Jakoscope-an alternative method for minimal access surgery. Early experience in hysterectomies

Minimal access surgery is now a required technique in gynaecology. This paper reports on the first 15 hysterectomies performed through a new in gynaecology abdominal wall retractor-the Jakoscope. The abdominal incision was reduced to 4-6 cm in length. Operation time of 126 minutes (average) is longer than that observed in hysterectomies using a conventional incision. With more experience with the Jakoscope operation time is lessened associated with less abdominal pain, better postoperative recovery, shorter wound healing time and excellent cosmetic results. The hospital stay is lessened (from 10 to 3 days) and consequently the cost is decreasing.