Single port laparoscopically assisted hysterectomy with the TriPort system. A case report and review of the literature


COD: 03_2010_221-226 Categorie: ,

Maurizio Rosati, Dorian Bosev, Roberto Thiella, Francesco Capobianco, Umberto Bracale, Guglielmo Azioni

Ann. Ital. Chir., 2010; 81: 221-225

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AIM: We report our recent experience with the TriPort® system (trademark of Advanced Surgical Concepts, Wicklow,
Ireland) to perform a laparoscopically assisted hysterectomy via a single periumbilical incision.
CASE REPORT: A 48-year-old multiparous woman was referred to us on March 2009 because of menometrorrhagia and
uterine fibroids.
RESULTS: The procedure was performed without intraoperative complications. The weight of the uterus was 360 gr. At
the 10 months follow-up the patient did not refer any problem.
DISCUSSION: Although our experience represented a potentially difficult surgery because of the size of the uterus, severe
adhesions (two previous caesarean sessions) and the lack of experience with the new system, the procedure demonstrated
to be feasible. As for our knowledge the present report represents the first case of single port laparoscopically assisted hysterectomy
performed with the TriPort system in Italy.
CONCLUSION: Single port laparoscopy is feasible and could potentially decrease postoperative pain as well as increase
patient satisfaction. Although the early experience with TriPort system is promising, experienced laparoscopic skills are
essential for the safe and effective performing of the precedure.