Abstract
Background: A 12-mm port is needed for the insertion of a thread for uterine myometrium sutures and laparoscopic power morcellation. Reduced port surgery and needlescopic surgery are becoming standard procedures for which a 12-mm port is not appropriate. The Food and Drug Administration has limited the use of morcellation, hence another method for extraction of uterine myomas is needed.
Method: The EZ-access was placed at the umbilicus with the EZ-link combined with the EZ-sheath. The thread could be inserted through the EZ-link, and myoma extraction was less complicated using a cold knife through the EZ-access.
Result: Insertion of 9–13-mm-diameter forceps is possible through the EZ-link and EZ-access used as a 12-mm port. To prevent air leak through the EZ-link when 5-mm devices are used, the EZ-link was inserted inside the EZ-sheath.
Conclusion: The EZ-link combined with the EZ-sheath as a 12-mm port is beneficial from the cosmetic and economic viewpoints.
