scholarly journals History and Utility of Single Port Laparoscopy, Robotic Assisted Laparoscopy, and Vaginal Laparoscopy (vNOTES) in Gynecologic Surgery

2021 ◽  
Author(s):  
Conor J. Corcoran ◽  
Stephen H. Bush
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Single Site ◽  
Gynecologic Surgery ◽  
Robotic Assisted ◽  
Incision Size ◽  
Extensive Coverage ◽  
Single Port Laparoscopy ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

Minimally invasive gynecologic surgery is a rapidly growing field, with new modalities and methods being explored constantly. Since the inception of laparoscopic surgery, the goal has been to minimize incision size, which has been further extrapolated to focus on less incisions with Laparoendoscopic Single-site Surgery (LESS). Single site surgery has several advantages, disadvantages, and historically relevant utility. Throughout the ensuing text, the nuances of LESS will be explored and described in detail. Our purpose in this chapter is to explore the history and utility of single site surgery. We hope to set the stage for the extensive coverage and contents of the text to elaborate on LESS and its use in modern Gynecology.

scholarly journals Access for Laparoendoscopic Single Site Surgery

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Sharona B. Ross ◽  
C. Whalen Clark ◽  
Connor A. Morton ◽  
Alexander S. Rosemurgy
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Peritoneal Cavity ◽  
Standard Of Care ◽  
Single Site ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Laparoendoscopic Single Site Surgery ◽  
Key Techniques ◽  
Single Site Surgery

Laparoscopic surgery is the standard of care for many abdominal and pelvic operations and is widely applied today. LESS (Laparo-Endoscopic Single Site) surgery, originally attempted in the 1990s, is an advanced minimally invasive approach that allows laparoscopic operations to be undertaken through a small (<15 mm) incision in the umbilicus, a preexisting scar. The presence of a preexisting scar allows LESS surgery to be essentially scarless, which is the key benefit to LESS operations. Herein, we review our experience with over 500 LESS operations and discuss the key techniques to establishing access to the peritoneal cavity. We review the options for obtaining access, available instrumentation, common challenges and solutions for access. We conclude that LESS surgery is safe and provides outcomes with superior cosmesis relative to conventional laparoscopy. LESS surgery should be embraced, as patient demand is rapidly increasing.

Robotic-Assisted Laparoendoscopic Single-Site Surgery in Gynecology: Initial Report and Technique

2009 ◽  
Vol 16 (5) ◽  
pp. 589-591 ◽  
Author(s):  
Pedro F. Escobar ◽  
Amanda Nickles Fader ◽  
Marie Fidel Paraiso ◽  
Jihad H. Kaouk ◽  
Tommaso Falcone
Keyword(s):  
Single Site ◽  
Initial Report ◽  
Robotic Assisted ◽  
Laparoendoscopic Single Site ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

scholarly journals LESS ovariohysterectomy in cats using a new homemade multiport

2017 ◽  
Vol 47 (11) ◽  
Author(s):  
Diego da Costa ◽  
Renato do Nascimento Libardoni ◽  
Júlia Tramontini Schmitt ◽  
Aline Spode Padilha ◽  
Francisco Jorge Schulz Júnior ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Urethral Catheter ◽  
Single Site ◽  
Bipolar Diathermy ◽  
Surgical Time ◽  
Laparoendoscopic Single Site ◽  
Technical Challenges ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

ABSTRACT: The purpose of this study was to assess the use of a homemade multiport for LESS (laparoendoscopic single-site surgery) ovariohysterectomy (OVH) in cats. Intra and postoperative variables of the surgery steps, technical challenges, complications and evolution of surgical time by a surgeon in training were evaluated. Twenty queens were selected for LESS OVH. The multiport device was manufactured of a conical-shaped ethylene polytereftalate (PET) bottle, urethral catheter no. 8, latex balloon no. 11, a 3.5mm and a 6mm laparoscopic trocars. Hemostasis was carried out using bipolar diathermy. Mean total surgical time was 14.54±5.12 minutes. Approach to right and left ovarian pedicles and abdominal access for insertion of the multiport device were the most time consuming surgical steps. LESS ovariohysterectomy using a new homemade multiport device is feasible and safe. Thus, the proposed technique may be considered as a minimally invasive alternative to ovariohysterectomy in the feline specie.

