{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T12:18:27Z","timestamp":1773145107256,"version":"3.50.1"},"reference-count":17,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Minimally Invasive Surgery"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p><jats:italic>Objectives.<\/jats:italic>To present our initial experiences with laparoscopically assisted vaginal hysterectomy performed using homemade transumbilical single-port system.<jats:italic>Materials and Methods.<\/jats:italic>We reviewed the medical records of one hundred patients who underwent single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH). SPA-LAVH was performed with homemade single port system and conventional rigid laparoscopic instruments.<jats:italic>Results.<\/jats:italic>All procedures were successfully completed through the single-port system and vagina without need for extraumbilical puncture or conversion to laparotomy. The median patient age was 48.2 \u00b1 6.5 years. Thirty-three patients had history of past abdominopelvic surgery. The median total operative time, largest dimension of the uterus, and weight of the uterus were 73.1 \u00b1 24.6\u2009min, 10.5 \u00b1 2.1\u2009cm, and 300.8 \u00b1 192.5\u2009gram, respectively. The median decline in the hemoglobin from before surgery to postoperative day 1 was 1.8 \u00b1 0.9\u2009g\/dL. Bladder injury in occurred one patient who was repaired through intraoperative laparoscopic suture. The postoperative course was uneventful in most patients except for three who had a transient paralytic ileus, five who had pelvic hematoma, but they were recovered following conservative managements. No port-related complications were noted, and the cosmetic results were excellent.<jats:italic>Conclusions.<\/jats:italic>SPA-LAVH is technically safe procedure, and the homemade single-port system offers reliable access for single-port surgery.<\/jats:p>","DOI":"10.1155\/2012\/543627","type":"journal-article","created":{"date-parts":[[2012,9,4]],"date-time":"2012-09-04T17:01:12Z","timestamp":1346778072000},"page":"1-5","source":"Crossref","is-referenced-by-count":4,"title":["Single-Port Access Laparoscopy-Assisted Vaginal Hysterectomy: Our Initial Experiences with 100 Cases"],"prefix":"10.1155","volume":"2012","author":[{"given":"Young-Sam","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwang-Sik","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji-No","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-Sang","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae-Eel","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Eun Hospital, Duam-Dong, Buk-Gu, Kwang-Ju 500-101, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"5","key":"1","first-page":"65","volume":"3","year":"1969","journal-title":"The Journal of Reproductive Medicine"},{"issue":"6","key":"2","first-page":"912","volume":"38","year":"1971","journal-title":"Obstetrics and Gynecology"},{"issue":"5","key":"3","first-page":"751","volume":"42","year":"1973","journal-title":"Obstetrics and Gynecology"},{"issue":"10","key":"4","first-page":"721","volume":"88","year":"1991","journal-title":"New Jersey Medicine"},{"issue":"9","key":"5","first-page":"777","volume":"37","year":"1992","journal-title":"Journal of Reproductive Medicine for the Obstetrician and Gynecologist"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.009"},{"key":"7","first-page":"195","volume":"20","year":"2010","journal-title":"Surgical Technology International"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4103\/0974-1216.85273"},{"issue":"2","key":"9","first-page":"52","volume":"1","year":"2011","journal-title":"Evidence Based Women's Health Journal"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2010.09.004"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1358-8"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.07.013"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0463-x"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-009-0536-9"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.03.022"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.04.017"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820c666a"}],"container-title":["Minimally Invasive Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2012\/543627.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2012\/543627.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2012\/543627.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,2]],"date-time":"2016-08-02T18:42:30Z","timestamp":1470163350000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/mis\/2012\/543627\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":17,"alternative-id":["543627","543627"],"URL":"https:\/\/doi.org\/10.1155\/2012\/543627","relation":{},"ISSN":["2090-1445","2090-1453"],"issn-type":[{"value":"2090-1445","type":"print"},{"value":"2090-1453","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}