Vaginal Myomectomy using the "Single-Port / Pneumovagina Technique"

Video Objective To show a further application for the "Single Port/Pneumovagina technique". Setting 35 year old nulligravida who complained of dyspareunia. On pelvic examination she had a 3 cm vaginal leiomyoma, lateral and posterior to the cervix. Pelvic ultrasound showed no communication with the uterus or cervix. Interventions Under spinal anesthesia she underwent a vaginal myomectomy using a single port device to create a pneumovagina. 4 ports were inserted to the device´s cap (0° optics, bipolar, scissors and myoma screw). Pneumovagina was created with a 12mmHg Co2 pressure and 5l/min flow. Conclusion we shower a further application for the "Single Port/Pneumovagina technique", which we had previously described for the treatment of vaginal septums.