Abstract:

Surgery with tracheal intubation general anesthesia, patients, umbilical single hole laparoscopic approach, CO₂ construction abdomen, pressure to 14 mmHg (1 mmHg=0.133 kPa), explore the pelvic cavity see the left uterus, the left corner connected with the left fallopian tube ovary, and connected with the cervix, blunt separation adhesion see the left attachment no obvious abnormalities, right residual corner uterine cavity closed with the right fallopian tube, not connected with the cervix. The hysteroscopy did not reveal the right tubal opening. Diluted pituitary chlorophyll was injected into the residual uterine myolayer, and the residual uterine plasma layer was cut with a sonographic knife, and the residual uterine muscle layer and inner membrane tissue were dug about 0.5 cm along the residual uterine plasma layer to absorbable lines after continuous suture to form the connection structure of the plasmomuscle layer. When the left single horn uterine muscle wall fibroids are removed, the absorption line suture can be taken, flushing the wound without bleeding, the device is removed, the umbilical cord fascia layer and umbilical cord skin are stitched and plastic.

Key words: Single-hole laparoscopy, Residual horn hysterectomy, Transumbilical cord