title: Single-port access compared with three-port laparoscopic adnexal surgery in a randomized controlled trial.
abstract: OBJECTIVE
  Scar-related cosmetic outcomes were compared prospectively between conventional three-port and single-port access laparoscopic adnexal gynaecological surgery.
  
  
  METHODS
  Enrolled patients were randomly assigned to a single- or three-port surgery group. Scar-related outcomes were evaluated at 1 month, 6 months and 1 year. Scars were assessed by an independent observer using the modified Vancouver Scar Scale (mVSS). All patients were asked about pain related to the scar and scar satisfaction; results were recorded using a numerical rating scale.
  
  
  RESULTS
  Seventy-three patients were enrolled between June 2010 and June 2011. Demographic and surgical outcomes did not differ between the groups. mVSS results were similar in the two groups at each follow-up point. The scar satisfaction profile measured at 1 month showed no significant difference between the groups, but the single-port access group had better results than the conventional group at all other follow-up timepoints.
  
  
  CONCLUSIONS
  Cosmetic outcome was better for single-port than for three-port adnexal gynaecological surgery at 6-month and 1-year follow-up.
authors: Department of Obstetrics and Gynaecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, College of Medicine, Seoul, Republic of Korea. yooe7@khu.ac.kr
authors: Eun-Hee
authors: EH
authors: Yoo
authors: Eunjung
authors: E
authors: Shim
mesh_terms: D000290:Adnexa Uteri / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000209:etiology / Q000473:pathology* / Q000517:prevention & control; D003537:Cystadenoma / Q000473:pathology / Q000601:surgery*; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D010146:Pain / Q000503:physiopathology; D010147:Pain Measurement; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology*; D011446:Prospective Studies; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: Single-port surgery; adnexal surgery; gynaecology; laparoscopic surgery