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      Single Incision Laparoscopic Myomectomy

      case-report

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          Abstract

          Single port laparoscopic surgery (SPLS), also called SILS is the natural extension of multi-incisional laparoscopic surgery, in the quest for reduction of traumatic insult and residual scarring to the patient. Today with the evolution of newer instruments, bidirectional self-retaining sutures, and surgical experience we are able to perform many surgeries in gynecology.

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          Most cited references7

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          Single-port laparoscopic surgery: an overview.

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            New: Single-incision transumbilical laparoscopic surgery

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              A retrospective review of the GelPort system in single-port access pelvic surgery.

              Since the advent of single-port access surgery, novel instruments have been developed to facilitate this laparoscopic approach. The GelPort system is an innovative sealing device that permits abdominal access and frequent instrument exchange during surgery while preserving the pneumoperitoneum. The GelPort system has been previously reported in gastric, colorectal, and urologic single-port access procedures but has yet to be described during pelvic surgery. A retrospective pilot study reviewing 19 single-port access pelvic surgeries that involved the GelPort system was undertaken. Patient and operative statistics, including diagnosis, surgery and anesthesia times, complications and length of hospital stay were evaluated (Canadian Task Force Classification II-2). Operative time exhibited a direct association with anesthesia time (p=.001). Additionally, patient blood loss (p=.043) and anesthesia time (p=.003) were significant prognostic indicators for length of hospital stay. There were no significant patient complications or subsequent port site hernias. The GelPort system appears to contribute favorably to single-port access surgery because the device permits circumferential access and retraction during instrumentation. Furthermore, the specialized design augments a surgeon's versatility and access to complicated anatomic regions without compromising the peritoneum.
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                Author and article information

                Journal
                J Gynecol Endosc Surg
                JGES
                Journal of Gynecological Endoscopy and Surgery
                Medknow Publications & Media Pvt Ltd (India )
                0974-1216
                0974-7818
                Jan-Jun 2011
                : 2
                : 1
                : 61-63
                Affiliations
                [1]Dr. Ramesh Hospital, High Tech Super Speciality Hospital for Gynecology, Laparoscopy, and Infertility, Bangalore, India
                Author notes
                Address for correspondence: Dr. B Ramesh, Dr. Ramesh Hospital, High Tech Super Speciality Hospital for Gynecology, Laparoscopy, and Infertility, Bangalore, India. E-mail: endoram2004@ 123456yahoo.co.in
                Article
                JGES-2-61
                10.4103/0974-1216.85288
                3304287
                22442539
                e68824c7-b3cb-4c1a-8f22-4e63d442c61f
                Copyright: © Journal of Gynecological Endoscopy and Surgery

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Obstetrics & Gynecology
                sils,myomectomy,single incision laparoscopy
                Obstetrics & Gynecology
                sils, myomectomy, single incision laparoscopy

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