Laparoendoscopic single-site adnexal surgery: Preliminary Indian experience

Area of Science:

• Gynecologic Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Background:

• Laparoendoscopic single-site surgery (LESS) is an emerging gynecological technique.
• Proposed benefits include improved cosmesis and reduced pain.
• This study reports preliminary experience with LESS for adnexal pathology.

Purpose of the Study:

• To evaluate the feasibility and safety of laparoendoscopic single-site surgery (LESS) for treating adnexal pathology.
• To compare single-incision multiport (SIMP) and homemade glove port (HMGP) approaches.
• To assess the cost-effectiveness of LESS.

Main Methods:

• LESS was performed on 37 patients between July 2009 and April 2015.
• Procedures utilized a 2-2.5 cm transumbilical incision with conventional laparoscopic instruments.
• Specimens were extracted using a plastic bag or glove port to avoid wound contamination.

Main Results:

• LESS was successfully completed in 36 out of 37 patients; one required an additional port.
• Procedures included bilateral salpingo-oophorectomy, ovarian cystectomy, paraovarian cyst excision, and salpingectomy.
• No intra- or post-operative complications were reported.

Conclusions:

• Laparoendoscopic single-site surgery (LESS) is feasible and safe for various benign adnexal pathologies.
• Both SIMP and HMGP approaches demonstrated comparable outcomes.
• Performing LESS without specialized ports or instruments enhances cost-effectiveness and applicability.