Single port laparoscopically assisted hysterectomy with the TriPort system. A case report and review of the literature.

AIM: We report our recent experience with the TriPort system (trademark of Advanced Surgical Concepts, Wicklow, Ireland) to perform a laparoscopically assisted hysterectomy via a single periumbilical incision. CASE REPORT: A 48-year-old multiparous woman was referred to us on March 2009 because of menometrorrhagia and uterine fibroids. RESULTS: The procedure was performed without intraoperative complications. The weight of the uterus was 360 gr. At the 10 months follow-up the patient did not refer any problem. DISCUSSION: Although our experience represented a potentially difficult surgery because of the size of the uterus, severe adhesions (two previous caesarean sessions) and the lack of experience with the new system, the procedure demonstrated to be feasible. As for our knowledge the present report represents the first case of single port laparoscopically assisted hysterectomy performed with the TriPort system in Italy. CONCLUSION: Single port laparoscopy is feasible and could potentially decrease postoperative pain as well as increase patient satisfaction. Although the early experience with TriPort system is promising, experienced laparoscopic skills are essential for the safe and effective performing of the procedure.