Single port access laparoscopic myomectomy with X-Cone

Single-port access laparoscopy (SPAL) technique is developing in the gynecological field but few experiences on SPAL myomectomy have been reported. A case of an infertile nulliparous woman who has been observed to have an intramural-subserosal myoma of 4 cm and bilateral sactosalpinx is reported. The patient underwent a SPAL to remove the myoma and bilateral sactosalpinx. No intraoperative and postoperative complications occurred. Total operative time was 94 min. We describe the technique with strategies to perform surgical treatment of the myoma with a single-access laparoscopic approach.