Single-Port Laparoscopy as a Feasible Technique to Approach Benign Adnexal Mass Surgically

Abstract

Abstract

Background: Single-incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy (ranging from 3–5 incisions). Objective: The aim of this research was to evaluate surgical findings, postoperative features, and complications in a series of 64 cases of benign adnexal mass that was approached in each case with single incision laparoscopic surgery (SILS). Materials and Methods: In a tertiary medical center in Brazil, 64 patients with presurgery diagnoses of benign adnexal masses underwent laparoscopic surgery using the SILS technique. Each patient's adnexal mass was presumed to be benign, based on each patient's echography features, patient's age, C-125 level, and menopausal status. Results: Hystologic results of all the recruited patients showed benign lesions. Benign cysts (28; 43,8%), solid teratomas (10; 15,6%), and endometriosis (8; 12,5%) were the most prevalent results. There was 1 case of an incisional hernia, the only postoperative complication that required new hospital admission. The average length of stay in the hospital was 22 hours (range: 17–28). Conclusions: SILS is a feasible approach for benign adnexal masses, presenting low rates of postoperative complications and short hospital stays. (J GYNECOL SURG 31:83)