Our Summary

This study was conducted at a university medical center in Sao Paulo, where researchers tested the safety and feasibility of performing hysterectomies (the surgical removal of the uterus) using a single laparoscopic port, which is a small incision through which surgical tools are inserted. Between March 2013 and June 2014, 20 women who were set to undergo a hysterectomy due to non-cancerous uterine disease took part in the study.

Findings showed that the average age of the patients was 47.8 years and the average body mass index was 27.15 kg/m2. The average surgery time was about 165.5 minutes, with minimal blood loss and no need for blood transfusions. Of the 20 procedures, 19 were successfully performed via a single incision with no post-surgery complications. One procedure had to be switched to a multiport laparoscopic hysterectomy due to the patient having extensive pelvic adhesions. There was no need to convert to an “open” total abdominal hysterectomy, and none of the patients required narcotics or non-steroid anti-inflammatory drugs after the surgery.

In conclusion, the study found that performing a hysterectomy with a single laparoscopic port is a safe and feasible technique with no major complications.

FAQs

  1. What is the safety and feasibility of a laparoscopic single port access hysterectomy?
  2. What were the outcomes measured in the study on laparoscopic single port access hysterectomy?
  3. Were there any complications or conversions to other techniques during the laparoscopic single port access hysterectomy procedures in the study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic hysterectomy is to follow post-operative care instructions carefully, including avoiding heavy lifting and strenuous activity for a certain period of time to allow for proper healing. It’s also important to attend all follow-up appointments and communicate any concerns or complications to the healthcare provider promptly.

Suitable For

Patients who are typically recommended for laparoscopic hysterectomy include those with benign uterine diseases such as fibroids, adenomyosis, endometriosis, and abnormal uterine bleeding. Patients who are looking for a less invasive surgical option, faster recovery time, and minimal scarring may also be good candidates for laparoscopic hysterectomy. Additionally, patients who are not candidates for vaginal hysterectomy or who have had previous abdominal surgeries may benefit from laparoscopic hysterectomy.

Timeline

  • Before laparoscopic hysterectomy:
  1. Patient consults with gynecologist and discusses symptoms and treatment options.
  2. Patient undergoes preoperative testing and evaluation.
  3. Surgery date is scheduled and patient is instructed on preoperative preparations (such as fasting and medication restrictions).
  4. Patient arrives at hospital or surgical center on the day of surgery.
  • During laparoscopic hysterectomy:
  1. Patient is placed under anesthesia.
  2. Surgeon makes a small incision in the abdomen and inserts a laparoscope to view the uterus and surrounding organs.
  3. Surgeon removes the uterus and possibly other reproductive organs (such as ovaries) through small incisions.
  4. Procedure typically lasts around 2-3 hours.
  • After laparoscopic hysterectomy:
  1. Patient is monitored in the recovery room for a few hours.
  2. Patient may experience some pain and discomfort, which can be managed with pain medication.
  3. Patient is discharged from the hospital within 24 hours in most cases.
  4. Patient is advised on postoperative care, such as restrictions on physical activity and follow-up appointments.
  5. Patient may resume normal activities within a few weeks, depending on individual recovery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laparoscopic hysterectomy?
  2. How long is the recovery period after a laparoscopic hysterectomy?
  3. Will I experience any pain or discomfort after the procedure, and if so, how can it be managed?
  4. How long will I need to stay in the hospital after the surgery?
  5. Are there any specific restrictions or limitations on activities that I should follow after the surgery?
  6. Will I need to take any medications or follow a specific diet after the surgery?
  7. How often should I follow up with you after the procedure?
  8. Will there be any long-term effects on my health or fertility after a laparoscopic hysterectomy?
  9. Are there any alternative treatment options for my condition that I should consider before proceeding with a hysterectomy?
  10. What is your experience and success rate with performing laparoscopic hysterectomies?

Reference

Authors: Tormena RA, Ribeiro SC, Maciel GA, Baracat EC. Journal: Rev Assoc Med Bras (1992). 2015 Sep-Oct;61(5):446-51. doi: 10.1590/1806-9282.61.05.446. PMID: 26603008