Abstract

Objective The feasibility of using suture-suspension in laparoendoscopic single-site surgery in gynecologic surgery. Methods Collected the clinical data of 135 patients, with ovarian cysts or uterine fibroids, who were admitted to Dalian Maternity Hospital affiliated to Dalian Medical University from Jan. to Dec.2017, Observation group had treated by suture-suspension single port laparoscopic surgery, Ovarian cyst excision in 30 cases, Myomectomy in 15 cases; The control group had treated by line porous laparoscopic surgery, Ovarian cyst excision in 60 cases, Myomectomy in 30 cases. operation time, intraoperative bleeding, postoperative hemoglobin(Hb) decline, the highest temperature after surgery in 24 h, postoperative hospitalization, postoperative complications, VAS score after surgery in 24 h, body image scale BIS score, cutting aesthetic satisfaction CS score etc clinical data were observed between the two groups. Results All the 135 cases were successfully operated. There is not statistical significance(P> 0.05) of comparing intraoperative blood loss[(48.44 ± 7.97)ml vs(40.07 ± 8.62)ml], postoperative Hb decline[(13.27 ± 6.05)g/L vs(12.44 ± 5.91)g/L], the highest temperature after surgery in 24 h[(37.32 ± 0.23)℃ vs (37.29 ± 0.18)℃], postoperative exhaust time[(4.22 ± 1.66)d vs(4.44 ± 1.22)d] of observation group and control group; There is statistical significance(P <0.05) of comparing the operation time[(77.44 ± 28.10)min vs(54.00 ± 27.89)min], VAS score after surgery in 24 h[(5.33 ± 0.74)vs(5.56 ± 1.31)], BIS score[(5.13 ± 0.41)vs(5.44 ± 0.91)], CS score[(41.23 ± 1.04)vs (39.29 ± 2.02)] of observation group and control group. Conclusions Transumbilical single port laparoscopic surgery in gynecological benign diseases surgery is feasible, suture-suspension to a certain extent, reduce the difficulty of laparoendoscopic single-site surgery. Key words: Ovarian neoplasms; Uterine neoplasms; Laparoendoscopic single-site surgery

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