title: Cosmetic outcomes of laparoendoscopic single-site hysterectomy compared with multi-port surgery: randomized controlled trial.
abstract: OBJECTIVE
  To compare cosmetic satisfaction with laparoendoscopic single-site surgery (LESS) compared with multi-port surgery.
  
  
  METHODS
  Randomized controlled trial (Canadian Task Force classification I).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Twenty women who underwent laparoscopically-assisted vaginal hysterectomy (LAVH) via LESS or multi-port surgery.
  
  
  METHODS
  Laparoendoscopic single-site surgery or multi-port surgery.
  
  
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Taejong
authors.initials: T
authors.lastname: Song
authors.forename: Juhee
authors.initials: J
authors.lastname: Cho
authors.forename: Tae-Joong
authors.initials: TJ
authors.lastname: Kim
authors.forename: Im-Ryung
authors.initials: IR
authors.lastname: Kim
authors.forename: Tae Soo
authors.initials: TS
authors.lastname: Hahm
authors.forename: Byoung-Gie
authors.initials: BG
authors.lastname: Kim
authors.forename: Duk-Soo
authors.initials: DS
authors.lastname: Bae
mesh_terms: D000328:Adult; D001828:Body Image; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Cosmetic; LESS; Laparoscopy; Satisfaction