Open AccessReduced-port surgery in gynecologic fields
Author(s) -
Iwaho Kikuchi,
Jun Kumakiri,
Yoichi Aoki,
Uki Ujihira,
Kaoru Tejima,
Yoko Tsuzuki,
Aiji Sakamoto,
Juichiro Saito,
Masanori Nojima,
Koyo Yoshida,
Satoru Takeda
Publication year - 2015
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2015.05.006
Subject(s) - medicine , ligature , port (circuit theory) , food and drug administration , surgery , laparoscopic surgery , obstetrics and gynaecology , hysterectomy , general surgery , laparoscopy , medical emergency , pregnancy , electrical engineering , biology , engineering , genetics
Reduced-port surgery (RPS) is widely used for various abdominal surgeries. In this paper, we review RPS as it applies specifically to the field of obstetrics and gynecology with a view toward its usefulness and future prospects. Due to an advisory that was issued by the U.S. Food and Drug Administration in May 2014 sales of the Johnson & Johnson Morcellex devices were discontinued, as a result a great number of institutions are forced to seek alternative methods of morcellation. Thus, we also approach the question of specimen retrieval during myomectomy. When RPS, including single-port surgery, is performed by a competent surgeon for established indications, it is superior to conventional laparoscopic surgery in cosmetic outcome, and it can also reduce pain and shorten the hospital stay. Although ligature manipulations can be problematic, sealing devices are useful for performing total hysterectomy and adnexectomy without ligature. Furthermore, using a single-port technique when it is possible to extend the umbilical incision, manual tissue morcellation is facilitated