Laparoendoscopic single-site and natural orifice surgery in gynecology

Escobar, Pedro F.; Starks, David; Fader, Amanda N.; Catenacci, M.; Falcone, Tommaso

doi:10.1016/j.fertnstert.2010.08.018

Cited by 51 publications

(41 citation statements)

References 42 publications

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“…Laparoscopic hysterectomy is a good technique, and compared with other accesses, this technique has the same advantages of the vaginal approach, which is associated with a low inflammatory response, better hemostasis [23][24][25] . The biggest challenge has been the identification of a balance between reducing surgical trauma and ensuring viability.…”

Section: ■ Discussionmentioning

confidence: 99%

“…Singleport laparoscopic surgery is thought to be associated with less incidence of infections, epigastric vessel trauma, postoperative pain and incisional hernias than multiport laparoscopy [20][21][22][23][24][25][26] . Additionally, this approach allows an easier removal of the surgical specimen 24 . In relation to inflammatory response, each cytokine reaches its peak value at different moments.…”

Section: Secondary Outcomesmentioning

confidence: 99%

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A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies

Tormena

Ribeiro²,

Soares³

et al. 2017

Acta Cir. Bras.

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A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies 1 AbstractPurpose: To evaluate the inflammatory responses induced by laparoscopic hysterectomies with multiport and singleport approaches.Methods: This was a pilot prospective randomized study that included 42 women candidates for hysterectomy at School of Medicine, Hospital das Clínicas, USP. The patients were randomized to two groups: MP-TLH (total laparoscopic hysterectomy with 3 abdominal incisions), and SP-TLH (total laparoscopic hysterectomy with a single umbilical incision). We evaluated the inflammatory response (via CRP, IL-6, IL-10, TNFα, VEGF and leukogram assessments), surgical time, postoperative pain, blood loss and surgical complications in both groups. Results: Both techniques were similar regarding C-reactive protein (p=.666), IL-6 (p=.833), IL-10 (p=.420), TNF-α(p=.098), VEGF (p=.092) and the leukogram (p=.712) measures. The operative time was significantly longer in the SP-TLH group than in the MP-TLH group (p=.001). The pain evaluation was similar in both groups (p=.170). Hemoglobin variation and the aspirated blood volume were similar in both groups (p=.493 and p=.347). There were no major complications. Conclusions: Multiport and singleport laparoscopic approaches are both safe methods for hysterectomy. Although SP-TLH resulted in a significantly longer operative time than MP-TLH, no differences were observed between the groups in inflammatory responses, blood loss and postoperative pain.

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Section: ■ Discussionmentioning

confidence: 99%

Section: Secondary Outcomesmentioning

confidence: 99%

A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies

Tormena

Ribeiro²,

Soares³

et al. 2017

Acta Cir. Bras.

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“…Natural orifice transluminal endoscopic surgery (NOTES) has become a focus of great interest (1)(2)(3)(4). In NOTES, natural orifices such as the mouth, anus, urethra, and vagina are used as ports of entry into the peritoneal cavity through which flexible or rigid endoscopic devices are passed to perform the surgery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of transvaginal peritoneal surgery in young female patients

et al. 2013

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“…This is better known as culdoscopy among the gynaecology fraternity. This further transcends towards the use of fertility medicine such as investigation for infertility in both diagnostic and therapeutic means known as Transvaginal Hydrolaparoscopy (THL) [16]. THL is a modification of culdoscopy and was first introduced by Gordts in 1998.…”

Section: Gynaecological Proceduresmentioning

confidence: 99%

Laparoscopic Surgery: An Almost Scarless Approach

Koh¹,

Chin²

2011

Advances in Endoscopic Surgery

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Surgeons from various domains have become fascinated by endoscopy with its very low complications rates, high diagnostic yields and the possibility to perform a large variety of therapeutic procedures. Therefore during the last 30 years, the number and diversity of surgical endoscopic procedures has advanced with many new methods for both diagnoses and treatment, and these achievements are presented in this book. Contributing to the development of endoscopic surgery from all over the world, this is a modern, educational, and engrossing publication precisely presenting the most recent development in the field. New technologies are described in detail and all aspects of both standard and advanced endoscopic maneuvers applied in gastroenterology, urogynecology, otorhinolaryngology, pediatrics and neurology are presented. The intended audience for this book includes surgeons from various specialities, radiologists, internists, and subspecialists.

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Laparoendoscopic single-site and natural orifice surgery in gynecology

Cited by 51 publications

References 42 publications

A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies

A prospective randomized study of the inflammatory responses to multiport and singleport laparoscopic hysterectomies

Evaluation of transvaginal peritoneal surgery in young female patients

Laparoscopic Surgery: An Almost Scarless Approach

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