Single-Incision Single-Instrument Adnexal Surgery in Pediatric Patients

Minimally Invasive Surgery ◽

10.1155/2015/246950 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Tara Loux ◽

Gavin A. Falk ◽

Michaela Gaffley ◽

Stephanie Ortega ◽

Carmen Ramos ◽

...

Keyword(s):

Pediatric Patients ◽

Single Incision ◽

Large Mass ◽

Pelvic Surgery ◽

Gynecologic Surgery ◽

Solid Mass ◽

Standard Laparoscopy ◽

Adnexal Surgery ◽

Multiport Laparoscopy ◽

Single Instrument

Introduction. Pediatric surgeons often practice pediatric gynecology. The single-incision single-instrument (SISI) technique used for appendectomy is applicable in gynecologic surgery.Methods. We retrospectively analyzed the records of patients undergoing pelvic surgery from 2008 to 2013. SISI utilized a 12 mm transumbilical trocar and an operating endoscope. The adnexa can be detorsed intracorporeally or extracorporealized via the umbilicus for lesion removal.Results. We performed 271 ovarian or paraovarian surgeries in 258 patients. In 147 (54%), the initial approach was SISI; 75 cases (51%) were completed in patients aged from 1 day to 19.9 years and weighing 4.7 to 117 kg. Conversion to standard laparoscopy was due to contralateral oophoropexy, solid mass, inability to mobilize the adnexa, large mass, bleeding, adhesions, or better visualization. When SISI surgery was converted to Pfannenstiel, the principal reason was a solid mass. SISI surgery was significantly shorter than standard laparoscopy. There were no major complications and the overall cohort had an 11% minor complication rate.Conclusion. SISI adnexal surgery is safe, quick, inexpensive, and effective in pediatric patients. SISI was successful in over half the patients in whom it was attempted and offers a scarless result. If unsuccessful, the majority of cases can be completed with standard multiport laparoscopy.

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Fundamentals of the Currently Available Single Port Abdominal Laparoscopic Gynecologic Systems and Utility in Minor Gynecologic Surgery

10.5772/intechopen.96953 ◽

2021 ◽

Author(s):

M. Luann Racher ◽

Ann Marie Mercier

Keyword(s):

Single Incision ◽

Surgical Techniques ◽

Gynecologic Surgery ◽

Single Incision Laparoscopic Surgery ◽

Single Incision Laparoscopy ◽

Surgical Access ◽

Single Incision Surgery ◽

Added Benefit ◽

Multiport Laparoscopy

Single incision laparoscopic surgery encompasses a plethora of techniques and styles. Single incision laparoscopy has demonstrated outcomes comparable to traditional multiport laparoscopy with the added benefit of improved cosmesis. This book chapter will review single incision surgery for minor gynecologic surgery, including adnexal surgical procedures and myomectomy. The chapter reviews available data in regard to outcomes in single incision laparoscopy. It also discusses the commercially available single incision surgical access systems, laparoscopes, and accessory instruments. Surgical techniques beneficial in single incision laparosocpy, including uterine manipulation, are also reviewed.

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Single Incision and Multiport Laparoscopy for Benign Adnexal Surgery

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2011.08.373 ◽

2011 ◽

Vol 18 (6) ◽

pp. S109

Author(s):

D. Marinese ◽

V. Bhavsar ◽

M. Nimaroff

Keyword(s):

Single Incision ◽

Adnexal Surgery ◽

Multiport Laparoscopy

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Avascular Spaces of the Female Pelvis—Clinical Applications in Obstetrics and Gynecology

Journal of Clinical Medicine ◽

10.3390/jcm9051460 ◽

2020 ◽

Vol 9 (5) ◽

pp. 1460

Author(s):

Stoyan Kostov ◽

Stanislav Slavchev ◽

Deyan Dzhenkov ◽

Dimitar Mitev ◽

Angel Yordanov

Keyword(s):

Pelvic Surgery ◽

Gynecologic Surgery ◽

Obstetrics And Gynecology ◽

Nerve Sparing ◽

Clinical Anatomy ◽

Anatomical Landmarks ◽

Female Pelvis ◽

Precise Understanding ◽

Significant Difference ◽

Gynecological Diseases

The term “spaces” refers to the areas delimited by at least two independent fasciae and filled with areolar connective tissue. However, there is discrepancy regarding the spaces and their limits between clinical anatomy and gynecologic surgery, as not every avascular space described in literature is delimited by at least two fasciae. Moreover, new spaces and surgical planes have been developed after the adoption of laparoscopy and nerve-sparing gynecological procedures. Avascular spaces are useful anatomical landmarks in retroperitoneal anatomic and pelvic surgery for both malignant and benign conditions. A noteworthy fact is that for various gynecological diseases, there are different approaches to the avascular spaces of the female pelvis. This is a significant difference, which is best demonstrated by dissection of these spaces for gynecological, urogynecological, and oncogynecological operations. Thorough knowledge regarding pelvic anatomy of these spaces is vital to minimize morbidity and mortality. In this article, we defined nine avascular female pelvic spaces—their boundaries, different approaches, attention during dissection, and applications in obstetrics and gynecology. We described the fourth space and separate the paravesical and pararectal space, as nerve-sparing gynecological procedures request a precise understanding of retroperitoneal spaces.

