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Laparoendoscopic single-site surgery (LESS) versus conventional laparoscopic surgery for adnexal preservation: a randomized controlled study
- Source :
- International Journal of Women's Health
- Publication Year :
- 2012
- Publisher :
- Dove Medical Press, 2012.
-
Abstract
- Yeon Jean Cho1*, Mi-La Kim2*, Soo Yoon Lee1, Hee Suk Lee1, Joo Myoung Kim1, Kwan Young Joo11Department of Obstetrics and Gynecology, Cheil General Hospital and Women’s Healthcare Center, Kwandong University College of Medicine, Seoul, Republic of Korea; 2Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of Korea*These authors contributed equally to the paperObjective: To compare the operative outcomes, postoperative pain, and subsequent convalescence after laparoendoscopic single-site surgery (LESS) or conventional laparoscopic surgery for adnexal preservation.Study design: From December 2009 to September 2010, 63 patients underwent LESS (n = 33) or a conventional laparoscopic surgery (n = 30) for cyst enucleation. The overall operative outcomes including postoperative pain measurement using the visual analog scale (VAS) were evaluated (time points 6, 24, and 24 hours). The convalescence data included data obtained from questionnaires on the need for analgesics and on patient-reported time to recovery end points.Results: The preoperative characteristics did not significantly differ between the two groups. The postoperative hemoglobin drop was higher in the LESS group than in the conventional laparoscopic surgery group (P = 0.048). Postoperative pain at each VAS time point, oral analgesic requirement, intramuscular analgesic requirement, and the number of days until return to work were similar in both groups.Conclusion: In adnexa-preserving surgery performed in reproductive-age women, the operative outcomes, including satisfaction of the patients and convalescence after surgery, are comparable for LESS and conventional laparoscopy. LESS may be a feasible and a promising alternative method for scarless abdominal surgery in the treatment of young women with adnexal cystsKeywords: laparoendoscopic single-site surgery, laparoscopic surgery, adnexal preservation, cyst, scar
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
laparoendoscopic single-site surgery
media_common.quotation_subject
medicine.medical_treatment
Postoperative pain
International Journal of Women's Health
scar
law.invention
Randomized controlled trial
law
Maternity and Midwifery
Medicine
Cyst
media_common
Original Research
cyst
business.industry
Convalescence
Obstetrics and Gynecology
medicine.disease
laparoscopic surgery
adnexal preservation
Surgery
Oncology
Single site surgery
business
Subjects
Details
- Language :
- English
- ISSN :
- 11791411
- Volume :
- 4
- Database :
- OpenAIRE
- Journal :
- International Journal of Women's Health
- Accession number :
- edsair.doi.dedup.....b72f6bdf35bba9f05841138509ea9826