Usefulness of EZ access in 2-port laparoscopic uterine myomectomy

Abstract

  EZ access (Hakko Medical, Nagano, Japan) is a silicon cap for the would retractor LAP PROTECTOR™ that makes it possible to insert multiple trocars without air leak. We performed 2-port laparoscopic myomectomies with a lower abdominal 5mm trocar and an umbilical EZ access and found that EZ access is useful not only for cosmetic purpose, due to the reduced number ports, but also for efficient myoma traction through the umbilical port, where it keeps a certain distance from the uterus. After EZ access is removed, the umbilical wound can be kept open with LAP PROTECTOR so the myoma can be morcellated with the scalpel and easily removed. We concluded that EZ access is useful tool for 2-port laparoscopic myomectomy.