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Single-incision endoscopically-assisted compartment releases for exertional compartment syndrome in pediatric patients

Current Orthopaedic Practice ◽

10.1097/bco.0b013e3181bb46d1 ◽

2010 ◽

Vol 21 (2) ◽

pp. 213-217 ◽

Cited By ~ 2

Author(s):

Nirav Kirtkumar Pandya ◽

Theodore J. Ganley

Keyword(s):

Compartment Syndrome ◽

Pediatric Patients ◽

Single Incision ◽

Exertional Compartment Syndrome

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Single-incision laparoscopic surgery (SILS) for ovarian tissue cryopreservation enables higher tissue volume extraction and earlier chemothrapy initiation compared to standard multiport laparoscopy

Fertility and Sterility ◽

10.1016/j.fertnstert.2017.07.536 ◽

2017 ◽

Vol 108 (3) ◽

pp. e180-e181

Author(s):

A. Revel ◽

N. Schachter-safrai ◽

H.H. Chill ◽

G. Karavani

Keyword(s):

Laparoscopic Surgery ◽

Single Incision ◽

Ovarian Tissue ◽

Ovarian Tissue Cryopreservation ◽

Single Incision Laparoscopic Surgery ◽

Tissue Volume ◽

Multiport Laparoscopy ◽

Tissue Cryopreservation

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Single-incision laparoscopic abdominal cerclage placement: A retrospective study of single-port and robotic single-port versus multiport laparoscopy

International Journal of Gynecology & Obstetrics ◽

10.1002/ijgo.12520 ◽

2018 ◽

Vol 142 (2) ◽

pp. 236-238

Author(s):

Yiming Zhang ◽

Manisha Gandhi ◽

Courtney Birchall ◽

Xiaoming Guan

Keyword(s):

Retrospective Study ◽

Single Incision ◽

Single Port ◽

Multiport Laparoscopy ◽

Laparoscopic Abdominal Cerclage

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The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review

Surgical Endoscopy ◽

10.1007/s00464-010-1208-6 ◽

2010 ◽

Vol 25 (2) ◽

pp. 378-396 ◽

Cited By ~ 105

Author(s):

Kamran Ahmed ◽

Tim T. Wang ◽

Vanash M. Patel ◽

Kamal Nagpal ◽

James Clark ◽

...

Keyword(s):

Systematic Review ◽

Laparoscopic Surgery ◽

Single Incision ◽

Pelvic Surgery ◽

Single Incision Laparoscopic Surgery

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Single-Incision versus Multiport Robotic Myomectomy: A Propensity Score Matched Analysis of Surgical Outcomes and Surgical Tips

Journal of Clinical Medicine ◽

10.3390/jcm10173957 ◽

2021 ◽

Vol 10 (17) ◽

pp. 3957

Author(s):

Sa-Ra Lee ◽

Ju-Hee Kim ◽

Young-Jae Lee ◽

Shin-Wha Lee ◽

Jeong-Yeol Park ◽

...

Keyword(s):

Postoperative Complications ◽

Propensity Score ◽

Surgical Outcomes ◽

Single Incision ◽

Pelvic Surgery ◽

Perioperative Outcomes ◽

Transfusion Rate ◽

Minimal Risk ◽

Postoperative Fever ◽

Robotic Myomectomy

We aimed to compare the perioperative outcomes of single-incision robotic myomectomy (SIRM) and multiport robotic myomectomy (MPRM) and provide surgical tips. We retrospectively analyzed the medical records of 462 patients with symptomatic leiomyoma who underwent MPRM or SIRM between March 2019 and April 2021. Demographic characteristics and surgical outcomes, including the total operative time (OT), estimated blood loss (EBL), and surgical complication rate, were compared between the two groups. Patients in the SIRM group had lower a body mass index and rate of previous pelvic surgery and were younger than those in the MPRM group. The myoma type was not different between groups; however, the MPRM group had larger, and more myomas than the SIRM group. After propensity score matching, these variables were not significantly different between the groups. The total OT, EBL, difference in hemoglobin levels, transfusion rate, and postoperative fever were not different between the groups. No postoperative complications occurred in the SIRM group. In the MPRM group, one patient needed conversion to laparotomy, and two patients had postoperative complications (umbilical incisional hernia and acute kidney injury). In conclusion, both MPRM and SIRM are feasible and effective surgical options for symptomatic myomas with cosmetic benefits and minimal risk of laparotomy conversion.

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