Multi-institution, Prospective, Randomized Trial to Compare the Success Rates of Single-port Versus Multiport Laparoscopic Hysterectomy for the Treatment of Uterine Myoma or Adenomyosis

Journal of Minimally Invasive Gynecology
Tae-Joong KimHyewon Chung

Abstract

To compare the operative outcomes of patients undergoing either single-port or multiport laparoscopic hysterectomy (LH). Two hundred fifty-six women scheduled for LH for symptomatic myoma and/or adenomyosis from 8 tertiary teaching hospitals were randomized to single-port or multiport groups. Primary outcome was conversion and/or complication proportion of the planned procedure to determine whether the success proportion of the single-port approach was not inferior to that of the multiport approach. Secondary outcomes were postoperative pain and operative scar. Demographic parameters including age, body mass index, parity, and history of vaginal and cesarean delivery were comparable between the 2 groups. The primary outcome of a combined conversion and/or complication rate was similar between the single-port and multiport groups at 8% and 10.3%, respectively. Conversions were similar between the groups with 4% of single-port cases and .8% of multiport cases. Transfusions were the most frequent complication required in 4.0% of single-port cases and 7.9% of multiport cases, with no difference between the groups. Concerning secondary outcomes, postoperative pain score and patient and observer scar assessment were not different bet...Continue Reading

References

Jun 25, 2005·BMJ : British Medical Journal·Neil JohnsonRay Garry
Apr 7, 2009·Surgical Endoscopy·John R Romanelli, David B Earle
Apr 27, 2010·American Journal of Obstetrics and Gynecology·Antonella CromiLuigi Valdatta
Mar 1, 2012·American Journal of Obstetrics and Gynecology·Anna FagottiPedro F Escobar
Jun 9, 2012·Surgical Endoscopy·Francesco FanfaniGiovanni Scambia

❮ Previous
Next ❯

Citations

Oct 25, 2016·Journal of Minimally Invasive Gynecology·Weimin XieLin Zhao
Oct 6, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sofie A F FransenNicole D Bouvy
Dec 10, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Qianqian WangXiaofeng Zhao
Mar 31, 2017·Archives of Gynecology and Obstetrics·Evelien M SandbergFrank Willem Jansen
Mar 21, 2017·Clinical Obstetrics and Gynecology·Rosanne M Kho, Mauricio S Abrão
Jan 19, 2017·Clinical Obstetrics and Gynecology·Catherine A Matthews
Aug 18, 2017·F1000Research·Marina de Paula AndresMauricio Simões Abrão
Oct 20, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Hee-Jung JungJoo-Hyun Nam
Mar 26, 2019·Surgical Innovation·Paul TyanGaby N Moawad
Dec 5, 2017·Archives of Gynecology and Obstetrics·Marco Aurelio Pinho OliveiraRudy Leon De Wilde
Mar 28, 2019·Regional Anesthesia and Pain Medicine·Philipp LirkUNKNOWN PROSPECT Working Group
Jun 3, 2021·Journal of Clinical Medicine·Liliana MereuSaverio Tateo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.