title: Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases.
abstract: OBJECTIVE
  to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery.
  
  
  METHODS
  this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution's Ethics in Research Committee.
  
  
  RESULTS
  the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe.
  
  
  CONCLUSIONS
  this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique, and that it contributes to the construction of a new scenario in modern gynecological surgery.
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Admário Silva
authors: AS
authors: Santos Filho
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Maurício Bechara
authors: MB
authors: Noviello
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Rachel Cruz Fraga
authors: RC
authors: Damasceno
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Evilane do Carmo
authors: Edo C
authors: Patrício
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Lara Rodrigues
authors: LR
authors: Félix
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Paola Gaston
authors: PG
authors: Giostri
authors: Hospital da Baleia, Benjamin Guimarães Foundation, Belo Horizonte, MG, Brazil.
authors: Augusto Henriques F
authors: AH
authors: Brandão
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008499:Medical Records; D008875:Middle Aged; D061646:Operative Time; D017699:Pelvic Pain / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult