Single access laparoscopy for adnexal pathologies using a novel reusable port and curved instruments

Objective: To present our initial experience using single access laparoscopic surgery for the treatment of benign adnexal pathologies. Methods: Sixteen patients with benign adnexal pathologies underwent salpingoophorectomy (n = 9), ovarian cyst enucleation (n = 5), or salpingectomy (n = 2) using a laparoendoscopic single site approach with a new multiport reusable trocar and flexible and curved as well as standard laparoscopic instruments. Results: Conversion to a multi-access standard laparoscopic technique was not required in any patient and no intraoperative complications were observed. Postoperatively, one umbilical scar infection was detected. Mean operative time was 42 minutes. Conclusion: Laparoscopic single site enucleation for adnexal pathologies is feasible, safe, and effective, and has good results for cosmetic appearance and postoperative pain. Use of specialized instruments and standardization of the technique affect surgical ergonomy and operating time. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.