Chang Eop Son

Single-port laparoscopic myomectomy using transumbilical GelPort access

OBJECTIVE To describe our initial experience with single-port laparoscopic myomectomy (SP-LM) using transumbilical GelPort access and the surgical technique used, and to evaluate the safety and feasibility of this procedure. STUDY DESIGN A prospective observational study was performed at a university teaching hospital from January 2009 to December 2009. Fifteen patients with symptomatic subserosal or superficial intramural myomas (≤ 8 cm) underwent SP-LM. RESULTS The mean age and body mass index were 35.0 ± 8.6 years and 22.6 ± 2.6 kg/m². Two patients had a history of previous abdominal surgery, consisting of one and two cesarean deliveries. The mean operating time, hemoglobin change, return of bowel activity, and length of hospital stay were 81 ± 21.5 min, 1.1 ± 0.5 g/dL, 34.3 ± 5.9 h, and 3.1 ± 0.5 days, respectively. In one patient (6.7%), SP-LM was converted to two-port LM. There were no surgical or wound complications in any patient, and the histopathological result was leiomyoma in all the cases. CONCLUSION SP-LM is feasible in selected patients with symptomatic myoma.

Laparoscopic surgical management and clinical characteristics of ovarian fibromas.

Ovarian fibromas may be misdiagnosed as uterine myoma or ovarian malignant tumor. Laparoscopic examination appears to be an effective and safe surgical approach for managing ovarian fibromas.

A case of laparoscopic myomectomy performed during pregnancy for subserosal uterine myoma.

Recently, reports of the successful use of laparoscopic surgery during pregnancy have been increasing. Pregnancy is no longer a contraindication for laparoscopic surgery, and laparoscopic myomectomy during pregnancy can be successful in carefully selected patients (Buser 2009). Here we report a successful case of laparoscopic myomectomy during the 2nd trimester of pregnancy in a woman who developed severe abdominal pain at a gestational age of 18 weeks.

Is laparoscopic surgery safe in women over 70 years old with benign gynecological disease

Aim:  To evaluate the feasibility, efficacy, and safety of laparoscopic surgery for benign gynecological disease in women over 70 years old.

Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma.

OBJECTIVE We sought to investigate the safety and efficacy of laparoscopic incidental appendectomy during laparoscopic surgery for endometrioma. STUDY DESIGN We conducted a retrospective study of 356 patients undergoing laparoscopic surgery for endometrioma with appendectomy (appendectomy group, n = 172) or not (nonappendectomy group, n = 184). Primary outcome measures were operating time, hemoglobin change, hospital stay, return of bowel activity, and any complications. The secondary outcome was appendiceal histopathology. RESULTS There were no statistical differences between groups in operating time, postoperative changes in hemoglobin concentration, hospital stay, return of bowel activity, or complication rate. Of the 172 resected appendices, 52 had histopathologically confirmed abnormal findings including appendiceal endometriosis in 16. CONCLUSION Incidental appendectomy at the time of laparoscopic surgery for endometrioma does not increase operative morbidity, and it has considerable diagnostic and preventive value. However, a large prospective randomized study is needed in the future to confirm this conclusion.

Laparoscopic management of large ovarian tumors: clinical tips for overcoming common concerns.

Aim:  This study was performed to assess the feasibility and efficacy of laparoscopic management for patients with large ovarian tumors.