Suture Methods and Ancillary Techniques for Uterine Incision in Transumbilical Single-Port Laparoscopic Myomectomy

Abstract

Objective: Myomas of the uterus are the most common benign tumors of the female reproductive system. This article presents a detailed review of the suturing methods and ancillary techniques for uterine incision used in transumbilical single-port laparoscopic myomectomy in order to provide a reference for beginners and a research direction for the future development of this surgery. Mechanism: The authors reviewed credible search engines and literature databases (such as PubMed) for the period 2000–2023, extracted published data and content, and summarized the collected information. This was combined with the authors own surgical experience to provide a detailed description of the suture methods and ancillary techniques for uterine incision used in transumbilical single-port laparoscopic myomectomy. Findings in Brief: This review provides a comprehensive understanding of the suture methods and ancillary techniques for uterine incision commonly used in transumbilical single-port laparoscopic myomectomy. The advantages and limitations of different methods are also recognized. Conclusions: Suture methods for uterine incision in transumbilical single-port laparoscopic myomectomy include: simple interrupted suture, figure-of-eight suture, interrupted mattress suture, simple continuous suture and baseball type suture. Ancillary techniques for uterine incision in transumbilical single-port laparoscopic myomectomy include: needle hook assisted method, suspended line method, one-handed operation method and the modified operative method.

Keywords

• laparoendoscopic single-port surgery
• trans-umbilical
• myoma of uterus
• suture methods
• ancillary techniques