Women's preferences for minimally invasive incisions

Area of Science:

• Minimally Invasive Gynecological Surgery
• Surgical Aesthetics
• Patient Preference Studies

Background:

• Patient satisfaction is increasingly important in gynecological surgery.
• Minimally invasive surgical techniques offer various incision options.
• Aesthetic outcomes significantly influence patient choice and satisfaction.

Purpose of the Study:

• To compare patient preference for traditional laparoscopic, single-site laparoscopic, and robotic surgical incisions.
• To identify factors influencing patient choice of incision type.
• To inform patient counseling regarding surgical options.

Main Methods:

• A descriptive survey study was conducted in a single-specialty gynecology practice.
• Patients undergoing minimally invasive gynecological surgery ranked incision photos by preference.
• Demographic and surgical history data were collected.

Main Results:

• Traditional laparoscopic incisions were preferred by 56.4% of patients, followed by single-site (41.1%) and robotic (2.5%).
• Preference for traditional over single-site (p=.007) and robotic (p<.001) incisions was statistically significant.
• Latina/Hispanic ethnicity was the only significant factor influencing single-site incision preference (p=.02).

Conclusions:

• Women favor traditional and single-site laparoscopic incisions over robotic surgery, primarily due to aesthetic reasons.
• Given similar clinical outcomes, incision appearance should be a key discussion point during informed consent.
• Incorporating aesthetic considerations can enhance patient satisfaction in gynecological surgery.