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Public perception of "scarless" laparoendoscopic single-site surgery in gynecology.

Lee DH, Nam SH, Song T, Kim WY, Lee KW, Kim KH - Obstet Gynecol Sci (2015)

Bottom Line: Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age.Therefore, physicians should discuss and consider LESS even in middle-aged women.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

ABSTRACT

Objective: To investigate the public perception of laparoendoscopic single-site surgery (LESS) according to the age group.

Methods: An anonymous questionnaire about the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases was provided to healthy volunteers (n=102). The survey participants were divided into two age groups (young women ≤40 years and middle-aged women >40 years). The desire for cosmesis was assessed using a validated scale, Body Image Scale.

Results: All of the participants completed the questionnaire. The Body Image Scale scores were not different between the two age groups (11.5±3.5 vs. 11.8±4.0, P=0.656). The most common fear of surgery was the risk of complications in both age groups (69% in the young age group and 65% in the middle-aged group). Unless the operative risk increased, most of the participants (61% to 67%) in both age groups preferred LESS. Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).

Conclusion: Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age. Therefore, physicians should discuss and consider LESS even in middle-aged women.

No MeSH data available.


Related in: MedlinePlus

Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.
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Figure 1: Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.

Mentions: The primary outcome of this study was the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases. The desire for cosmesis was assessed using the Body Image Scale (BIS), which measures participant's perception and satisfaction with general bodily appearance, and includes 5 questions scored using a 4-point Likert scale, as previously described [67]. The maximum BIS score is 20, with higher scores indicating greater desire for cosmesis. Additional questions were asked to evaluate participants' interest and satisfaction with their own appearance, the most important point about surgery, preference for the surgical technique (CLS or LESS), and reason for their choice. Participants were shown 3×1.5-inch photographs of a female abdomen with incision sites marked for CLS with three 5-mm incisions and a 12-mm suprapubic incision, and LESS with a 20-mm intra-umbilical vertical incision (Fig. 1). Participation in the study was voluntary, and a hand sanitizer costing one dollar was provided to the participants.


Public perception of "scarless" laparoendoscopic single-site surgery in gynecology.

Lee DH, Nam SH, Song T, Kim WY, Lee KW, Kim KH - Obstet Gynecol Sci (2015)

Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4515478&req=5

Figure 1: Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.
Mentions: The primary outcome of this study was the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases. The desire for cosmesis was assessed using the Body Image Scale (BIS), which measures participant's perception and satisfaction with general bodily appearance, and includes 5 questions scored using a 4-point Likert scale, as previously described [67]. The maximum BIS score is 20, with higher scores indicating greater desire for cosmesis. Additional questions were asked to evaluate participants' interest and satisfaction with their own appearance, the most important point about surgery, preference for the surgical technique (CLS or LESS), and reason for their choice. Participants were shown 3×1.5-inch photographs of a female abdomen with incision sites marked for CLS with three 5-mm incisions and a 12-mm suprapubic incision, and LESS with a 20-mm intra-umbilical vertical incision (Fig. 1). Participation in the study was voluntary, and a hand sanitizer costing one dollar was provided to the participants.

Bottom Line: Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age.Therefore, physicians should discuss and consider LESS even in middle-aged women.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

ABSTRACT

Objective: To investigate the public perception of laparoendoscopic single-site surgery (LESS) according to the age group.

Methods: An anonymous questionnaire about the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases was provided to healthy volunteers (n=102). The survey participants were divided into two age groups (young women ≤40 years and middle-aged women >40 years). The desire for cosmesis was assessed using a validated scale, Body Image Scale.

Results: All of the participants completed the questionnaire. The Body Image Scale scores were not different between the two age groups (11.5±3.5 vs. 11.8±4.0, P=0.656). The most common fear of surgery was the risk of complications in both age groups (69% in the young age group and 65% in the middle-aged group). Unless the operative risk increased, most of the participants (61% to 67%) in both age groups preferred LESS. Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).

Conclusion: Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age. Therefore, physicians should discuss and consider LESS even in middle-aged women.

No MeSH data available.


Related in: MedlinePlus