Transumbilical 1-port laparoscopic resection of benign ovarian tumor

Lee, Shin-Yi; Lee, Hui-Ming; Kao, Chuan-Chi; Chuang, Jiin‐Haur

doi:10.1016/j.jpedsurg.2011.12.005

Cited by 5 publications

(7 citation statements)

References 14 publications

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“…To account for the potential impact of this source of bias, we elected to perform a subgroup analysis for both primary and secondary outcomes including only those studies that employed rigorous follow‐up protocols 2,5–8 . Risk of detection bias in other studies was deemed high when follow‐up regime was less stringent or for a short period of time, 9–17 or unclear where not clearly described 18–26 …”

Section: Resultsmentioning

confidence: 99%

Prevalence of metachronous contralateral mature ovarian teratoma: A systematic review

Kiely

Lewis

Gray

et al. 2021

Pediatric Blood & Cancer

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There is increasing recognition that contralateral metachronous tumor may occur following treatment of unilateral mature ovarian teratoma. We aimed to define this risk to guide appropriate surveillance strategies. We undertook a systematic review of three large medical databases (Ovid Medline, Embase, and Cochrane Controlled Trials Register) to April 2020 using a defined search strategy. From 1831 articles retrieved, 23 were included, reporting 1101 girls with unilateral mature ovarian teratomas. The intensity and duration of follow‐up varied between studies, with only five reporting close surveillance. Overall prevalence of metachronous contralateral mature teratoma was 2.1%, with a prevalence per study of 0%–23% (median 0%). Prevalence was higher (7%) among studies with more robust surveillance. These data suggest a small but real risk of metachronous contralateral tumors. Surveillance ultrasonography is proportionate and indicated alongside further prospective data collection to record the natural history and impact of surveillance in greater detail.

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Section: Resultsmentioning

confidence: 99%

Prevalence of metachronous contralateral mature ovarian teratoma: A systematic review

Kiely

Lewis

Gray

et al. 2021

Pediatric Blood & Cancer

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“…In equine laparoscopy, because of the dimensions of the cases, long instruments are usually recommended (Caron 2012) and thus are part of a typical equine laparoscopic set. Only a short period of adaptation is needed to master the simultaneous movement of laparoscope and instrument (Lee et al 2012), while the coaxial view and working direction may be ideal (Rhee et al 2014). We found it very easy to adapt to the absence of triangulation with two long instruments, and the simultaneous Single-port laparoscopic hernia repair movement of instrument and laparoscope resulted in the perception of reduced effort.…”

Section: Discussionmentioning

confidence: 88%

“…Only a short period of adaptation is needed to master the simultaneous movement of laparoscope and instrument (Lee et al . ), while the coaxial view and working direction may be ideal (Rhee et al . ).…”

Section: Discussionmentioning

confidence: 99%

“…A number of dedicated devices have been developed to perform single-port surgery, including multi-instrument ports, articulating instruments and telescopes (Khosla and Ponsky 2011). While introducing these new instruments into their sets, most surgeons have forgotten a basic tool: the operative laparoscope (Khosla and Ponsky 2011), proven useful, effective, and safe in many procedures (Khosla and Ponsky 2011;Stylianos et al 2011;Lee et al 2012) including ventral hernia repair in man (Bucher et al 2011). The major drawbacks of operative laparoscopes are the need for long (42-45 cm) instruments, the simultaneous movement of the instrument with the laparoscope, and the coaxial telescope viewing axis and instrument working axis, which prevent triangulation.…”

Section: Discussionmentioning

confidence: 99%

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Single‐port laparoscopic incisional hernia repair in a horse

Gandini

Giusto

Caramello

et al. 2016

Equine Veterinary Education

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Summary A 16‐year‐old Italian Saddle Horse gelding was referred for treatment of an incisional hernia that developed 7 months after a ventral midline laparotomy for treatment of acute abdominal pain. Physical examination revealed a hernia approximately 20 cm long and 15 cm wide on the ventral aspect of the abdomen. Ultrasonography revealed the dimensions of the hernia ring to be approximately 15 cm in length and 10 cm in width. A single‐port laparoscopic incisional hernia repair using an operating 0° laparoscope was performed with an appropriately sized (24 × 18 cm) piece of mesh fixed in place with simple interrupted transabdominal sutures. At 4 weeks post operatively, follow‐up physical examination and ultrasonography confirmed healing of the surgical site with no evidence of hernia recurrence. The same evaluation was done 6 months post operatively, and the horse returned to its previous level of activity 8 months post operatively. In horses, laparoscopic application of mesh should be considered among the treatment options for incisional hernia. In the present case, this technique was performed with a single port using an operative laparoscope, in contrast to the multiportal techniques reported previously. The case presented here demonstrates that single‐port laparoscopic herniorrhaphy is feasible, and allows proper placement of an expanded polytetrafluoroethylene intraperitoneal mesh in horses

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“…A few authors have also described the use of transumbilical operations for cystic ovarian lesions in small series of infants, whether laparoscopic-assisted or via minilaparotomy [ 15 – 19 ]. Only one other author has utilized our same approach in 15 children and adolescents [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Single-Incision Single-Instrument Adnexal Surgery in Pediatric Patients

Loux

Falk

Gaffley

et al. 2015

Minimally Invasive Surgery

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Introduction. Pediatric surgeons often practice pediatric gynecology. The single-incision single-instrument (SISI) technique used for appendectomy is applicable in gynecologic surgery. Methods. We retrospectively analyzed the records of patients undergoing pelvic surgery from 2008 to 2013. SISI utilized a 12 mm transumbilical trocar and an operating endoscope. The adnexa can be detorsed intracorporeally or extracorporealized via the umbilicus for lesion removal. Results. We performed 271 ovarian or paraovarian surgeries in 258 patients. In 147 (54%), the initial approach was SISI; 75 cases (51%) were completed in patients aged from 1 day to 19.9 years and weighing 4.7 to 117 kg. Conversion to standard laparoscopy was due to contralateral oophoropexy, solid mass, inability to mobilize the adnexa, large mass, bleeding, adhesions, or better visualization. When SISI surgery was converted to Pfannenstiel, the principal reason was a solid mass. SISI surgery was significantly shorter than standard laparoscopy. There were no major complications and the overall cohort had an 11% minor complication rate. Conclusion. SISI adnexal surgery is safe, quick, inexpensive, and effective in pediatric patients. SISI was successful in over half the patients in whom it was attempted and offers a scarless result. If unsuccessful, the majority of cases can be completed with standard multiport laparoscopy.

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Transumbilical 1-port laparoscopic resection of benign ovarian tumor

Cited by 5 publications

References 14 publications

Prevalence of metachronous contralateral mature ovarian teratoma: A systematic review

Prevalence of metachronous contralateral mature ovarian teratoma: A systematic review

Single‐port laparoscopic incisional hernia repair in a horse

Single-Incision Single-Instrument Adnexal Surgery in Pediatric Patients

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