title: Single-incision-two port laparoscopic tubal ligation: A cost comparison and technique description.
abstract: OBJECTIVE
  Laparoscopic surgery is the principal minimally invasive technique that is used for the treatment of gynecologic pathologies. The single-incision laparoscopic surgery (SILS) is another innovation in minimally invasive medicine. The cost of the procedure correlates with the fundamental materials used to access the abdominal cavity and utilize trocars.
  
  
  METHODS
  We applied the single-incision tubal ligation procedure to three patients. A 15-20-mm vertical incision was made in the umbilicus. Two trocars were inserted through the same incision at different fascial regions after insufflation of the abdomen. A 5-mm bipolar cautery was introduced through the accessory trocar, and the mid-portion of the tubes was coagulated and cut bilaterally.
  
  
  RESULTS
  The postoperative periods of the three patients were uneventful. All patients were discharged on the day of surgery. No major or minor complications occurred.
  
  
  CONCLUSIONS
  The cost for the abdominal access will drop about 82%. When we consider the low pricing for the tubal ligation procedure, the single-incision technique will be more applicable by this method. Moreover, patients will have the advantages of single-incision laparoscopic surgery with low cost.
authors: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors: Nicel
authors: N
authors: Taşdemir
authors: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors: Remzi
authors: R
authors: Abalı
authors: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors: Cem
authors: C
authors: Çelik
authors: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors: Erson
authors: E
authors: Aksu
authors: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors: Didem
authors: D
authors: Akkuş
keywords: Cost; laparoscopy; single incision