LAUSR

Video Objective To demonstrate our procedure for single site laparoscopic salpingectomy in a patient desiring permanent sterilization. Setting Tubal ligation and salpingectomy are associated with a decrease incidence of ovarian cancer. Salpingectomy for sterilization has been shown to be safe and not increase complications. Single-site laparoscopy is used in a variety of gynecologic procedures and allows for minimization of incisions and opportunity for improved cosmesis. Here we demonstrate our procedure for single site laparoscopic salpingectomy at an academic affiliated gynecology practice The patient is a 34yo G3P3 who has completed child bearing and desires permanent sterilization. She has no previous abdominal surgeries. Interventions The patient underwent a single-site laparoscopic bilateral salpingectomy for sterilization through an umbilical incision. A single site gel platform, 30 degree laparoscope, atraumatic grasper and articulating energy device are used to facilitate this surgery. The fascia is repaired with 0 vicryl and the umbilicus is rebuilt with 2-0 vicryl and 4-0 monocryl for a cosmetic appearance. Conclusion Single site laparoscopy, as an alternative for multi-port, can easily and safely be used for salpingectomy with favorable cosmetic outcome.