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Two-trocar adnexal surgery: a "quasi" scarless operation
F Ghezzi1, L Raio, M D Mueller
1Department of Obstetrics and Gynecology, University of Insubria, Ospedale F. Del Ponte, Piazza Biroldi 1, 21100 Varese, Italy. Fabio.ghezzi@uninsubria.it
Background:
This study aimed to explore the feasibility and safety of two-port abdominal cavity entry for adnexal surgery.
Methods:
A series of patients undergoing laparoscopy for benign adnexal diseases requiring adnexectomy, ovariectomy, or salpingectomy were enrolled in the study. A 10-mm 0 degree umbilical operative laparoscope and one 3- or 5-mm suprapubic trocar were used. A grasping forceps was inserted through the ancillary trocar to displace medially and cranially the adnexa or the salpinx. The operation then was performed through the operative channel of the operative laparoscope.
Results:
A total of 53 patients were enrolled. Bilateral salpingo-oophorectomy was performed in 10 cases. The median operative time was 39 min (range, 21-85 min). The median blood loss was 50 ml (range, 0-300 ml). The median size of the adnexal mass was 6 cm (range, 3-12 cm). No intraoperative complication occurred. At the 3-month follow-up visit, no extraumbilical abdominal scar was visible.
Conclusions:
The use of a two-trocar technique is safe and highly appreciated by the patients it leaves no visible abdominal scars.