Feasibility of reduced port surgery applying Higuchi's transverse incision
| Autor: | Nozomu Yanaihara, Aikou Okamoto, Yoko Nagayoshi, Kouhei Sugimoto, Yasushi Iida, Takafumi Kuroda, Motoaki Saitou, Kazu Ueda, Ayako Kawabata, Masaru Sakamoto |
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| Rok vydání: | 2016 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Uterine fibroids medicine.medical_treatment laparoscopically assisted myomectomy reduced port surgery lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Patient satisfaction Pneumoperitoneum power morcellator medicine Laparoscopy lcsh:RG1-991 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Obstetrics and Gynecology Perioperative medicine.disease Transverse incision Surgery Reduced port surgery 030220 oncology & carcinogenesis business |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 6, Iss 1, Pp 12-16 (2017) |
| ISSN: | 2213-3070 |
| Popis: | Objective: Higuchi's transverse incision is made at a lower position than the Pfannenstiel transverse incision and is superior in terms of cosmetic outcomes. The purpose of this study was to examine the safety and efficacy of novel forms of reduced port surgery for ovarian cysts and uterine fibroids applying Higuchi's transverse incision. Methods: In 33 patients with ovarian cysts who underwent low-position single-incision laparoscopic surgery (L-SILS)-modified single-port laparoscopy placed in the 2–3-cm Higuchi's incision above the pubis, patient's characteristics and perioperative outcomes were compared with those of patients who underwent multiport laparoscopy (n=53). In addition, 18 patients with uterine fibroids who underwent dual-port laparoscopically assisted myomectomy without using power morcellators and conventional four-port laparoscopically assisted myomectomy were investigated. Results: There were no significant differences between L-SILS and multiport laparoscopy in tumor diameter, bleeding, hospital stay, or postoperative pain. However, the L-SILS group demonstrated significantly shorter operative and pneumoperitoneum times (p |
| Databáze: | OpenAIRE |
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