Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial

Abstract Study Objective To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery. Design Randomized controlled trial (Canadian Task Force classification I). Setting University hospital. Patients Twenty women who underwent laparoscopically-as...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of minimally invasive gynecology 2013-07, Vol.20 (4), p.460-467
Hauptverfasser: Song, Taejong, MD, Cho, Juhee, MA, PhD, Kim, Tae-Joong, MD, Kim, Im-Ryung, AOCN, MSN, Hahm, Tae Soo, MD, PhD, Kim, Byoung-Gie, MD, PhD, Bae, Duk-Soo, MD, PhD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 467
container_issue 4
container_start_page 460
container_title Journal of minimally invasive gynecology
container_volume 20
creator Song, Taejong, MD
Cho, Juhee, MA, PhD
Kim, Tae-Joong, MD
Kim, Im-Ryung, AOCN, MSN
Hahm, Tae Soo, MD, PhD
Kim, Byoung-Gie, MD, PhD
Bae, Duk-Soo, MD, PhD
description Abstract Study Objective To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery. Design Randomized controlled trial (Canadian Task Force classification I). Setting University hospital. Patients Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery. Interventions Laparoendoscopic single-site surgery or multi-port surgery. Measurement and Main Results Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p 
doi_str_mv 10.1016/j.jmig.2013.01.010
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1411630227</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1553465013000393</els_id><sourcerecordid>1411630227</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-6d4be0ddd6b92dc0f1d4c62422ba5597c4189df5a27302cfa11074aaf34c7b923</originalsourceid><addsrcrecordid>eNp9kV9rFDEUxYNYbLv6BXyQefRl1ptk_nREBBmsFbZU3IqPIZvcWTNmJmuSEab44c2wbR98EC7kQs45Ib9DyEsKawq0etOv-8Hs1wwoXwNNA0_IGS1LnhdV1Tx93Es4Jech9AC8BqiekVPGy4Ky4uKM_GldGDAald1MUbkBQ-a6bCMP0jsctQvKHdLl1ox7i_nWRMyu5hDRo4pumLPWDUmKOvtu4o_serLR5F-cj9l28nv089vsq0wxg7lLmtaN0Ttr03rrjbTPyUknbcAX9-eKfLv8eNte5ZubT5_bD5tcFZTGvNLFDkFrXe0aphV0VBeqYgVjO1mWTZ1UF43uSslqDkx1klKoCyk7Xqg6WfiKvD7mHrz7NWGIYjBBobVyRDcFQdMzVbIm_4qwo1R5F4LHThy8GaSfBQWxUBe9WKiLhboAmgaS6dV9_rQbUD9aHjAnwbujANMvfxv0IiiDo0JtFpBCO_P__Pf_2JU1o1HS_sQZQ-8mPyZ-gorABIjt0vtSO-WQOm84_wv3PaoH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1411630227</pqid></control><display><type>article</type><title>Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Song, Taejong, MD ; Cho, Juhee, MA, PhD ; Kim, Tae-Joong, MD ; Kim, Im-Ryung, AOCN, MSN ; Hahm, Tae Soo, MD, PhD ; Kim, Byoung-Gie, MD, PhD ; Bae, Duk-Soo, MD, PhD</creator><creatorcontrib>Song, Taejong, MD ; Cho, Juhee, MA, PhD ; Kim, Tae-Joong, MD ; Kim, Im-Ryung, AOCN, MSN ; Hahm, Tae Soo, MD, PhD ; Kim, Byoung-Gie, MD, PhD ; Bae, Duk-Soo, MD, PhD</creatorcontrib><description>Abstract Study Objective To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery. Design Randomized controlled trial (Canadian Task Force classification I). Setting University hospital. Patients Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery. Interventions Laparoendoscopic single-site surgery or multi-port surgery. Measurement and Main Results Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p &lt; .01). Conclusion Compared with multi-port surgery, LESS is not only a feasible approach with comparable operative outcomes but also has an advantage insofar as cosmetic outcome.