Laparoscopic Single-port Subtotal Hysterectomy: Technique and Advantages.

Single-port laparoscopy aims to extend the benefits of minimally invasive surgery by reducing surgical trauma and enhancing patient recovery. Current evidence suggests that single-port hysterectomy is feasible, safe, and equally effective as compared with conventional laparoscopic hysterectomy, although global uptake of this approach has been geographically limited. To our knowledge, this is the first report of a single-port subtotal hysterectomy described in Canada. This online video discusses the technique and perioperative outcomes of a laparoscopic subtotal hysterectomy performed on a 47-year-old woman with severe dysmenorrhea refractory to medical management. In this case, the cervix was conserved in accordance with the patient's preference. The set-up for single-port entry consisted of widely available materials, and total equipment cost for the procedure was $230. The duration of the procedure was 2 hours. The patient was discharged the same day as surgery without the need for postoperative narcotics, and she endorsed a high level of satisfaction with wound cosmesis 6 weeks after surgery. Although the results of this single case cannot be generalized, they are consistent with prior studies underlining the feasibility and effectiveness of a single-port approach for laparoscopic hysterectomy.