title: Single-incision bilateral laparoscopic oophorectomy.
abstract: Although single-incision laparoscopic surgery made an appearance on the surgical scene only recently, it is being increasingly applied in the treatment of a variety of disorders. We report single-incision bilateral laparoscopic oophorectomy and salpingooophorectomy performed in two patients who had previously undergone breast conservation surgery for early breast cancer. Each procedure was undertaken using two 5-mm and one 3-mm ports inserted through a 2-cm transverse supraumbilical incision and standard laparoscopic instruments. The operative time was 50 and 65 min respectively and the blood loss negligible. The patients were discharged 36 and 24 h after surgery, required minimal postoperative analgesia and remain well at a follow up of 19 and 17 months, respectively. With the benefit of improved cosmesis, the single-incision approach holds the potential to replace the traditional bilateral laparoscopic oophorectomy.
authors.affiliation: Division of Minimal Access Surgery, P D Hinduja National Hospital & Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai-400016, India.
authors.forename: Deepraj
authors.initials: D
authors.lastname: Bhandarkar
authors.forename: Avinash
authors.initials: A
authors.lastname: Katara
authors.forename: Vinay
authors.initials: V
authors.lastname: Deshmane
authors.forename: Gaurav
authors.initials: G
authors.lastname: Mittal
authors.forename: Tehemton E
authors.initials: TE
authors.lastname: Udwadia