Women who have a BRCA1mutation have a 39% to 46% risk of developing ovarian cancer by age 70, while women with a BRCA2 mutation
carry a 10% to 27% risk by age 70 (Kurman and Shih, 2008). Bilateral salpingo-ovariectomy (BSO) is suggested to BRCA mutation carriers
between the ages of 35 and 40, or when childbearing is complete (National Comprehensive Cancer Network, 2013). To reduce the surgical
adverse effect of early menopause in young patients many centers have investigated the possible role of bilateral salpingectomy and
delayed ovariectomy in preventing ovarian cancer (Anderson et al., 2013). Nevertheless, the effects of salpingectomy on ovarian functions
are still controversial but, in any case surgery should be performed avoiding any possible damage to ovarian vascularization. Single-port
access laparoscopic (SPAL) surgery has been introduced into the field of minimally invasive surgery and implemented in gynecologic procedures (Angioni et al., 2011, 2010). The main advantage of SPAL surgery is the excellent cosmetic outcome (Song et al., 2013). This approach requires only one umbilical incision; therefore, the surgical scar can be hidden within the umbilicus, making the surgery virtually scarless.
In addition to the potential cosmetic benefits, other theoretical advantages of SPAL surgery compared to conventional laparoscopy include less postoperative pain and a faster recovery (Mencaglia et al., 2013).
Recently, an exponential growth in the use of diode lasers has been observed in almost every area of pure and applied sciences; a wide variety of the semiconductors propelled the invention of a variety ofdiode lasers that opened several new way researches. Different types of lasers have been used over time, including Argon, CO2, Yag, diode 810 and others. The currently available 980 + 1470 Nm diode laser
may have certain advantages. A diode is an electronic laser consisting of 2 semiconductor materials with the size of a grain of sand. This
technology makes it possible for this laser to be the smallest available. A microprocessor-controlled systemregulates the flow of electrical current through the diode and generates the laser beam allowing cutting and coagulating with very low lateral thermal damage.
We report the first case of single port laparoscopywith use of a diode laser for bilateral salpingectomy in a patient with BRCA1 and BRCA2
mutation.