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. 2015 Jul;58(4):289-93.
doi: 10.5468/ogs.2015.58.4.289. Epub 2015 Jul 16.

Public perception of "scarless" laparoendoscopic single-site surgery in gynecology

Doo Haeng Lee  1 , Su Hyun Nam  1 , Taejong Song  1 , Woo Young Kim  1 , Kyo Won Lee  1 , Kye Hyun Kim  1
Affiliations

Public perception of "scarless" laparoendoscopic single-site surgery in gynecology

Doo Haeng Lee et al. Obstet Gynecol Sci. 2015 Jul.

Abstract

Objective: To investigate the public perception of laparoendoscopic single-site surgery (LESS) according to the age group.

Methods: An anonymous questionnaire about the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases was provided to healthy volunteers (n=102). The survey participants were divided into two age groups (young women ≤40 years and middle-aged women >40 years). The desire for cosmesis was assessed using a validated scale, Body Image Scale.

Results: All of the participants completed the questionnaire. The Body Image Scale scores were not different between the two age groups (11.5±3.5 vs. 11.8±4.0, P=0.656). The most common fear of surgery was the risk of complications in both age groups (69% in the young age group and 65% in the middle-aged group). Unless the operative risk increased, most of the participants (61% to 67%) in both age groups preferred LESS. Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).

Conclusion: Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age. Therefore, physicians should discuss and consider LESS even in middle-aged women.

Keywords: Age; Cosmesis; Laparoendoscopic single-site surgery; Laparoscopy; Perception.

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Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.
See this image and copyright information in PMC

References

    1. Langebrekke A, Istre O, Hallqvist AC, Hartgill TW, Onsrud M. Comparison of laparoscopy and laparotomy in patients with endometrial cancer. J Am Assoc Gynecol Laparosc. 2002;9:152–157. - PubMed
    1. McMahon AJ, Russell IT, Baxter JN, Ross S, Anderson JR, Morran CG, et al. Laparoscopic versus minilaparotomy cholecystectomy: a randomised trial. Lancet. 1994;343:135–138. - PubMed
    1. Tinelli R, Malzoni M, Cicinelli E, Fiaccavento A, Zaccoletti R, Barbieri F, et al. Is early stage endometrial cancer safely treated by laparoscopy? Complications of a multicenter study and review of recent literature. Surg Oncol. 2011;20:80–87. - PubMed
    1. Kommu SS, Kaouk JH, Rane A. Laparo-endoscopic single-site surgery: preliminary advances in renal surgery. BJU Int. 2009;103:1034–1037. - PubMed
    1. Bucher P, Ostermann S, Pugin F, Morel P. Female population perception of conventional laparoscopy, transumbilical LESS, and transvaginal NOTES for cholecystectomy. Surg Endosc. 2011;25:2308–2315. - PubMed