Single-incision bilateral laparoscopic oophorectomy

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Oncology
• Surgical Innovation

Background:

• Single-incision laparoscopic surgery (SILS) is a recent advancement gaining traction for various surgical procedures.
• Bilateral salpingo-oophorectomy is a surgical procedure involving the removal of both ovaries and fallopian tubes.
• Previous breast conservation surgery for early breast cancer may necessitate prophylactic bilateral salpingo-oophorectomy.

Observation:

• This study reports on single-incision bilateral laparoscopic salpingo-oophorectomy in two patients with a history of breast cancer treatment.
• Procedures were performed using a single 2-cm supraumbilical incision with two 5-mm and one 3-mm ports.
• Standard laparoscopic instruments were utilized for the surgeries.

Findings:

• Both procedures were completed successfully with operative times of 50 and 65 minutes.
• Negligible blood loss was observed in both cases.
• Patients experienced rapid recovery, with discharge at 36 and 24 hours post-surgery and minimal need for pain relief.

Implications:

• Single-incision bilateral laparoscopic salpingo-oophorectomy demonstrates feasibility and safety in patients with prior breast cancer surgery.
• The technique offers improved cosmetic outcomes compared to traditional laparoscopic approaches.
• SILS may represent a viable alternative to conventional bilateral laparoscopic salpingo-oophorectomy, enhancing patient satisfaction and recovery.