title: Single-port laparoscopic surgery for benign salpingo-ovarian pathology: a single-center experience from Saudi Arabia.
abstract: BACKGROUND
  There are limited data and few solid conclusions on the use of single-port laparoscopic surgery (SPLS) in gynecologic procedures.
  
  
  OBJECTIVE
  The objective of our descriptive study was to review our single-center experience with benign salpingo-ovarian conditions (feasibility, safety and surgical outcomes).
  
  
  METHODS
  A retrospective cross-sectional study from January-2012 to October-2014.
  
  
  METHODS
  King Faisal Specialist Hospital & Research Center--a referral tertiary healthcare center.
  
  
  METHODS
  All gynecologic patients who underwent SPLS procedures for benign adnexal pathologies were analyzed for pre-, intra-and postoperative details. SPLS was done using a single multi-port trocar and standard laparoscopic instruments.
  
  
  METHODS
  Perioperative complications and conversion rate.
  
  
  RESULTS
  Eighty (n=80) patients underwent SPLS interventions. the median age and BMi were 37 years and 24.6 kg/m2, respectively. Thirty-one patients (38.8%) had >=1 previous abdominopelvic surgeries. Of 104 SPLS procedures conducted, the three most common procedures were unilateral ovarian cystectomy (n=21/104; 20.2%), bilateral ovarian transposition (n=20/104; 19.2%), and unilateral salpingo-oophorectomy (n=16/104; 15.4%). No patient required addition of extra ports or conversion to conventional multi-port laparoscopy or laparotomy. The median operative time, estimated blood loss and hospital stay were 66 min, 10 mL and 1 day, respectively. No patient experienced major intraoperative or postoperative complications. the median postoperative pain grade using the visual analogue scale was 2 (examined in 74 of 80 patients). At six-weeks postoperatively, the median wound scar length (measured at outpatient clinic) was 1.2 cm.
  
  
  CONCLUSIONS
  SPLS in the management of benign salpingo-ovarian conditions is generally feasible, potentially safe, and associated with satisfactory operative and postoperative outcomes.
  
  
  CONCLUSIONS
  Retrospective and non-comparative design. Single-center experience. Subjective scores of the patients' self-reported satisfaction about post-operative pain, subject to recall bias.
authors.affiliation: Dr. ismail A. Al-Badawi, Department of Obstetrics and Gynecology,, King Faisal Specialist Hospital and Research Centre,, PO Box 3354 Riyadh 11211, Saudi Arabia, T: +966-011-442-7392, F: +966-011-442-7393, i_albadawi@yahoo.com.
authors.forename: Ismail A
authors.initials: IA
authors.lastname: Al-Badawi
authors.forename: Osama
authors.initials: O
authors.lastname: AlOmar
authors.forename: Naryman
authors.initials: N
authors.lastname: Albadawi
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abu-Zaid
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D005184:Fallopian Tube Diseases / Q000209:etiology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods* / Q000706:statistics & numerical data*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods* / Q000706:statistics & numerical data*; D007902:Length of Stay; D008875:Middle Aged; D061646:Operative Time; D010049:Ovarian Diseases / Q000209:etiology / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000453:epidemiology / Q000209:etiology; D011184:Postoperative Period; D012189:Retrospective Studies; D012529:Saudi Arabia / Q000453:epidemiology; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult
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