In this series of 40
patients, mean age is 60 (39-76), mean Body Mass
Index (BMI) is 25 (20-32) and operative time is 130min (86-205). Blood loss is not significant (we report four bleedings of 70; 100; 120 & 150cc). Only the anterior mesh is placed in five
patients, lowering the operative time (96 min). We report one complication: a 10mm vaginal wound that has been sutured without standard laparoscopic or open conversion. In this last case, the mesh was nevertheless placed and we did not report any fistulae after the 13 month follow-up. There was no need to place any additional trocar, we did not report any standard laparoscopic or open conversion. To this day, there has been no recurrence with a mean follow-up of 12
«We performed our first LESS sacrocolpopexy in October 2009 and 40 women have had surgery so far»
months (1-23). Like many authors, we think this technique appears to offer excellent and safe results. All LESS procedures are safe because it is always very easy and quick to place an additional trocar if needed, especially during the learning curve. The operative time is estimated to be 20% longer than with standard laparoscopy in our personal experience but the cosmetic results are better. In all series operative time is equivalent in LESS procedures if there is no suturing steps. The learning curve is estimated to be between 10 and 20 procedures for a laparoscopically trained surgeon depending on the procedure. We recommend to begin with short and easy
procedures. Some training sessions, some tips and tricks may also be useful to know before beginning such an activity. We think, like many authors, that LESS
procedures will develop in the future due to the comparative and safe results. But this technique will also develop due to the cosmetic advantages and the high level of satisfaction in the patients. The effect of pain and recovery on a single access cut is highly probable but still to be scientifically demonstrated. LESS surgery is now routinely performed in our team and we hope many others will join us. ■
AH LEARN MORE
Obs/Gyne 2012 is the key obstetrics and gynaecology platform where international and regional suppliers meet to do business with industry players and decision makers for the Middle Eastern healthcare sector. The Obs/ Gyne Exhibition & Congress is taking place on 1-3rd April 2012 at the Dubai International Convention & Exhibition Centre, UAE. For more information visit
www.obs-gyne.com
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