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...
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Veröffentlicht in: | Journal of minimally invasive gynecology 2013-07, Vol.20 (4), p.460-467 |
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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 |
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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 < .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 < .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 < .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> |
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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 |
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