Reduced-port surgery in gynecologic fields

Gynecology and Minimally Invasive Therapy

Aiko Sakamoto¹  Kaoru Tejima¹  Juichiro Saito¹  Uki Ujihira²  Jun Kumakiri²  Satoru Takeda²  Koyo Yoshida³  Yoko Tsuzuki³  Michio Nojima³  Yoichi Aoki³  Iwaho Kikuchi³ 

[1] Department of Obstetrics and Gynecology, Juntendo Tokyo Koto Geriatric Medical Center, Tokyo, Japan;Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, Japan;Department of Obstetrics and Gynecology, Juntendo University Urayasu Hospital, Chiba, Japan;

关键词: hysterectomy;    laparoscopy;    morcellation;    myomectomy;    reduced-port surgery;   

DOI  :  10.1016/j.gmit.2015.05.006

来源: DOAJ

【 摘 要 】

Reduced-port surgery (RPS) is widely used for various abdominal surgeries. In this paper, we review RPS as it applies specifically to the field of obstetrics and gynecology with a view toward its usefulness and future prospects. Due to an advisory that was issued by the U.S. Food and Drug Administration in May 2014 sales of the Johnson & Johnson Morcellex devices were discontinued, as a result a great number of institutions are forced to seek alternative methods of morcellation. Thus, we also approach the question of specimen retrieval during myomectomy. When RPS, including single-port surgery, is performed by a competent surgeon for established indications, it is superior to conventional laparoscopic surgery in cosmetic outcome, and it can also reduce pain and shorten the hospital stay. Although ligature manipulations can be problematic, sealing devices are useful for performing total hysterectomy and adnexectomy without ligature. Furthermore, using a single-port technique when it is possible to extend the umbilical incision, manual tissue morcellation is facilitated.

【 授权许可】

Unknown