A different technique in gasless, laparoendoscopic, single-site myomectomy

BACKGROUND: The aim of this study was to introduce a novel technique for gasless, laparoendoscopic, single-site (GLESS) myomectomy and to evaluate its feasibility and safety. METHODS: A retrospective observational study was performed at a hospital from Sep 2017 to Nov 2018. 15 patients with symptomatic subserosal or intramural myomas underwent GLESS myomectomy. RESULTS: The mean age and body mass index were 41.73 ± 8.58 years and 22.72 ± 2.27 kg/m(2), respectively. 5 patients had a history of abdominal surgery, including four caesarean deliveries and one myomectomy. The mean operative duration, blood loss volume, time to specimen removal, time of bowel activity and postoperative hospitalization duration were 156.47 ± 62.19 min, 57.33 ± 72.35 ml, 29.87 ± 13.6 min, 27.67 ± 10.06 h, and 3.4 ± 0.74 days, respectively. The operation was successful in all patients, there were no surgical or wound complications in any patient, and the histopathological result was leiomyoma in all 15 patients. CONCLUSION: The procedure is feasible and safe in selected patients with symptomatic myomas. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00464-020-08044-y.