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Cosmetic outcomes of laparoendoscopic single-site hysterectomy compared with multi-port surgery: randomized
Taejong Song1, Juhee Cho, Tae-Joong Kim
1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
Study Objective:
To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery.
Design:
Randomized controlled trial (Canadian Task Force classification I).
Setting:
University hospital.
Patients:
Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery.
Interventions:
Laparoendoscopic single-site surgery or multi-port surgery.
Measurement And Main Results:
Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p < .01).
Conclusion:
Compared with multi-port surgery, LESS is not only a feasible approach with comparable operative outcomes but also has an advantage insofar as cosmetic outcome.
