title: [Single-port versus mini-laparoscopy in benign adnexal surgery: Results of a not randomized pilot study].
abstract: OBJECTIVE
  Carry out a preliminary study comparing postoperative pain and intraoperative and postoperative complications between micro-laparoscopy and laparoscopic monotrocart non-oncological adnexal surgery.
  
  
  METHODS
  All patients should benefit from a benign adnexal surgery were included prospectively from February to May 2014. The insufflation pressure, infiltration of trocar holes with a local anesthetic, postoperative analgesics were prescribed standardized. Operative and postoperative complications, type and length of hospital stay as well as EVA and analgesic consumption were recorded.
  
  
  RESULTS
  Nine patients were included in monotrocart group versus 7 in the micro-laparoscopy group. There were no differences in operative and postoperative complications, the type and length of hospital stay, as well as cosmetics satisfaction. However, there was a significant difference in the VAS to D2 (2.15 vs. 4.08, P=0.04) and analgesic consumption at D0 (P=0.04), D1 (P=0.04), D2 (P=0.02) and D3 (P=0.01), for the benefit of micro-laparoscopy.
  
  
  CONCLUSIONS
  Despite an enrollment of patients low, micro-laparoscopy appears to have a significant advantage over the monotrocart laparoscopy for postoperative pain in benign adnexal surgery.
authors.affiliation: Centre hospitalier de Salon-de-Provence, 207, avenue Julien-Fabre, 13300 Salon-de-Provence, France. Electronic address: veronique.peretti@hotmail.fr.
authors.forename: V
authors.initials: V
authors.lastname: Peretti
authors.affiliation: Hôpital Saint-Joseph, 26, boulevard Louvain, 13285 Marseille cedex 08, France.
authors.forename: E
authors.initials: E
authors.lastname: Chereau
authors.affiliation: Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
authors.forename: E
authors.initials: E
authors.lastname: Lambaudie
authors.affiliation: CHU Nord, chemin des Bourrely, 13015 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Greco
authors.affiliation: Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
authors.forename: M
authors.initials: M
authors.lastname: Butarelli
authors.affiliation: Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Jauffret
authors.affiliation: Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Rua-Ribeiro
authors.affiliation: Institut Paoli-Calmettes, 232, boulevard Sainte-Marguerite, 13009 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Houvenaeghel
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000008:administration & dosage; D000758:Anesthesia / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D010865:Pilot Projects; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013525:Surgical Instruments
chemical_list: D000700:Analgesics
keywords: Adnexal surgery; Annexectomie; Chirurgie annexielle; Cœlioscopie; Laparoscopy; Micro-cœlioscopie; Micro-laparoscopy; Monotrocart; Oophorectomy