title: Single access laparoscopy for adnexal pathologies using a novel reusable port and curved instruments.
abstract: 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.
authors.affiliation: Division of Gynecology, Villanova Hospital of Firenze, Florence, Italy. liliana_mereu@yahoo.com
authors.forename: Liliana
authors.initials: L
authors.lastname: Mereu
authors.forename: Stefano
authors.initials: S
authors.lastname: Angioni
authors.forename: Gian Benedetto
authors.initials: GB
authors.lastname: Melis
authors.forename: Luca
authors.initials: L
authors.lastname: Mencaglia
mesh_terms: 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