title: Would fewer port numbers in laparoscopy produce better cosmesis? Prospective study.
abstract: OBJECTIVE
  To determine whether fewer ports in laparoscopic adnexal surgery would lead to better cosmesis.
  
  
  METHODS
  Prospective comparative study (Canadian Task Force classification II-2).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  One hundred thirty consecutive patients with adnexal tumors.
  
  
  METHODS
  Patients underwent laparoscopy using a single port (n = 75), 2 ports (n = 22), or 4 ports (n = 33). Cosmetic satisfaction was assessed using a validated Body Image Questionnaire at 1, 4, and 12 weeks after surgery.
  
  
  RESULTS
  Patient characteristics (age, parity, and sociodemographic data), details of the procedures performed, and histologic findings were similar between the 3 surgical groups. There was also no difference in number of conversions to other surgical approaches, operative time, estimated blood loss, postoperative pain, and perioperative complications. Compared with the 2- and 4-port groups, the single-port group reported substantially greater cosmetic satisfaction at 1, 4, and 12 weeks after surgery. However, there was no important difference in cosmetic outcome throughout follow-up in the 2-t and 4-port groups.
  
  
  CONCLUSIONS
  Unlike 2- or 4-port laparoscopy, single-port laparoscopy has a definite benefit in cosmetic satisfaction.
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.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Mi Kyoung
authors.initials: MK
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Mi-La
authors.initials: ML
authors.lastname: Kim
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Bo Sung
authors.initials: BS
authors.lastname: Yoon
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea. Electronic address: sjseongcheil@naver.com.
authors.forename: Seok Ju
authors.initials: SJ
authors.lastname: Seong
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery*; D000328:Adult; D001828:Body Image; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D061646:Operative Time; D017060:Patient Satisfaction; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Cosmetic satisfaction; Laparoscopy; Single port; Two-port