy, safe, and preserves pelvic floor stability.

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Abstract

OBJECTIVE: To proposed a novel method for a difficult laparoscopic hysterectomy that spares the cervical ligaments and eliminates the cervical canal and transformation zone of the cervix. CASE REPORT: A 40-year-old women, gravida 3 para 3, who had had a cesarean delivery previously, was referred to the gynecology clinic due to adenomyosis with menorrhagia and severe anemia. Ultrasonography showed that the uterus was enlarged to 13.5 cm × 10.7 cm × 8.8 cm. After obtaining informed consent, a two-phase laparoendoscopic single-site (LESS) cervical ligaments-sparing hysterectomy was performed smoothly. The patient discharged on 4th day and resumed her sexual life less than 2 months after surgery. CONCLUSION: This novel minimal invasive method of hysterectomy makes difficulty laparoscopic hysterectomy easy and safe. Preservation of cervical ligaments retains stability in the pelvic floor and may reduce intraoperative complications and subsequent pelvic floor organ prolapse.

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Condition tags

adenomyosis

MeSH descriptors

Hysterectomy Ligaments Organ Sparing Treatments Adenomyosis Adenomyosis Adenomyosis Adult Anemia Anemia Female Humans Hysterectomy Laparoscopy Menorrhagia Menorrhagia Menorrhagia Organ Sparing Treatments

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