Abstract
Tight suturing is necessary in cases of myomectomy, but this is difficult to achieve in single-port access laparoscopic operations. However, this problem was overcome with the appearance of ligation-free suture thread (V-Loc™180). Three patients have since become pregnant and achieved successful delivery by cesarean section. No symptoms attributable to myomectomy were seen during any of these pregnancies. This experience demonstrates the usefulness of ligation-free suture thread for fertility-preserving single-port access laparoscopic myomectomy.