Laparo-Endoscopic Single Site (LESS) Gynecologic Surgery

Mohammed k. Ali, Safwat A. Mohammed, Mohammed A. E.M. Youssef, Nichole M Barker, Mohamed A. Bedaiwy

Abstract


Laparoscopic surgery is the preferred surgical approach for a variety of gynecologic conditions. Although a less commonly utilized laparoscopic approach, single-port laparoscopy (SPL) is not a new concept in gynecologic surgery. Gynecologic surgeons developed this technique almost 40 years ago. In the 1960s, Wheeless and Thompson reported on more than 4000 women who underwent surgical sterilization at single-trocar laparoscopy. In 1991, Pelosi and Pelosi performed the first complex procedure using a single-trocar technique. However, the SPL did not become a standard surgical technique in gynecologic surgery for several reasons including lack of ‘‘triangulation,’’ need for special instrumentation, instrument crowding or clashing, challenging ergonomic positions, and the need for advanced laparoscopic skill. In the last decade, technology has advanced greatly and surgeons have overcome some of these limitations.

Keywords: Laparo-endoscopic single site gynecological surgery (LESS), Natural orifice transluminal endoscopic surgery (NOTES), TriPort system, Single port laparoscopy (SPL).


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