Evaluation of the optimal laparoscopic method for benign ovarian mass extraction: a transumbilical route using a bag made from a surgical glove versus a lateral transabdominal route employing a standard endobag

Güngördük, Kemal; Aşıcıoğlu, Osman; Gülseren, Varol; Özdemir, İsa Aykut; Kocaer, Mustafa; Çakır, İlker; Gökçü, Mehmet; Şancı, Muzaffer

doi:10.1080/01443615.2019.1623765

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…1 Also, laparoscopic surgery has operated on malignant conditions. [2][3][4][5][6] In this study, the operative time was less than 180 minutes, and the blood loss was less than 1,000 mL. The primary outcomes return to normal activities, satisfaction, and quality of life.…”

Section: Discussionmentioning

confidence: 71%

“…In the open technique of minimally invasive, the adnexal mass can be extracted from the abdominal cavity via the umbilicus within the endo-bag. 3 The variety of surgery designs proceed the handmade glove with a trocar, a cylinder-glove with gauzes, and a sterile plastic bag, as shown in Figures 1 to 3. The minimally invasive surgery is free of charge in the Tertiary Care Center, Buddhachinaraj Hospital, Phitsanulok, Thailand owing to reimbursement from the public health ministry.…”

Section: Discussionmentioning

confidence: 99%

“…Transumbilicus removal of the adnexal mass reduced postoperative pain, avoided vessel injury, allowing faster healing. 3 In the gynecologic cancer reports, the minimally invasive surgery was operated in endometrial cancer, early-stage cervical cancer, and also an early stage of ovarian cancer. [4][5][6][7][8] This study reviewed the patients with 28 cervical cancer, 48 endometrial cancer, and 20 epithelial ovarian cancer who had operated in minimally invasive surgery (MIS) between 2019 and 2022.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 However, laparoscopy can be used to operate on benign and malignant gynecological diseases. [1][2][3][4][5] Nowadays, laparoscopic surgery is an expensive procedure for patients in some institutions. Unfortunately, though, accessibility to laparoscopy is limited in low-income patients.…”

Section: Introductionmentioning

confidence: 99%

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Utility of Surgical Glove made for Various Gynecologic Laparoscopic Surgery

Wasinghon¹,

Ratanakaew²,

Panpeng³

2022

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: Laparoscopic surgery has more benefits of less blood loss, shorter hospital length of stay, and less postoperative pain when compared to open surgery. The purpose of this study is to elucidate the benefit of surgical gloves made for various gynecologic diseases in laparoscopy and technical skills in the patients. Materials and methods:The study was an observational study at Buddhachnaraj Hospital, Phitsanulok, Thailand. The eligible 347 patients were diagnosed gynecologic conditions for laparoscopy between January 2019 and January 2022. The patients were informed and consented to the operations. The closed technique and open technique had designed to create the pneumoperitoneum owing to the diagnosis. The patients were observed for the outcomes after the laparoscopy within 1 month. Results: The 347 patients were surgery by laparoscopy. The mean age was 44.89 ± 14.627, and the mean BMI was 22.68 ± 1.94 kg/m 2 . The mean blood loss and operative time were 89.26 ± 126.87 mL and 107.57 ± 26.07 minutes, respectively. The five most frequent diseases were leiomyoma in 83 patients (23.9%), endometrial carcinoma in 48 patients (13.8%), serous cystadenoma in 45 patients (13%), endometrioma in 33 patients (9.5%), and cervical carcinoma in 28 patients (8.1%). One hundred and sixty patients (46.1%) had undergone a hysterectomy. However, 69 patients (19.9%) had undergone complete surgical staging to diagnose ovarian and endometrial cancer. Fifty-one patients had undergone ovarian cystectomy (14.7%). The number of patients with salpingo-oophorectomy (SO), radical hysterectomy, and myomectomy were 23 (6.6%), 22 (6.3%), and 13 (3.7%), respectively. The patients got the benefit of various gynecologic laparoscopy free of charge on the universal health coverage project. Conclusion: A feasible handmade cylinder glove with gauzes was inserted transvaginally to accumulate the pneumoperitoneum. Also, the 12-mm trocar was prepared at the middle finger of a surgical glove to accommodate the 10-mm 0°-laparoscope. Clinical significance: Surgical glove is the advantage of laparoscopic gynecologic surgery.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Utility of Surgical Glove made for Various Gynecologic Laparoscopic Surgery

Wasinghon¹,

Ratanakaew²,

Panpeng³

2022

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…In our study, we had no difficulty in performing our procedures as a result of not using an aid instrument to put specimens into the endobags. The general approach of inserting the mass into the bag is carried out in order to extend one of the 5‐mm incisions to 10 mm, as well as to use at least one assisted laparoscopy instrument from another 5‐mm port, under inspection with 10‐mm optic in the umbilicus, even in developed and developing countries such as Finland and Turkey 7,28 . These findings demonstrate that CMLS is dispensable and used widely across the world because all hospitals have no advanced and articulated surgical instrument for performing LESS or vNOTES.…”

Section: Discussionmentioning

confidence: 99%

Comparison of novel two‐port and conventional multiport laparoscopic surgery approaches for benign adnexal masses: The Bagli method

Bağlı

Bademkıran

2020

J of Obstet and Gynaecol

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Aim: This study primarily aims to describe the safety and efficacy of a novel two-port (5 and 10-mm) laparoscopic surgery (TPLS) approach for benign adnexal masses compared with conventional multiport laparoscopic surgery (CMLS) in excisional procedures such as salpingectomy and oophorectomy. Methods: This is a retrospective case-control study. Forty-four patients were divided into two groups: two-port (5 mm and 10 mm) laparoscopic surgery group (n: 22) and conventional multiport (three/four port) laparoscopic surgery group (n: 22), with similar indications. All procedures, except ovarian detorsions, included salpingectomy, oophorectomy or salpingo-ophorectomy. The groups were evaluated using their demographic, clinical, intraoperative and postoperative data, and survey questions that were asked were used for analyzing cosmetic satisfaction, surgical satisfaction and preference rates of the TPLS. Results: There were no significant differences between the groups on demographic features. All patients were discharged within 24 h after both the procedures without any major (organ injury) or minor complication. Surgical satisfaction range was 8.82 (±1.01) in TPLS group and 7.27 (±1.6) in the CMLS group, and differences were significant (P = 0.002). Satisfaction with cosmesis was 95% in the TPLS group and 77% in the CMLS group, and this difference was not significant (P = 0.11). The preferences rate of TPLS was 68% among the 44 women. Conclusion: Novel TPLS is feasible and safe in expert hands. In addition, it provides more surgical satisfaction to patients. However, there were not significant differences in long-term cosmesis results between the TPLS and CMLS groups.

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