Micro-laparoscopy and Single-port Hysterectomy (MLPS/LESS)
Pain, Postoperative
About this trial
This is an interventional treatment trial for Pain, Postoperative focused on measuring hysterectomy, single-port, micro-laparoscopy
Eligibility Criteria
Inclusion Criteria:
- appropriate medical status for laparoscopic surgery;
- uterine size < 12 weeks of pregnancy;
- no previous longitudinal major abdominal surgery.
Exclusion Criteria:
- pelvic organ prolapse greater than grade I
Sites / Locations
- Francesco Fanfani
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
micro-laparoscopy
laparoendoscopic single site surgery
M-LPS hysterectomy was performed through one optical trans-umbilical 5 mm trocar and three 3 mm sovra-pubic ancillary ports. A 5 mm 0° endoscope and 3 mm laparoscopic instruments were utilized, choosing among graspers, cold scissors, suction/irrigation and bipolar coagulator.
LESS hysterectomy was performed through a multi-channel single trocar inserted in the umbilicus using an open technique (1.5-2 cm cutaneous incision), as previously reported. Intra-abdominal visualization was obtained with a 0° 5-mm telescope with a flexible tip.Working straight 5-mm instruments were inserted into the remaining 2 ports, choosing among graspers, cold scissors, suction/irrigation bipolar coagulator and a multifunctional versatile laparoscopic device, which grasps, coagulates and transects simultaneously. In order to prevent clashing between instruments and surgeon's hands and to facilitate surgical manoeuvres, the combination of one 33 cm-long instrument with a 43 cm-long instrument was adopted. The umbilical fascia was closed with a figure-of-eight 0-Vicryl.