Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6173178 | European Journal of Obstetrics & Gynecology and Reproductive Biology | 2015 | 4 Pages |
ObjectivesTo compare gynecologic patients' cosmetic satisfaction with surgical wounds after different approaches: laparoendoscopic single-site surgery (LESS), conventional laparoscopic surgery (CLS) and open surgery (OS).Study designThis was a prospective study. The primary outcome was the cosmetic satisfaction after LESS, CLS, or OS, measured at 1 and 6 months post-surgery using the well-validated Cosmetic Scale. Multiple linear regression analysis was used to determine whether the surgical approach was independently associated with cosmetic satisfaction or not.ResultsOf 294 patients enrolled, 84 (28.6%), 129 (43.9%), and 81 patients (27.3%) underwent LESS, CLS, and OS, respectively. Cosmetic Scale scores in the LESS group at 1 month post-surgery was about 7 higher than in the CLS group and 9 higher than in the OS group (PÂ <Â 0.001). This difference was maintained also at 6 months post-surgery (PÂ <Â 0.001). On multiple linear regression analysis, the surgical approach was independently associated with postoperative cosmetic satisfaction (PÂ <Â 0.001).ConclusionOur study found that cosmetic satisfaction after LESS was highest, followed by CLS, then OS. Therefore, physicians should more assertively discuss and consider LESS for gynecologic diseases.