Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000600548 |
Resumo: | Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Methods: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution’s Ethics in Research Committee. Results: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery. |
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Single-site laparoscopy in gynecology: preliminary study of a series of 50 caseslaparoscopyendoscopygynecologic surgical procedures Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Methods: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution’s Ethics in Research Committee. Results: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery. Associação Médica Brasileira2014-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000600548Revista da Associação Médica Brasileira v.60 n.6 2014reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.60.06.013info:eu-repo/semantics/openAccessSantos Filho,Admário SilvaNoviello,Maurício BecharaDamasceno,Rachel Cruz FragaPatrício,Evilane do CarmoFélix,Lara RodriguesGiostri,Paola GastonBrandão,Augusto Henriques F.eng2015-01-26T00:00:00Zoai:scielo:S0104-42302014000600548Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2015-01-26T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
title |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
spellingShingle |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases Santos Filho,Admário Silva laparoscopy endoscopy gynecologic surgical procedures |
title_short |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
title_full |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
title_fullStr |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
title_full_unstemmed |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
title_sort |
Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases |
author |
Santos Filho,Admário Silva |
author_facet |
Santos Filho,Admário Silva Noviello,Maurício Bechara Damasceno,Rachel Cruz Fraga Patrício,Evilane do Carmo Félix,Lara Rodrigues Giostri,Paola Gaston Brandão,Augusto Henriques F. |
author_role |
author |
author2 |
Noviello,Maurício Bechara Damasceno,Rachel Cruz Fraga Patrício,Evilane do Carmo Félix,Lara Rodrigues Giostri,Paola Gaston Brandão,Augusto Henriques F. |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Santos Filho,Admário Silva Noviello,Maurício Bechara Damasceno,Rachel Cruz Fraga Patrício,Evilane do Carmo Félix,Lara Rodrigues Giostri,Paola Gaston Brandão,Augusto Henriques F. |
dc.subject.por.fl_str_mv |
laparoscopy endoscopy gynecologic surgical procedures |
topic |
laparoscopy endoscopy gynecologic surgical procedures |
description |
Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Methods: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution’s Ethics in Research Committee. Results: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000600548 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302014000600548 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.60.06.013 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.60 n.6 2014 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
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1754212831205523456 |