Total Hysterectomy: Mini-Laparoscopy vs. Single-Port Trans-Umbilical Laparoscopy?

Guangwei Wang1, Dandan Wang1, Meige Sun1, Xiaofei Liu2 and Qing Yang1*

1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China
2Department of Obstetrics and Gynecology, Shenyang Women’s and Children’s Hospital, Shenyang, China

^*Correspondance to: Qing Yang 

 PDF  Full Text DOI: 10.25107/2474-1647.2912

Abstract

To retrospectively analyze the clinical data of 147 patients underwent laparoscopic total hysterectomies for benign uterine diseases in at our Hospital between January 2017 and May 2018. 78 patients treated with MLS and 69 patients received transumbilical LESS hysterectomy. The operative time, intra-operative blood loss, the time-to-first post-operative flatus, post-operative pain, postoperative hospital stay, and incidence of surgical site infections, incisional hernias, post-operative hospital stay, Body Image Questionnaire (BIQ, including the Body Image Scale [BIS] and Cosmetic Scale [CS]), and the Scar Cosmesis Assessment and Rating (SCAR) score were compared between the patients in the two groups. There were no significant differences between MLS and LESS groups with respect to operative time, intra-operative blood loss, uterine weight, and post-operative hospital stay. No delayed wound healing/infections or incisional hernias occurred in either group. MLS appears to be associated with less post-operative pain and improved cosmesis. With respect to total hysterectomies, MLS and single port trans-umbilical laparoscopy are similarly safe and effective; however, MLS appears to be associated with less post-operative pain and improved cosmesis. MLS is easier for laparoscopic surgeons to master than LESS and does not require a learning curve.

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Cite the article

Wang G, Wang D, Sun M, Liu X, Yang Q. Total Hysterectomy: Mini- Laparoscopy vs. Single-Port Trans- Umbilical Laparoscopy?. Clin Surg. 2020; 5: 2912.