Single-incision laparoscopy (laparoscopic surgery) is challenging. There are many ways of performing this surgery and I have described the different methods in my book “Laparoscopic surgery in Gynaecology and Common diseases in Women”. Recently I performed single incision laparoscopy (Laparoscopic Surgery) using a Japanese product made by Hakko. It is called E-Z Access and lap protector. They come in 2 shapes namely round and elliptical. I performed 3 cases using the elliptical port namely laparoscopic cystectomy and laparoscopic adhesiolysis for endometriosis, total laparoscopic hysterectomy for fibroid and laparoscopic myomectomy for a fibroid.
I am pleased with this port for several reasons.
What are the drawbacks of this port?
The best part of single incision laparoscopy (laparoscopic surgery) is that removal of specimen is easy. Cysts such as dermoid cyst can be removed through the 2 to 2.5 incisions in the umbilicus easily. Fibroids can be placed in a bag and hand morcellated through the incision.
Lap Protector in Place
E-Z Access placed with the trocars inserted
Performing single incision laparoscopic myomectomy
Suturing the incision
Wound at the end of the surgery
Wound after 1 week