Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes

Ga Won Yim, Yong Wook Jung, Jiheum Paek, San Hui Lee, Ha Yan Kwon, Eun Ji Nam, Sunghoon Kim, Jae-Hoon Kim, YoungTae Kim, Sang Wun Kim

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Abstract

Objective: The objective of the study was to compare surgical outcomes and postoperative pain between transumbilical single-port access total laparoscopic hysterectomy (SPA-TLH) and conventional 4-port total laparoscopic hysterectomy (TLH). Study Design: We retrospectively reviewed 157 patients who underwent SPA-TLH (n = 52) or conventional TLH (n = 105). A single-port access system consisted of a wound retractor, surgical glove, 2 5 mm trocars, and 1 10/11 mm trocar. Results: The SPA-TLH group had less intraoperative blood loss (P < .001), shorter hospital stay (P = .001), and earlier diet intake (P < .001) compared with the conventional TLH group. There was no difference in perioperative complications. Immediate postoperative pain score was lower in the SPA-TLH group (P < .001). Postoperative pain after 6 and 24 hours was lower in SPA-TLH with marginal statistical significance. Conclusion: SPA-TLH is a feasible method for hysterectomy with lower immediate postoperative pain and better surgical outcomes with respect to recovery time compared with conventional TLH.

Original languageEnglish
Pages (from-to)26.e1-26.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

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All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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