One‐trocar salpingectomy for the treatment of tubal pregnancy: a ‘marionette‐like’ technique

Abstract

Laparoscopic salpingectomy for the treatment of tubal pregnancy has traditionally been performed with two ancillary trocars. We report a novel single-port technique requiring only an umbilical operative laparoscope and a percutaneous midline suture, inserted with a straight needle, to retract the affected fallopian tube. A total of 10 ectopic pregnancies have been successfully treated with this approach. The procedure was not technically demanding and the operative time was comparable to that of standard laparoscopic methods. No intraoperative and postoperative complication occurred. Ancillary trocars were not necessary in any of these cases. Our results showed that one-trocar salpingectomy is a feasible and safe technique.

Single-port-access laparoscopic-assisted vaginal hysterectomy versus conventional laparoscopic-assisted vaginal hysterectomy: a comparison of perioperative outcomes

“…The SPA technique has been improved [5,6] and might be adequate for gynecologic surgery [7][8][9][10][11]. This technique is expected to be popular in the near future because surgeons can perform scarless surgery with minimal modifications of current methods.…”

Single‐port, single‐operator‐light endoscopic robot‐assisted laparoscopic urology: pilot study in a pig model

“…When SP surgery was initially conceived over a decade ago, its broad application was severely restricted by ill-designed instruments [9,10]. The commercial manufacture and distribution of flexible-tip high-definition laparoscopes and articulating operating instruments has largely overcome this limitation by allowing instrument triangulation despite in-line placement.…”

The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review

“…Ghezzi et al [103] treated 10 ectopic pregnancies using a percutaneous midline suture to retract the affected fallopian tube. The salpingectomy was performed through a single umbilical incision with instruments inserted through a 10-mm laparoscope.…”