LAUSR

OBJECTIVE To evaluate the effectiveness of solo surgery in single-incision laparoscopic myomectomy. METHOD This study entailed a retrospective analysis of medical records. Solo surgery was compared with conventional single-incision laparoscopic myomectomy. Demographic characteristics and surgical outcomes were evaluated between both techniques. RESULTS A total of 29 women underwent consecutive single-incision laparoscopic myomectomies from July 2020 to December 2020. Nineteen patients who underwent conventional single-incision laparoscopic myomectomy from July to October of 2020 were compared with 10 patients who underwent solo surgery in single-incision laparoscopic myomectomy from November to December 2020. Patients in both groups were similar in age, parity, body mass index, surgical history, size of largest myoma, and type of largest myoma. There were no differences between groups for number of removed myomas, operative time, hemoglobin change, postoperative length of stay, and complications, but there were for adhesiolysis and estimated blood loss. CONCLUSION Although solo surgery did not significantly shorten operative time in single-incision laparoscopic myomectomy, it has the advantage of not requiring an assistant for suturing and tying.