Single-port access laparoscopic-assisted vaginal hysterectomy: a novel method with a wound retractor and a glove

Yoo-Young Lee, Lee YY, Tae-Joong Kim, Tae‐Joong Kim, Kim TJ, Kim CJ, Chul Jung Kim, Heeseok Kang, Kang H, Choi CH, Chel Hun Choi, Jeong-Won Lee, Jeong‐Won Lee, Lee JW, Kim BG, Byoung-Gie Kim, Byoung‐Gie Kim, Lee JH, Je–Ho Lee, Je-Ho Lee, Bae DS, Duk‐Soo Bae, Duk-Soo Bae
Journal of Minimally Invasive Gynecology · 2009 · vol. 16(4) , pp. 450–453 · doi:10.1016/j.jmig.2009.03.022 · PMID:19487164 · W2011044123
Other OA: closed CC0 ⤵ 12 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper describes a novel single-port access technique for laparoscopic-assisted vaginal hysterectomy utilizing a wound retractor and a glove for improved surgical access and visualization.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

STUDY OBJECTIVE: To present our initial experience with single port-access laparoscopic-assisted vaginal hysterectomy (SPA-LAVH) by use of a wound retractor and a glove. DESIGN: Continuing, prospective study (Canadian Task Force classification II-3). SETTING: University teaching, research hospital, and a tertiary care center. PATIENTS: We performed the SPA-LAVH in 24 patients from May 6, 2008, through October 8, 2008. INTERVENTIONS: All cases of SPA-LAVH were performed by a single surgeon (T. J. K.). MEASUREMENTS AND MAIN RESULTS: We analyzed the data to determine the outcome of SPA-LAVH and compared the initial 10 cases (group A) and the latter 14 cases (group B) to consider the learning curve. Median and range are used to describe non-normal data. A total of 24 consecutive patients have undergone SPA-LAVH, for benign gynecologic conditions, including 16 uterine myomas and 8 cases of adenomyosis, regardless of body mass index or previous abdominal or pelvic surgery. All cases but 3 were performed exclusively through a single port. The median operative time, weight of the uterus, and estimated blood loss were 119 minutes (range 90 to 255 minutes), 347 g (range 225 to 732 g), and 400 mL (range 100 to 1000 mL), respectively. The decline in hemoglobin from before surgery to postoperative day 1 was from 0.7 to 4.3 g/dL, with a median of 2.05 g/dL. The median hospital stay (postoperative day) was 3 days (range 3 to 7). When we compared the operative outcomes between the 2 groups, there was a tendency toward a decreased operative time in group B, although the difference was not significant. However, there was a significant decrease in the estimated blood loss and hospital stay in group B (p = .00, = .04, respectively). CONCLUSION: The SPA-LAVH was safe and effective, and the procedure could be learned over a short period of time. Additional experience and continued investigation are warranted.

My notes (saved in your browser only)

MeSH descriptors

Hysterectomy, Vaginal Laparoscopy Adult Adult Female Female Gloves, Surgical Gloves, Surgical Humans Humans Hysterectomy, Vaginal Hysterectomy, Vaginal Laparoscopy Laparoscopy Middle Aged Middle Aged Pilot Projects Pilot Projects Pneumoperitoneum, Artificial Pneumoperitoneum, Artificial

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (8)

Cited by (12)

Source provenance

europepmc
last seen: 2026-10-16T06:09:50.462052+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:06:31.728877+00:00
License: CC0 · commercial use OK