Case Report

A Laparoendoscopic Single-Site Surgery Approach to Mesh Sacrohysteropexy

Figure 1

Insertion and modification of the Covidien SILS port: (a) incision to gain access to the peritoneal cavity via the umbilicus; (b) using S retractors to establish pneumoperitoneum; (c) lubricating the SILS port with paraffin wax; (d) grasping the SILS port using two Blake forceps and insertion into the umbilicus with the forceps as a guide; (e) insertion of the trocars and insufflation of the abdomen; and (f) Y-shaped modification of the port by 3 cuts made at an angle of 120 degrees from each other to allow for greater maneuverability.
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(a)
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(b)
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(c)
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(d)
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(e)
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(f)