Clinical Study
Single-Port Access Laparoscopy-Assisted Vaginal Hysterectomy: Our Initial Experiences with 100 Cases
Table 1
Clinical data and surgical outcomes of SPA-LAVH ().
| | | Demographic characteristics | Median ± SD* | Range* |
| | Preoperative characteristics | Age (years) | 48.2 ± 6.5 | 36–68 | | Parity | 2.3 ± 1.0 | 0–5 | | Body Mass Index (kg/m2) | 25.4 ± 3.3 | 18.8–36.5 | | Past abdominopelvic surgery | Caesarean section | 6 | | Repeat Caesarean sections | 5 | | Three times Caesarean sections | 5 | | Tubal ligation | 9 | | Appendectomy | 3 | | Appendectomy and tubal ligation | 2 | | Ovarian cystectomy | 2 | | Unilateral salpingooophrectomy | 1 | | Indication for hysterectomy | Leiomyoma | 25 | | Adenomyosis | 19 | | Adenomyosis coexisting leiomyoma | 41 | | Preinvasive lesion of cervix coexisting adenomyosis | 7 | | Adnexal disease | 5 | | Endometrial hyperplasia | 2 | | Others | 1 |
| | Intraoperative course | Time to installation of single-port system (min) | 7.3 ± 1.5 | 5–13 | | Total operative time (min) | 73.1 ± 24.6 | 33–180 | | Largest dimension of uterus (cm) | 10.5 ± 2.1 | 6–15 | | Weight of uterus (gram) | 300.8 ± 192.5 | 90–1007 | | Extraumbilical puncture | 0 | | | Conversion to laparotomy or conventional multiport laparoscopy | 0 | | | Great vessel injury | 0 | | | Bowel injury | 0 | | | Bladder injury | 1 | Intraoperative repair | | Ureter injury | 0 | | | Blood transfusion | 7 | |
| | Postoperative course | Hemoglobin drop (g/dL) | 1.8 ± 0.9 | 0.5–4.4 | | Pelvic hematoma | 5 | Conservative management | | Sepsis | 0 | | | Return to operation room | 0 | | | Transient paralytic ileus | 3 | Conservative management | | Thromboembolic events | 0 | | | Cosmetic effects | Excellent | | | Port-related complications | 0 | |
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*Values are presented as mean ± standard deviation or absolute number.
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