Single-Port Access Laparoscopic Surgery in Gynecology: Technical Tips

Paek, Jiheum; Kim, Sang Wun

doi:10.5772/17624

Cited by 2 publications

(1 citation statement)

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“…It can be thought that inserting several instruments through the same incision impedes the proper working of the devices. The surgeon and the assistant must maneuver in a very small space outside the abdomen, which can result in hand collisions ( 7 ). On the other hand, in single-port surgery, no other port exists for scope placement and the ability to move the scope is significantly limited by other instruments ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Single‑port laparoscopic surgery for ovarian cystectomy: A single‑center analysis of 25 cases

et al. 2021

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Innovation in gynecological surgery is constantly evolving to make procedures less invasive. Minimally invasive single-port laparoscopic surgery (SPLS) is another innovation that may further improve gynecological surgery outcomes. However, SPLS is not widely used due to the technical difficulties of the procedure. Inserting several instruments through the same incision impedes proper use of the devices. Therefore, the present study aimed to find a technique to overcome this problem and make this approach more convenient. Between March 2015 and February 2020, 25 patients were treated with SPLS by a single gynecological surgeon. The range of surgery time was 50-103 min and the mean surgery time was 67.2 min. The mean bleeding volume was small (mean, 10.1 ml). No intraoperative or postoperative complications occurred in the patients. A gel port (GelPOINT ® Mini Medical Leaders) was inserted into the peritoneal cavity through a 3-cm Z-shaped intra-umbilical skin incision. Additionally, a small incision (3 mm) was made in the left medial portion of the iliac crest and a bladeless trocar (Versa One ® ) was inserted. Thus, crowding of the working instruments within one incision was prevented. The addition of a small diameter port (3-mm) at the wound site left practically no scar, thus making SPLS a cosmetically superior option compared with a bigger diameter port (5-mm).

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Section: Introductionmentioning

confidence: 99%