Single Port Laparoscopic Surgery in Gynecology

Single port laparoscopy, also known as laparo-endoscopic single-site surgery (LESS), is a minimally invasive procedure in which a surgeon operates almost exclusively through a single entry point, typically the patient’s navel. Compared with traditional multi-port laparoscopic techniques, benefits of this procedure include less postoperative pain, less blood loss, faster recovery time, and better cosmetic results.

This book is a guide to single port laparoscopic surgery for practising gynaecological surgeons. Divided into three sections, it begins with the basic principles, instruments and techniques. The second section provides in depth coverage of LESS for various gynaecological conditions including ectopic pregnancy, hysterectomy and in gynaecological oncology.

The final part of the book discusses recent advances in LESS, examining robotic-assisted surgery and newer trends. Tips and Tricks for beginners are also included.

Key points

• Guide to single port laparoscopic surgery for practising surgeons
• Covers instruments and techniques and surgery for numerous gynaecological disorders
• Final section examines recent advances and future developments
• Includes nearly 300 images, illustrations and tables

Section 1 Basic Principles, Instruments and Techniques

• Chapter 1. Evolution of Laparoendoscopic Single-Site Surgery in Gynecology
• Chapter 2. Indications of Laparoendoscopic Single-Site Surgery
• Chapter 3. Abdominal Access in Less
• Chapter 4. Instruments and Ports
• Chapter 5. Optics for Laparoendoscopic Single-Site Surgery
• Chapter 6. Suturing Techniques in Less
• Chapter 7. Specimen Retrieval
• Chapter 8. Benefits of Less
• Chapter 9. Technical Challenges and Limitations of Less
• Chapter 10. Skill Training

Section 2 LESS in Gynecology

• Chapter 11. LESS in Adnexal Surgery
• Chapter 12. Laparoendoscopic Single-Site Surgery for Ectopic Pregnancy
• Chapter 13. Laparoendoscopic Single-Site Myomectomy
• Chapter 14. LESS Hysterectomy
• Chapter 15. LESS in Gynecological Oncology
• Chapter 16. Laparoendoscopic Single-Site Abdominal Sacrocolpopexy for Vaginal Vault Prolapse
• Chapter 17. LESS Concomitant Procedures
• Chapter 18. Vaginal Route Single-Site Surgery (Transvaginal NOTES)
• Chapter 19. Complications of Laparoendoscopic Single-Site Surgery

Section 3 Recent Advances in LESS

• Chapter 20. Robotic-Assisted Laparoendoscopic Single-Site Surgery in Gynecology (R-LESS)
• Chapter 21. Newer Trends and Future
• LESS: Our Experience—Tips and Tricks for Beginners

B Ramesh MD DGO FCPS FICOG Diploma in Gyne Endoscopy, PhD in Urogynecology

Madhuri Vidyashankar MS DNB (OBG) Fellowship in Minimally Invasive Surgery

Pooja Sharma Dimri MD DNB (OBG) Fellowship in Minimally Invasive Surgery

All at Dr Ramesh’s Hospital, Bangalore,.Karnataka, India