scholarly journals IMPLEMENTATION OF GYN ROBOTIC SURGERY IN OUR PRACTICE

2020 ◽  
Vol 62 (2) ◽  
Author(s):  
Antony Brignoni ◽  
◽  
Oksana Mudra ◽  
Keyword(s):  
Laparoscopic Surgery ◽  
Robotic Surgery ◽  
Length Of Stay ◽  
Minimally Invasive ◽  
High Precision ◽  
Gynecologic Surgery ◽  
Robotic Technology ◽  
High Definition ◽  
Robotic Assisted ◽  
Conventional Laparoscopic

Middle East has launched its first comprehensive robotic surgery programme, Known as one of the most sophisticated laparoscopic surgical technologies available, the device – created by Intuitive – is part of the new programme aimed at enhancing the group’s “current comprehensive general surgery and laparoscopic surgery services”. American Hospital was selected as the hub for this robotic programme as it is already considered a market leader in advanced laparoscopic surgery. According to the manufacturer, the da Vinci Xi HD 4 works by combining conventional laparoscopic techniques with high precision robotic technology that uses four robotic arms controlled by the surgeon from a console. Through the console, the surgeon is also able to access a 3D high-definition view of the surgical area. Robotic surgery is a state of the art surgical procedure in which the conventional laparoscopic technique is combined with high precision robotic technology. Articulated instruments allow the same movement capacity as the human wrist and the tremor filter eliminates any small uncontrollable movement in the surgeon's hands. We would like to share our experience in implementation of Robotic Assisted surgery in gynecological practice of out hospital. Commencement of our program coincided with very difficult period for all World. Regardless COVID pandemic, we started successfully our robo- surgical journey, and within 6 months we performed 150 Robotic assisted surgeries, 50 of them- gynecological. Gynecologic surgery has been transformed in the last three decades in the western world, from mostly open abdominal surgeries with increased length of stay and morbidity to today with minimally invasive surgeries with short length of stay, decreased morbidity, faster return to normal activities and work. Long past the days of doing laparoscopic surgery with direct viewing through a scope, later poor quality imaging monitors to our current High definition 2D and 3D imaging. In the last decade the introduction of Robotics to our surgical armamentarium has steadily increase the likelihood that patients will have minimally invasive procedure instead of an open laparotomy.

scholarly journals Laparoendoscopic Single-Site Surgery for Management of Heterotopic Pregnancy: A Case Report and Review of Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Shadi Rezai ◽  
Richard A. Giovane ◽  
Heather Minton ◽  
Elise Bardawil ◽  
Yiming Zhang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Perioperative Complications ◽  
Previous History ◽  
Single Site ◽  
Heterotopic Pregnancy ◽  
Single Incision Laparoscopic Surgery ◽  
Laparoendoscopic Single Site ◽  
Conventional Methods ◽  
Laparoendoscopic Single Site Surgery ◽  
Single Site Surgery

Background. Heterotopic pregnancy occurs when two pregnancies occur simultaneously in the uterus and an ectopic location. Treatment includes removal of the ectopic pregnancy with preservation of the intrauterine pregnancy. Treatment is done laparoscopically with either a Laparoendoscopic Single-Site Surgery (LESS) or a multiport laparoscopic surgery. Case. We present a case of a first trimester heterotopic pregnancy in a 42-year-old gravida 5, para 0-1-3-1 female with previous history of left salpingectomy, who underwent laparoscopic right salpingectomy and lysis of adhesions (LOA) via Single-Incision Laparoscopic Surgery (SILS). Conclusion. Although LESS for benign OB/GYN cases is feasible, safe, and equally effective compared to the conventional laparoscopic techniques, studies have suggested no clinically relevant advantages in the frequency of perioperative complications between LESS and conventional methods. No data on the cost effectiveness of LESS versus conventional methods are available. LESS utilizes only one surgical incision which may lead to decreased pain and better cosmetic outcome when compared to multiport procedure. One significant undesirable aspect of LESS is the crowding of the surgical area as only one incision is made. Therefore, all instruments go through one port, which can lead to obstruction of the surgeon’s vision and in some cases higher rate of procedure failure resulting in conversion to multiport procedure.

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