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Laparoendoscopic single-site hysterectomy: is it safe and feasible?

Fanfani, Francescoa; Monterossi, Giorgiab; Fagotti, Annac; Scambia, Giovannib

Current Opinion in Obstetrics and Gynecology: August 2014 - Volume 26 - Issue 4 - p 275–280
doi: 10.1097/GCO.0000000000000090

Purpose of review The goal was to evaluate the safety, feasibility, and reproducibility of total and radical single-site hysterectomy.

Recent findings Minimally invasive surgery represents the gold standard for benign and malignant gynecological disease. Laparoendoscopic single-site surgery has emerged as a new technical concept to decrease parietal trauma and improve body image. Laparoendoscopic single-site surgery is not a new essay, but recent developments in surgical technology have resulted in an exponential enlargement of indications. Recently published data showed feasibility, safety, and reproducibility of single-port hysterectomy for benign and malignant gynecological diseases.

Summary Laparoendoscopic single-site surgery represents a new challenge in minimally invasive surgery and appears to be feasible and safe to perform in a variety of gynecologic diseases. The aim of this review is to critically analyze the recent literature about single-site hysterectomy.

aInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste

bDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome

cMinimally Invasive Gynecology, Santa Maria Hospital Terni, University of Perugia, Perugia, Italy

Correspondence to Francesco Fanfani, Department of Obstetrics and Gynecology, Via dell’Istria, 65/1, 34137 Trieste, Italy. Tel: +39 3356568737; fax: +39 06 30156332; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins