Vaginal cuff closure during robotic single-port hysterectomy: is the vaginal route always the best one?

The recent development of single-port robotic surgery in gynecologic surgery has added the benefits of minimally invasive surgery and greater aesthetic patient satisfaction to the other benefits that robotic surgery offers. However, single-port robotic hysterectomy has raised the question about a better approach to closure of the vaginal cuff. This report describes the technical feasibility of using robotic intracorporeal needles and extracorporeal knots to perform the vaginal cuff closure for selected patients.