Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma

Xiaoming Guan, Teresa M. Walsh, Paulina Osial, Dabao Xu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.

Original languageEnglish (US)
Pages (from-to)936-937
Number of pages2
JournalJournal of Minimally Invasive Gynecology
Volume22
Issue number6
DOIs
StatePublished - Jan 1 2015

Fingerprint

Uterine Myomectomy
Myoma
Laparoscopy
Human Engineering
Cosmetics
Learning Curve
Research Ethics Committees
Technology

Keywords

  • Abnormal uterine bleeding
  • Laparoscopic myomectomy
  • Laparoscopy
  • Myomectomy
  • SILS
  • Single-incision laparoscopy
  • Single-site laparoscopy
  • Symptomatic myoma

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma. / Guan, Xiaoming; Walsh, Teresa M.; Osial, Paulina; Xu, Dabao.

In: Journal of Minimally Invasive Gynecology, Vol. 22, No. 6, 01.01.2015, p. 936-937.

Research output: Contribution to journalArticle

Guan, Xiaoming ; Walsh, Teresa M. ; Osial, Paulina ; Xu, Dabao. / Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma. In: Journal of Minimally Invasive Gynecology. 2015 ; Vol. 22, No. 6. pp. 936-937.
@article{c37e78468ba4444f98cb4589b7572555,
title = "Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma",
abstract = "Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.",
keywords = "Abnormal uterine bleeding, Laparoscopic myomectomy, Laparoscopy, Myomectomy, SILS, Single-incision laparoscopy, Single-site laparoscopy, Symptomatic myoma",
author = "Xiaoming Guan and Walsh, {Teresa M.} and Paulina Osial and Dabao Xu",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.jmig.2015.05.021",
language = "English (US)",
volume = "22",
pages = "936--937",
journal = "Journal of Minimally Invasive Gynecology",
issn = "1553-4650",
publisher = "Elsevier",
number = "6",

}

TY - JOUR

T1 - Laparoscopic Single-Site Myomectomy of 11-cm Intramural Myoma

AU - Guan, Xiaoming

AU - Walsh, Teresa M.

AU - Osial, Paulina

AU - Xu, Dabao

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.

AB - Study Objective: To demonstrate the feasibility of laparoscopic single-incision myomectomy using new technology. Design: A step-by-step video demonstrating our technique for accomplishing a laparoscopic single-site myomectomy of a large intramural myoma. Setting: Single institution. Interventions: Single-incision laparoscopic surgery (SILS) has been shown to have similar outcomes to multiport laparoscopy but with superior cosmetic results [1,2] but has traditionally been associated with an increased learning curve, primarily because of poor ergonomics and instrument collisions, lack of triangulation, and, until recently, inadequate instrumentation. Measurements and Main Results: We present a case of laparoscopic single-site myomectomy of an 11-cm intramural myoma. This video was exempt from institutional review board review at our institution. SILS has traditionally been associated with poor ergonomics; however, we found that the articulating Enseal G2 Articulating Tissue Sealer (Ethicon Endo-Surgery, Blue Ash, OH) enables completion of complex surgical procedures not traditionally associated with single-site laparoscopy. This video demonstrates our technique to successfully accomplish a single-site laparoscopic myomectomy including the importance of vertical closure with V-Loc (Covidien, New Haven, CT) at the surgical site. Conclusion: We found that the articulating Enseal enables a single-incision laparoscopic myomectomy to be performed with only minimal modifications on multiport surgery techniques. We were able to successfully perform a myomectomy on an 11-cm intramural myoma with excellent cosmetic results.

KW - Abnormal uterine bleeding

KW - Laparoscopic myomectomy

KW - Laparoscopy

KW - Myomectomy

KW - SILS

KW - Single-incision laparoscopy

KW - Single-site laparoscopy

KW - Symptomatic myoma

UR - http://www.scopus.com/inward/record.url?scp=84953347429&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84953347429&partnerID=8YFLogxK

U2 - 10.1016/j.jmig.2015.05.021

DO - 10.1016/j.jmig.2015.05.021

M3 - Article

C2 - 26070726

AN - SCOPUS:84953347429

VL - 22

SP - 936

EP - 937

JO - Journal of Minimally Invasive Gynecology

JF - Journal of Minimally Invasive Gynecology

SN - 1553-4650

IS - 6

ER -