Single Incision Total Laparoscopic Hysterectomy at a private urban hospital, Kampala, Uganda; a case series

Background Single Incision Total Laparoscopic Hysterectomy (SITLH) is a modified version of the Conventional Total Laparoscopic Hysterectomy (CTLH). The newer technique requires advanced skills with special trocars. This may partly explain the rareness of the technique in low-income countries where the special trocars may be lacking due to them being expensive. There is no documented hysterectomy performed using the SITLH technique in Africa. We present two cases of hysterectomies successfully performed using this advanced technique, by a single surgical team led by Dr John Bosco Spire Kiggundu, at Henrob laparoscopy hospital, Kampala, Uganda, using improvised conventional laparoscopic trocars. Case series We present two cases of a 48-year old, Para 2+0, black African with symptomatic uterine fibroids and a 47-year-old para 4+0, black African with endometriosis; Enzian classification P-0 O-0/0 T-2/2 A-1 B-2/0 C-0 FA. These were successfully managed using the SITLH technique by a single surgical team led by Dr John Bosco Spire Kiggundu, at Henrob Laparoscopy Hospital, using improvised conventional laparoscopic trocars. Conclusion Though the single incision total laparoscopic hysterectomy technique requires special trocars, it is still possible to be performed using improvised conventional laparoscopic trocars in low-resource setting. These two cases demonstrate the ability and innovativeness of the surgical team, to use the limited available resources and successfully perform a task that would actually demand advanced special equipment.