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This video demonstrates Total Laparoscopic Hysterectomy by Two Ports. Only Two 5mm ports were used in this surgery. One telescopic port and only one working instrument are used. This is the first single-handed Total laparoscopic hysterectomy done by anyone before. Many surgeons are performing SILS hysterectomy. In single incision laparoscopic surgery one large 20mm-30mm port is used and in a single port three instruments are introduced. In this two-part surgery, only one operating instrument is used. Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical 20 mm port does not give cosmetic benefits because the surgical incision is large in the umbilicus and increases hernia infection and morbidity of minimally invasive surgery. With two 5 mm ports, there is no chance of hernia excellent cosmetic benefits and minimum pain is observed. The patient is discharged only a few hours after surgery. This is a single-handed surgery so surgeons need good suturing skills.

Total Laparoscopic Hysterectomy by Two 5 mm Ports – Single Instrument Surgery at World Laparoscopy Hospital

Total Laparoscopic Hysterectomy (TLH) represents one of the most significant advancements in minimally invasive gynecological surgery. The evolution from conventional multi-port laparoscopy to reduced-port and single-instrument techniques has improved cosmetic outcomes, reduced postoperative pain, and accelerated recovery. Performing TLH using two 5 mm ports with a single working instrument is an advanced surgical approach that reflects precision, skill, and innovation in minimal access surgery.

At World Laparoscopy Hospital, surgeons are trained to perform complex gynecological procedures using the latest minimally invasive techniques. The two-port single-instrument TLH technique is especially valuable for selected patients where minimal tissue trauma, faster recovery, and superior cosmetic results are desired. This approach reduces the number of incisions while maintaining surgical safety and effectiveness.

Surgical Concept and Technique

In this technique, two 5 mm ports are used:

• One port for the laparoscope (usually umbilical)

• One port for the working instrument (typically suprapubic or lateral)

A uterine manipulator is used vaginally to assist in exposure and mobilization. Using a single advanced energy device or laparoscopic instrument, surgeons carefully perform:

• Round ligament coagulation and cutting

• Broad ligament dissection

• Uterine artery sealing

• Bladder dissection

• Colpotomy and specimen removal

The vaginal cuff is then closed laparoscopically or vaginally depending on surgeon preference and case requirements.

Advantages of Two 5 mm Port Single Instrument TLH

This technique offers multiple benefits:

• Minimal postoperative pain

• Better cosmetic outcome due to smaller incisions

• Reduced risk of port-site complications

• Faster recovery and early return to daily activities

• Lower infection risk

Patients undergoing this procedure often experience shorter hospital stays and improved satisfaction compared to conventional multi-port approaches.

Training and Expertise

Performing TLH with only two 5 mm ports requires advanced laparoscopic skills, depth perception, and instrument control. Surgeons must be proficient in tissue handling, energy application, and anatomical dissection using limited access points. At World Laparoscopy Hospital, structured hands-on training, simulation, and live surgical exposure help surgeons master these advanced techniques safely.

Patient Selection

Not all patients are suitable candidates for this approach. Ideal cases include:

• Benign uterine pathology

• Moderate uterine size

• Minimal pelvic adhesions

• Good general health status

Proper patient selection is essential to maintain safety and achieve optimal surgical outcomes.

Future of Reduced Port Gynecologic Surgery

The two-port single-instrument TLH technique represents the future direction of minimally invasive gynecologic surgery. As surgical instruments become more advanced and surgeons gain more experience, reduced-port and single-site surgeries are expected to become more widely adopted worldwide.

Conclusion

Total Laparoscopic Hysterectomy using two 5 mm ports with a single instrument is a milestone in minimal access gynecological surgery. With proper training, patient selection, and surgical expertise, this technique provides excellent clinical outcomes with minimal invasiveness. Institutions like World Laparoscopy Hospital continue to lead the way in training surgeons to adopt and master these cutting-edge surgical innovations.

For more information:
Contact us
World Laparoscopy Hospital
Cyber City, Gurugram, NCR Delhi
INDIA: +919811416838

World Laparoscopy Training Institute
Bld.No: 27, DHCC, Dubai
UAE: +971525857874

World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida
USA : +1 321 250 7653