Primary clinical experience of the uterine suture formula for single-port laparoscopic myomectomy

WU Yihan; TANG Huimin; JIA Qiucheng; CHEN Wanying; CHEN Mengyue; YANG Yun; ZHAO Mengru; CHEN Jiming

doi:10.3969/j.issn.2095-8331.2024.04.008

Abstract：Objective To explore the feasibility and safety of the clinical application of the"suture formula"for transumbilical single-port laparoscopic myomectomy.Methods The clinical data of 16 patients,who were admitted to the Department of Gynecology of Changzhou No.2 People's Hospital and underwent single-port laparoscopic myomectomy from December 2022 to June 2023,were retrospectively analyzed.Suture formula was used for all operations.Finally,the clinical data of the patients were summarized and analyzed.Results The operation time of 16 patients ranged from 55 to 110 min,with a mean of(77.50±17.03)min.Intraoperative bleeding ranged from 10 to 80 mL,with a mean of(36.25±30.08)mL.The hemoglobin drop value ranged from 1 to 7 g/L,with a mean of(4.06±1.77)g/L.Postoperative hospitalization days ranged from 4 to 6 days,with a mean of(4.81±0.83)days.Time to first postoperative anal exhaust ranged from 18 to 30 h,with a mean of(23.81±4.10)h.Postoperative VAS scores ranged from 1-3 points at 12 h,with a mean of(1.44±0.63)points.All surgeries were successfully completed without intraoperative complications such as injury to neighboring organs,hemorrhage or subcutaneous emphysema,and there were no operations such as additional operating holes or intraoperative conversion to open abdomen.One patient developed postoperative fever,which improved the next day after antibiotic anti-inflammatory treatment.All 16 patients had good postoperative recovery and were successfully discharged from the hospital.And they were relatively satisfied with the operation time,postoperative recovery time,and cosmetic effect of the incision.Conclusion With some basic technique of single-port laparoscopic suturing,the"suture formula"technique of transumbilical single-port laparoscopic myomectomy may be safe and feasible to apply in appropriate cases.