Comparison between transumbilical and transabdominal ports for the laparoscopic retrieval of benign adnexal masses: a randomized trial

Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial

“…In the present study, specimens were retrieved from the abdominal cavity transumbilically in both groups, thus suggesting that the only reason for a different postoperative pain may be due to the adjunctive 3 5 mm port incisions in the lower abdomen. In fact, the mean VAS on day 0 reported by Chou et al (30) was 5.2, which is similar or even higher than our conventional LPS results and much higher than those obtained in the LESS group.…”

“…A possible explanation to justify our data in favor of LESS is the avoidance of painful lower/midquadrant incisions through the rectus musculature. Chou et al (30) described less postoperative pain on day 0 using a transumbilical port compared with a transabdominal one for the specimen's retrieval, independently from the use of other additional ports. In the present study, specimens were retrieved from the abdominal cavity transumbilically in both groups, thus suggesting that the only reason for a different postoperative pain may be due to the adjunctive 3 5 mm port incisions in the lower abdomen.…”

Novel Port Placement and 5-mm Instrumentation for Robotic-Assisted Hysterectomy

“…Chou et al compared 10-mm port transumbilical procedures versus transabdominal retrieval of benign adnexal masses, and found that postoperative pain was significantly more with retrieval through a lateral transabdominal location. 14 This finding illustrates that the transabdominal lateral incisions are more painful than the midline incisions. By using a midsuprapubic 5-mm cannula as an accessory port, we eliminated the need for insertion through the lateral abdominal wall muscles.…”

Comparison of after Veres Closed Trocar and Open Entry Methods in Terms of Efficiency, Complications and Postoperative Pain in Gynecologic Laparoscopy: Prospective Study

“…Benign jinekolojik nedenlerden dolayı yapılan laparoskopik ameliyatlarda, transumblikal girişin transabdominal girişe göre daha kısa iyileşme süresi ve daha düşük VAS skorları ile ilişkili olduğu gösterilmiştir (19). Bu durum olasılıkla transumblikal girişte kas ayrılmasının oluşmamasındandır.…”