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J Minim Invasive Gynecol. 2013 Jul-Aug;20(4):460-7. doi: 10.1016/j.jmig.2013.01.010. Epub 2013 Mar 26.

Cosmetic outcomes of laparoendoscopic single-site hysterectomy compared with multi-port surgery: randomized controlled trial.

Author information

1
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.

Abstract

STUDY OBJECTIVE:

To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery.

DESIGN:

Randomized controlled trial (Canadian Task Force classification I).

SETTING:

University hospital.

PATIENTS:

Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery.

INTERVENTIONS:

Laparoendoscopic single-site surgery or multi-port surgery.

MEASUREMENT AND MAIN RESULTS:

Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p < .01).

CONCLUSION:

Compared with multi-port surgery, LESS is not only a feasible approach with comparable operative outcomes but also has an advantage insofar as cosmetic outcome.

KEYWORDS:

Cosmetic; LESS; Laparoscopy; Satisfaction

PMID:
23541248
DOI:
10.1016/j.jmig.2013.01.010
[Indexed for MEDLINE]

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