Comparison of laparoendoscopic single-site (LESS) surgery and conventional multiport laparoscopic (CMPL) surgery for hysterectomy: long-term outcomes of abdominal incisional scar
Creators: name: Demirayak, Gökhan
name: İsa Aykut Özdemir
name: Comba, Cihan
name: Çetin, Berna Aslan
name: Mathyk, Begüm Aydogan
name: Yıldız, Mustafa
name: Mihmanlı, Veli
name: İbrahim Karaca
name: Öztürk, Mustafa
name: Güralp, Onur
Publisher: name: Taylor & Francis
Year: 2019
Subjects: subject: Medicine
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: FOS: Biological sciences
subject: 19999 Mathematical Sciences not elsewhere classified
subject: FOS: Mathematics
subject: FOS: Mathematics
subject: Science Policy

description: There is scarcity of data about the long-term results such as port-site hernia, body image scale and cosmesis scale outcomes between laparoendoscopic single-site (LESS) surgery and conventional multiport laparoscopy (CMPL) for hysterectomy. Eighty women, who underwent total hysterectomy by the LESS (<i>n</i> = 40) and CMPL (<i>n</i> = 40) technique due to benign and malign gynecological disorders, were evaluated with a cosmesis and body image questionnaire in an age-matched cohort study. Median follow-up time was 25 (6–30) months in both groups. The mean age of the patients was 49.3 ± 6.3 years. The mean body image scale scores were 5.3 ± 0.6 and 5.5 ± 1.2 in the LESS and CMPL groups, respectively (<i>p</i> = 0.268). The mean cosmesis and scar scale scores were significantly higher in the LESS group compared to the CMPL group (<i>p</i> = .011 and <i>p</i> <b>What is already known on this subject?</b> Short-term results of LESS hysterectomy such as complication rates, additional port requirement, conversion to CMPL or laparotomy, pain score and analgesic use were evaluated in various studies. Several studies have been published on the safety and efficacy of single-port laparoscopic hysterectomy (LH); however, it has been unclear whether single-port LH offers benefits over multiport LH regarding long-term patient satisfaction and cosmetic satisfaction.<b>What do the results of this study add?</b> In this prospective cohort study, we aimed to compare long-term results (at least six months) of abdominal incisional scar between LESS and CMPL surgery for hysterectomy. The LESS technique provides better cosmesis when compared with the CMPL technique, although, the body image perceptions in the two groups were similar.<b>What are the implications of these findings for clinical practice and/or further research?</b> LESS technique can be offered as an option for hysterectomy since it provides better long-term cosmesis compared to CMPL. <b>What is already known on this subject?</b> Short-term results of LESS hysterectomy such as complication rates, additional port requirement, conversion to CMPL or laparotomy, pain score and analgesic use were evaluated in various studies. Several studies have been published on the safety and efficacy of single-port laparoscopic hysterectomy (LH); however, it has been unclear whether single-port LH offers benefits over multiport LH regarding long-term patient satisfaction and cosmetic satisfaction. <b>What do the results of this study add?</b> In this prospective cohort study, we aimed to compare long-term results (at least six months) of abdominal incisional scar between LESS and CMPL surgery for hysterectomy. The LESS technique provides better cosmesis when compared with the CMPL technique, although, the body image perceptions in the two groups were similar. <b>What are the implications of these findings for clinical practice and/or further research?</b> LESS technique can be offered as an option for hysterectomy since it provides better long-term cosmesis compared to CMPL.