Laparoendoscopic single-site surgery in patients with benign adnexal disease: A comparative study

Academic Article

Abstract

  • Background: Laparoendoscopic single-site surgery (LESS) is becoming increasingly popular in different disciplines. Evidence is scarce about its utility in gynecologic surgery. Aim: To compare our initial experience using LESS for benign adnexal disease to traditional laparoscopy. Methods: Since November 2008, we have performed LESS in 28 patients diagnosed with benign adnexal disease (group I). Patients with adnexal masses and a body mass index <35 were selected. An age-matched control group of patients with similar diagnoses who underwent traditional operative laparoscopy was included (n = 50; group II). Results: Both groups were comparable with regard to age, body mass index, preoperative diagnosis, indication of surgery and history of previous abdominal surgery. The operative blood loss ranged from minimal to <50 ml for both groups. The mean ± SD duration of surgery in group I (45 ± 19.5 min) was comparable to that of group II (46.4 ± 18.3 min). The duration of hospital stay was <24 h in both groups. Minimal use of postoperative narcotics was required in study subjects and no intraoperative complications occurred. Conclusions: LESS for benign adnexal disease is feasible in patients with or without previous surgery and is comparable to traditional laparoscopic surgery. Additional investigation is needed to evaluate the safety, cost-effectiveness and long-term outcomes of this new approach. Copyright © 2012 S. Karger AG.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Bedaiwy MA; Starks D; Hurd W; Escobar PF
  • Start Page

  • 294
  • End Page

  • 298
  • Volume

  • 73
  • Issue

  • 4