Single access laparoscopy for adnexal pathologies using a novel reusable port and curved instruments.
OBJECTIVE
To present our initial experience using single access laparoscopic surgery for the treatment of benign adnexal pathologies.


METHODS
Sixteen patients with benign adnexal pathologies underwent salpingoophorectomy (n=9), ovarian cyst enucleation (n=5), or salpingectomy (n=2) using a laparoendoscopic single site approach with a new multiport reusable trocar and flexible and curved-as well as standard-laparoscopic instruments.


RESULTS
Conversion to a multi-access standard laparoscopic technique was not required in any patient and no intraoperative complications were observed. Postoperatively, one umbilical scar infection was detected. Mean operative time was 42 minutes.


CONCLUSIONS
Laparoscopic single site enucleation for adnexal pathologies is feasible, safe, and effective, and has good results for cosmetic appearance and postoperative pain. Use of specialized instruments and standardization of the technique affect surgical ergonomy and operating time.
Mereu
Liliana
L
Division of Gynecology, Villanova Hospital of Firenze, Florence, Italy. liliana_mereu@yahoo.com
Angioni
Stefano
S
Melis
Gian Benedetto
GB
Mencaglia
Luca
L
D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D055815:Young Adult