Abstract
Objective: To compare the intraoperative characteristics and postoperative pain levels of single incision and conventional laparoscopic surgeries performed for surgical sterilization.Study Design: A single center prospective observational study was conducted to compare the conventional and single incision laparoscopic (SIL) partial salpingectomies performed for surgical tubal sterilization. In total of 110 women, 62 in the conventional laparoscopy and 48 in the SILS group participated in the study. The main outcome measures were peritoneal entry time, total operation time, amount of bleeding, intraoperative complications, post-operative pain scores, additional analgesic requirements, and length of hospital stay. Statistical analysis was accomplished using the chi-square test or Mann Whitney U test, where appropriate.Results: Demographical findings did not differ between the two groups (p>0.05). Similarly, total operation time, rates of intraoperative complications, conversion to laparotomy, length of hospital stay, pre and postoperative hematocrit levels were not significantly different between the groups. Peritoneal entry time was shorter in the SIL group (7.1 min. vs. 4.8 min., p<0.001). Additional analgesic requirements, postoperative pain scores in the recovery room and at 6th, 12th, and 24th hours were not different between the groups (p>0.05).Conclusion: SILS seems a safe and feasible alternative to conventional laparoscopy for surgical tubal sterilization.Keywords: Partial salpingectomy, Tubal ligation, Contraception, Surgical sterilization, Single Incision Laparoscopy
Highlights
Single incision laparoscopic surgery (SILS) may be an appropriate alternative to conventional laparoscopy for surgical sterilization
Our aim was to compare the intraoperative characteristics and postoperative pain levels of single incision and conventional laparoscopic surgeries performed for surgical sterilization
The study included 110 women who applied for surgical tubal sterilization and 62 and 48 of the women were operated using conventional and SILS, respectively (Figure 1)
Summary
Single incision laparoscopic surgery (SILS) was first de-. Quick Response Code: Access this article online. How to cite this article: Karasu Y. and Kavak Comert D. Comparison of Single Incision and Conventional Laparoscopic Surgery for Surgical Sterilization. Gynecol Obstet Reprod Med 2018;24(1): scribed in 1976 by Wheeless as a minimally invasive method requiring a single incision for telescope introduction into the peritoneal cavity [1,2]. It is preferred for major gynecological operations. Minimally invasive surgical techniques are preferred more often to ensure better cosmetic results. SILS may be an appropriate alternative to conventional laparoscopy for surgical sterilization
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