Original ArticleCosmetic Outcomes of Laparoendoscopic Single-Site Hysterectomy Compared With Multi-Port Surgery: Randomized Controlled Trial
Section snippets
Study Design and Participants
We conducted the trial between January 2010 and January 2011 at the Samsung Medical Center, a tertiary teaching hospital in Seoul, Korea, and patients who had an indication for hysterectomy were recruited from the obstetrics and gynecology clinic. Patients who had no evidence of gynecologic malignancy on imaging studies and appropriate medical status for laparoscopic surgery (American Society of Anesthesiologists Physical Status classification 1 or 2) were eligible for the study. Major
Characteristics of Trial Participants
Enrollment was from January 2010 through July 2010, and the 6-month follow-up was concluded in January 2011. Of 59 patients who were invited to participate in the study, 5 were ineligible and 14 declined participation; thus, 40 patients were randomized, 20 each to the LESS and multi-port surgery groups (Fig. 1). The characteristics of those who declined participation were similar to those of the study participants (data not shown). After randomization and before surgery, none of the study
Discussion
In the present trial, we found that LESS LAVH was comparable with multi-port LAVH for treatment of gynecologic disease insofar as operative time, estimated blood loss, and perioperative complications. Although LESS demonstrated no benefit in reduction of postoperative pain when compared with multi-port surgery, it was superior to multi-port laparoscopy insofar as cosmetic satisfaction at 1, 4, and 24 weeks after surgery. To our knowledge, this is the first study to evaluate cosmetic
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Supported by grant CRS 110-09-1 from Samsung Medical Center.
The authors have no commercial, proprietary, or financial interest in the products and companies described in this article.
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Drs. Song and Cho contributed equally to this article.