Solo Surgery in Single Incision Laparoscopic Myomectomy

Background: The intracorporeal suture during single incision laparoscopic surgery is challengeable. Since laparoscopic myomectomy requires not only one assistant to hold a camera but also other to hold the uterine manipulator, it is difficult to perform solo surgery in single port laparoscopic myomectomy through intracorporeal suture.ResultsThe three patients underwent single incision laparoscopic myomectomy. The size of the largest myoma was 4.8-5.6cm. The operation was performed by the surgeon alone without assistants. The passive camera holder was positioned near the patient's body. Without using uterine manipulator, the uterus was hung from the abdominal wall using a thread. The uterine myoma was enucleated, which was removed from the outside with the umbilicus incision site. The uterine wound was double sutured to avoid any uterine defects. The outer suture of wound was sutured by a method such as simple continuous suture, Lembert suture, or baseball suture. The operation time was 95-105 minutes.There were no specific complications associated with the surgery. The patients were discharged on the second day after surgery.ConclusionsSolo surgery in single incision laparoscopic myomectomy using camera holder was successfully performed without using a uterine manipulator.