Laparoendoscopic single-site and natural orifice surgery in gynecology.

OBJECTIVE To evaluate the current literature on the use of single port and natural orifice surgery in gynecology. DESIGN Appraisal of articles published on the use of this technology in gynecology. RESULT(S) Most reports on single port and natural orifice surgery are case reports or case series. However, most have reported successful outcomes such as diagnostic or extirpative gynecologic procedures. The main limitation is the availability of instrumentation to successfully accomplish the task. CONCLUSION(S) Single port and natural orifice surgery offers the potential for advancing the minimally invasive approach to gynecologic surgery.

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