Management of benign ovarian cysts by a novel, gasless, single-incision laparoscopic technique: keyless abdominal rope-lifting surgery (KARS)
| Autor: | Ürfettin Hüseyinoğlu, Kahraman Ülker, Nergiz Kilic |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Operative Time Tissue Adhesions Benign Ovarian Cyst Abdominal wall Pneumoperitoneum Laparotomy medicine Humans Laparoscopy medicine.diagnostic_test business.industry Abdominal Wall Suture Techniques Cosmesis Abdominal Wound Closure Techniques Length of Stay medicine.disease Surgery Ovarian Cysts medicine.anatomical_structure Feasibility Studies Female business Infertility Female Organ Sparing Treatments Pneumoperitoneum Artificial Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 27:189-198 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | To find the most efficacious method to minimize the side effects and maximize the advantages of laparoscopic surgery, this study aimed to define and document a gasless, single-incision abdominal access technique for the management of benign ovarian cysts. During a 1½ year period, 55 women underwent surgery for a benign ovarian cyst. Conventional carbon dioxide (CO2) laparoscopy was used for 33 of the women, and 22 of the women underwent a novel, gasless, single-incision laparoscopic surgery. An abdominal access pathway through a single intraabdominal incision was used to place transabdominal sutures that elevated the abdominal wall, and the operations were performed through the intra-umbilical entry without the use of trocars. Thus, the new technique was called keyless abdominal rope-lifting surgery (KARS). Two operative groups were compared to assess the feasibility of the new technique. All the operations could be performed by KARS without conversion to CO2 laparoscopy or laparotomy. However, for two patients in the conventional laparoscopy group, minilaparotomy had to be performed for tissue retrieval. Although the two techniques had many similar results, the total operative times and the abdominal access times in the KARS group were significantly longer than in the conventional laparoscopy group (p |
| Databáze: | OpenAIRE |
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