A comparison of single-port laparoscopically assisted vaginal hysterectomy using transumbilical SILS port access and three-port laparoscopically assisted vaginal hysterectomy
Year: 2012
Type: article
Abstract: ObjectiveThe purpose of this study was to compare surgical outcomes and patients' satisfaction between single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH) and conventional three-port access LAVH (TPA-LAVH) group. MethodsA prospective analysis was performed in patients who underwent laparoscopically assisted vaginal hysterectomy at a Wonkwang University Hospital between April 2010 and May 2011, a total of 138 women were enrolled in this study.One of these procedures was chosen by patient and was performed with their consent.Sixty-fi ve women underwent SPA-LAVH using transumbilical SILS port access (SPA-LAVH group), and 73 women underwent conventional three-port LAVH (TPA-LAVH group). ResultsThere were no statistical differences between groups in the patients' demographic characteristics, mean operating time (93.4 ± 20.2 minutes vs. 95.1 ± 28.7 minutes, P = 0.696), postoperative changes in hemoglobin concentration (1.91 ± 0.68 vs. 1.85 ± 0.87 g/dL, P = 0.667), weight of the resected uterus (261.7 ± 205.3 g vs. 311.8± 268.3 g, P = 0.225), hospital stay (5.9±0.9 day vs. 6.4±1.6 day, P = 0.063), the rate of using an additional trocar (1.5% vs. 0%, P = 0.471), the rate of conversion to laparotomy (0% vs. 4.1%, P = 0.098) and postoperative pain scores (visual analogue scale) for 48 hours.However, patients' satisfaction after 6 weeks later was signifi cantly greater in SPA-LAVH group than in conventional group, as evidenced by higher rate of fairly satisfactory (52.3% vs. 34.2%,P = 0.032) and very satisfactory (33.8% vs. 17.8%,P = 0.031). ConclusionSPA-LAVH using transumbilical SILS port access is comparable with TPA-LAVH in women undergoing LAVH.However, SPA-LAVH is better than TPA-LAVH in terms of satisfaction of patient.
Institutions: Wonkwang University Hospital, Wonkwang University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2018500372