BACKGROUND: Laparoendoscopic single-site (LESS) surgery can be performed without apparent scarring, while maintaining the salutary benefits of conventional laparoscopic surgery. The purpose of this study was to compare patients' preoperative and postoperative perceptions of LESS surgery. METHODS: Before and after undergoing LESS surgery, 120 patients were given questionnaires; their responses were assimilated and analyzed. RESULTS: Of 120 patients, 62% were female (age, 52 ± 16.6 y), and 54% had prior abdominal surgery. Preoperatively, women and older patients reported heightened appearance dissatisfaction. Preoperatively, most patients would not accept more risk, pain, surgery/recovery times, and/or costs than associated with standard laparoscopy. Postoperatively, patients reported increased satisfaction in their overall and abdominal region appearance. Satisfaction was noted by 92%; satisfaction was related significantly to scar appearance and cosmesis. CONCLUSIONS: Preoperatively, patients were most concerned with safety; postoperatively, patients' concerns shifted to cosmetic outcome. LESS surgery provides an opportunity for improved patient satisfaction.
BACKGROUND: Laparoendoscopic single-site (LESS) surgery can be performed without apparent scarring, while maintaining the salutary benefits of conventional laparoscopic surgery. The purpose of this study was to compare patients' preoperative and postoperative perceptions of LESS surgery. METHODS: Before and after undergoing LESS surgery, 120 patients were given questionnaires; their responses were assimilated and analyzed. RESULTS: Of 120 patients, 62% were female (age, 52 ± 16.6 y), and 54% had prior abdominal surgery. Preoperatively, women and older patients reported heightened appearance dissatisfaction. Preoperatively, most patients would not accept more risk, pain, surgery/recovery times, and/or costs than associated with standard laparoscopy. Postoperatively, patients reported increased satisfaction in their overall and abdominal region appearance. Satisfaction was noted by 92%; satisfaction was related significantly to scar appearance and cosmesis. CONCLUSIONS: Preoperatively, patients were most concerned with safety; postoperatively, patients' concerns shifted to cosmetic outcome. LESS surgery provides an opportunity for improved patient satisfaction.
Authors: Carmelo Quattrone; Antonio Cicione; Carlos Oliveira; Riccardo Autorino; Francesco Cantiello; Vincenzo Mirone; Marco De Sio; Luca Carrubbo; Rocco Damiano; Carlo Pavone; Estevão Lima Journal: World J Urol Date: 2014-10-26 Impact factor: 4.226
Authors: Frank Friedersdorff; Seven Johannes Aghdassi; Peter Werthemann; Hannes Cash; Irena Goranova; Jonas Felix Busch; Jan Ebbing; Stefan Hinz; Kurt Miller; Joerg Neymeyer; Tom Florian Fuller Journal: Surg Endosc Date: 2013-04-03 Impact factor: 4.584
Authors: Jennifer Jolley; Nida Ahmed; Minh B Luu; Amanda B Francescatti; Khristi Autajay; Jonathan A Myers Journal: JSLS Date: 2013 Jul-Sep Impact factor: 2.172