</description><identifier>ISSN: 1553-4650</identifier><identifier>EISSN: 1553-4669</identifier><identifier>DOI: 10.1016/j.jmig.2013.01.010</identifier><identifier>PMID: 23541248</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Body Image ; Cosmetic ; Female ; Humans ; Hysterectomy, Vaginal - methods ; Laparoscopy ; Laparoscopy - methods ; LESS ; Middle Aged ; Obstetrics and Gynecology ; Patient Satisfaction ; Satisfaction ; Surgery ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Journal of minimally invasive gynecology, 2013-07, Vol.20 (4), p.460-467</ispartof><rights>AAGL</rights><rights>2013 AAGL</rights><rights>Copyright © 2013 AAGL. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-6d4be0ddd6b92dc0f1d4c62422ba5597c4189df5a27302cfa11074aaf34c7b923</citedby><cites>FETCH-LOGICAL-c411t-6d4be0ddd6b92dc0f1d4c62422ba5597c4189df5a27302cfa11074aaf34c7b923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmig.2013.01.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23541248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Taejong, MD</creatorcontrib><creatorcontrib>Cho, Juhee, MA, PhD</creatorcontrib><creatorcontrib>Kim, Tae-Joong, MD</creatorcontrib><creatorcontrib>Kim, Im-Ryung, AOCN, MSN</creatorcontrib><creatorcontrib>Hahm, Tae Soo, MD, PhD</creatorcontrib><creatorcontrib>Kim, Byoung-Gie, MD, PhD</creatorcontrib><creatorcontrib>Bae, Duk-Soo, MD, PhD</creatorcontrib><title>Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial</title><title>Journal of minimally invasive gynecology</title><addtitle>J Minim Invasive Gynecol</addtitle><description>Abstract Study Objective To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery. Design Randomized controlled trial (Canadian Task Force classification I). Setting University hospital. Patients Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery. Interventions Laparoendoscopic single-site surgery or multi-port surgery. Measurement and Main Results Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p &lt; .01). Conclusion Compared with multi-port surgery, LESS is not only a feasible approach with comparable operative outcomes but also has an advantage insofar as cosmetic outcome.</description><subject>Adult</subject><subject>Body Image</subject><subject>Cosmetic</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal - methods</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>LESS</subject><subject>Middle Aged</subject><subject>Obstetrics and Gynecology</subject><subject>Patient Satisfaction</subject><subject>Satisfaction</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>1553-4650</issn><issn>1553-4669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV9rFDEUxYNYbLv6BXyQefRl1ptk_nREBBmsFbZU3IqPIZvcWTNmJmuSEab44c2wbR98EC7kQs45Ib9DyEsKawq0etOv-8Hs1wwoXwNNA0_IGS1LnhdV1Tx93Es4Jech9AC8BqiekVPGy4Ky4uKM_GldGDAald1MUbkBQ-a6bCMP0jsctQvKHdLl1ox7i_nWRMyu5hDRo4pumLPWDUmKOvtu4o_serLR5F-cj9l28nv089vsq0wxg7lLmtaN0Ttr03rrjbTPyUknbcAX9-eKfLv8eNte5ZubT5_bD5tcFZTGvNLFDkFrXe0aphV0VBeqYgVjO1mWTZ1UF43uSslqDkx1klKoCyk7Xqg6WfiKvD7mHrz7NWGIYjBBobVyRDcFQdMzVbIm_4qwo1R5F4LHThy8GaSfBQWxUBe9WKiLhboAmgaS6dV9_rQbUD9aHjAnwbujANMvfxv0IiiDo0JtFpBCO_P__Pf_2JU1o1HS_sQZQ-8mPyZ-gorABIjt0vtSO-WQOm84_wv3PaoH</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Song, Taejong, MD</creator><creator>Cho, Juhee, MA, PhD</creator><creator>Kim, Tae-Joong, MD</creator><creator>Kim, Im-Ryung, AOCN, MSN</creator><creator>Hahm, Tae Soo, MD, PhD</creator><creator>Kim, Byoung-Gie, MD, PhD</creator><creator>Bae, Duk-Soo, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial</title><author>Song, Taejong, MD ; Cho, Juhee, MA, PhD ; Kim, Tae-Joong, MD ; Kim, Im-Ryung, AOCN, MSN ; Hahm, Tae Soo, MD, PhD ; Kim, Byoung-Gie, MD, PhD ; Bae, Duk-Soo, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-6d4be0ddd6b92dc0f1d4c62422ba5597c4189df5a27302cfa11074aaf34c7b923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Body Image</topic><topic>Cosmetic</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal - methods</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>LESS</topic><topic>Middle Aged</topic><topic>Obstetrics and Gynecology</topic><topic>Patient Satisfaction</topic><topic>Satisfaction</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Taejong, MD</creatorcontrib><creatorcontrib>Cho, Juhee, MA, PhD</creatorcontrib><creatorcontrib>Kim, Tae-Joong, MD</creatorcontrib><creatorcontrib>Kim, Im-Ryung, AOCN, MSN</creatorcontrib><creatorcontrib>Hahm, Tae Soo, MD, PhD</creatorcontrib><creatorcontrib>Kim, Byoung-Gie, MD, PhD</creatorcontrib><creatorcontrib>Bae, Duk-Soo, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of minimally invasive gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Taejong, MD</au><au>Cho, Juhee, MA, PhD</au><au>Kim, Tae-Joong, MD</au><au>Kim, Im-Ryung, AOCN, MSN</au><au>Hahm, Tae Soo, MD, PhD</au><au>Kim, Byoung-Gie, MD, PhD</au><au>Bae, Duk-Soo, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial</atitle><jtitle>Journal of minimally invasive gynecology</jtitle><addtitle>J Minim Invasive Gynecol</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>20</volume><issue>4</issue><spage>460</spage><epage>467</epage><pages>460-467</pages><issn>1553-4650</issn><eissn>1553-4669</eissn><abstract>Abstract Study Objective To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery. Design Randomized controlled trial (Canadian Task Force classification I). Setting University hospital. Patients Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery. Interventions Laparoendoscopic single-site surgery or multi-port surgery. Measurement and Main Results Cosmetic satisfaction was assessed using the Body Image Questionnaire at baseline and at 1, 4, and 24 weeks after surgery. Of the 20 LESS procedures, 1 was converted to multi-port surgery because of severe adhesions, and 1 woman assigned to undergo multi-port surgery was lost to follow-up. The 2 surgery groups did not differ in clinical demographic data and surgical results or postoperative pain scores at 12, 24, and 36 hours. Compared with the multi-port group, the LESS group reported significantly higher cosmetic satisfaction at 1, 4, and 24 weeks after surgery (p &lt; .01). Conclusion Compared with multi-port surgery, LESS is not only a feasible approach with comparable operative outcomes but also has an advantage insofar as cosmetic outcome.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23541248</pmid><doi>10.1016/j.jmig.2013.01.010</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1553-4650
ispartof Journal of minimally invasive gynecology, 2013-07, Vol.20 (4), p.460-467
issn 1553-4650
1553-4669
language eng
recordid cdi_proquest_miscellaneous_1411630227
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Body Image
Cosmetic
Female
Humans
Hysterectomy, Vaginal - methods
Laparoscopy
Laparoscopy - methods
LESS
Middle Aged
Obstetrics and Gynecology
Patient Satisfaction
Satisfaction
Surgery
Surveys and Questionnaires
Treatment Outcome
title Cosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T13%3A21%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cosmetic%20Outcomes%20of%20Laparoendoscopic%20Single-Site%20Hysterectomy%20Compared%20With%20Multi-Port%20Surgery:%20Randomized%20Controlled%20Trial&rft.jtitle=Journal%20of%20minimally%20invasive%20gynecology&rft.au=Song,%20Taejong,%20MD&rft.date=2013-07-01&rft.volume=20&rft.issue=4&rft.spage=460&rft.epage=467&rft.pages=460-467&rft.issn=1553-4650&rft.eissn=1553-4669&rft_id=info:doi/10.1016/j.jmig.2013.01.010&rft_dat=%3Cproquest_cross%3E1411630227%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1411630227&rft_id=info:pmid/23541248&rft_els_id=1_s2_0_S1553465013000393&rfr_iscdi=true