Two-trocar adnexal surgery: a "quasi" scarless operation

Surgical Endoscopy
F GhezziPierfrancesco Bolis

Abstract

This study aimed to explore the feasibility and safety of two-port abdominal cavity entry for adnexal surgery. A series of patients undergoing laparoscopy for benign adnexal diseases requiring adnexectomy, ovariectomy, or salpingectomy were enrolled in the study. A 10-mm 0 degree umbilical operative laparoscope and one 3- or 5-mm suprapubic trocar were used. A grasping forceps was inserted through the ancillary trocar to displace medially and cranially the adnexa or the salpinx. The operation then was performed through the operative channel of the operative laparoscope. A total of 53 patients were enrolled. Bilateral salpingo-oophorectomy was performed in 10 cases. The median operative time was 39 min (range, 21-85 min). The median blood loss was 50 ml (range, 0-300 ml). The median size of the adnexal mass was 6 cm (range, 3-12 cm). No intraoperative complication occurred. At the 3-month follow-up visit, no extraumbilical abdominal scar was visible. The use of a two-trocar technique is safe and highly appreciated by the patients it leaves no visible abdominal scars.

Citations

Apr 4, 2009·Surgical Endoscopy·Myong Cheol LimSang-Soo Seo
Feb 27, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sang Wook YiWoo Seok Sohn
Aug 22, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sang-Wook Yi
Jan 7, 2016·Journal of Endourology·Javier L ArenasD Duane Baldwin
Aug 14, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Li-Yun ChouWen-Chun Chang
Sep 20, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Fabio GhezziPierfrancesco Bolis
Sep 29, 2009·Veterinary Surgery : VS·Gilles DupréMurat Findik
Jul 25, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·F GhezziP Bolis
Jan 10, 2013·Veterinary Surgery : VS·Marthinus J HartmanJohan P Schoeman
Jul 11, 2006·Journal of Minimally Invasive Gynecology·Fabio GhezziPierfrancesco Bolis
Dec 13, 2005·Journal of Minimally Invasive Gynecology·Fabio GhezziPierfrancesco Bolis
Feb 6, 2007·Gynecologic Oncology·Fabio GhezziPierfrancesco Bolis
Oct 6, 2005·American Journal of Obstetrics and Gynecology·Olaf BuchweitzEduard Malik

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