Yıl 2021, Cilt 5 , Sayı 1, Sayfalar 85 - 88 2021-01-01

Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study

Adeviye ELÇİ ATILGAN [1] , Ali ACAR [2] , Fatma KILIÇ [3] , Şükriye Leyla ALTUNTAŞ [4] , Asiye UZUN [5] , Derya YAŞAR [6]


Background/Aim: Most women who have completed childbearing request tubal ligation, as it is an effective and irreversible form of contraception. Single incision laparoscopic surgery (SILS) which is currently standard in most surgical specialties, eliminates multiple port incisions and provides faster recovery with better cosmesis. However, there is less data about single incision laparoscopic bilateral tubal ligation. We aimed to compare the results of single-incision-two port laparoscopic tubal ligation and conventional three port laparoscopic tubal ligation. Methods: Patients who desired tubal ligation procedure as a contraceptive method were randomly allocated to two groups as single-incision-two port laparoscopic tubal ligation (Group 1) and conventional three port laparoscopic tubal ligation (Group 2) between April 2015 to January 2020 in the Obstetrics and Gynecology clinics of two university hospitals. A prospective comparative study was conducted, and sixty patients were included in each group, which were compared in terms of operation time, blood loss, length of hospital stay, complications, port site hernia, postoperative pain score, conversion rate, cosmesis and failure of sterilization. Results: There was no need to convert to open surgery in either group. Average blood loss was similar between the groups (107.6 ml vs 98.4 ml, P=0.14). Operating time was significantly longer in group 2 compared to group 1 (38 minutes vs. 26 minutes, P=0.02). Higher pain scores were observed in group 2 compared to group 1 at the 24th postoperative hour (2.21 vs 3.82, P=0.012). Patients in group 1 were more satisfied with the single incision in the umbilicus based on cosmetic outcome scores (4.88 vs 3.16, P=0.018). There were no reported intraoperative complications in either group. No port site hernias and failure of sterilization were observed in any of the patients. All patients were followed up for a mean of 19 months (range: 12–60 months). Conclusion: Single incision two port laparoscopic tubal ligation does not increase the risk of complications and appears safe. It provides better cosmetic outcomes and lower pain scores compared to conventional laparoscopy.
Single incision laparoscopy, tubal ligation, conventional laparoscopy
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Yazarlar

Orcid: 0000-0003-4833-8978
Yazar: Adeviye ELÇİ ATILGAN (Sorumlu Yazar)
Kurum: İstanbul Medipol University, Faculty of Medicine, Department of Obstetry and Gynecology,
Ülke: Turkey


Orcid: 0000-0001-6478-2206
Yazar: Ali ACAR
Kurum: Necmettin Erbakan University Meram Faculty of Medicine, Department of Obstetry and Gynecology
Ülke: Turkey


Orcid: 0000-0002-9735-3552
Yazar: Fatma KILIÇ
Kurum: Necmettin Erbakan University Meram Faculty of Medicine, Department of Obstetry and Gynecology
Ülke: Turkey


Orcid: 0000-0003-1985-552X
Yazar: Şükriye Leyla ALTUNTAŞ
Kurum: İstanbul Medipol University, Faculty of Medicine, Department of Obstetry and Gynecology,
Ülke: Turkey


Orcid: 0000-0001-8322-6643
Yazar: Asiye UZUN
Kurum: İstanbul Medipol University, Faculty of Medicine, Department of Obstetry and Gynecology,
Ülke: Turkey


Orcid: 0000-0002-5668-9113
Yazar: Derya YAŞAR
Kurum: Istanbul Medipol University,Faculty of Medicine Department of Obstetry and Gynecology
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Ocak 2021

Bibtex @araştırma makalesi { josam838138, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2021}, volume = {5}, pages = {85 - 88}, doi = {10.28982/josam.838138}, title = {Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study}, key = {cite}, author = {Elçi Atılgan, Adeviye and Acar, Ali and Kılıç, Fatma and Altuntaş, Şükriye Leyla and Uzun, Asiye and Yaşar, Derya} }
APA Elçi Atılgan, A , Acar, A , Kılıç, F , Altuntaş, Ş , Uzun, A , Yaşar, D . (2021). Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study . Journal of Surgery and Medicine , 5 (1) , 85-88 . DOI: 10.28982/josam.838138
MLA Elçi Atılgan, A , Acar, A , Kılıç, F , Altuntaş, Ş , Uzun, A , Yaşar, D . "Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study" . Journal of Surgery and Medicine 5 (2021 ): 85-88 <http://jsurgmed.com/tr/pub/issue/59430/838138>
Chicago Elçi Atılgan, A , Acar, A , Kılıç, F , Altuntaş, Ş , Uzun, A , Yaşar, D . "Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study". Journal of Surgery and Medicine 5 (2021 ): 85-88
RIS TY - JOUR T1 - Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study AU - Adeviye Elçi Atılgan , Ali Acar , Fatma Kılıç , Şükriye Leyla Altuntaş , Asiye Uzun , Derya Yaşar Y1 - 2021 PY - 2021 N1 - doi: 10.28982/josam.838138 DO - 10.28982/josam.838138 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 85 EP - 88 VL - 5 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.838138 UR - https://doi.org/10.28982/josam.838138 Y2 - 2021 ER -
EndNote %0 Journal of Surgery and Medicine Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study %A Adeviye Elçi Atılgan , Ali Acar , Fatma Kılıç , Şükriye Leyla Altuntaş , Asiye Uzun , Derya Yaşar %T Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study %D 2021 %J Journal of Surgery and Medicine %P -2602-2079 %V 5 %N 1 %R doi: 10.28982/josam.838138 %U 10.28982/josam.838138
ISNAD Elçi Atılgan, Adeviye , Acar, Ali , Kılıç, Fatma , Altuntaş, Şükriye Leyla , Uzun, Asiye , Yaşar, Derya . "Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study". Journal of Surgery and Medicine 5 / 1 (Ocak 2021): 85-88 . https://doi.org/10.28982/josam.838138
AMA Elçi Atılgan A , Acar A , Kılıç F , Altuntaş Ş , Uzun A , Yaşar D . Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study. J Surg Med. 2021; 5(1): 85-88.
Vancouver Elçi Atılgan A , Acar A , Kılıç F , Altuntaş Ş , Uzun A , Yaşar D . Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study. Journal of Surgery and Medicine. 2021; 5(1): 85-88.
IEEE A. Elçi Atılgan , A. Acar , F. Kılıç , Ş. Altuntaş , A. Uzun ve D. Yaşar , "Single incision-two port laparoscopic tubal ligation versus conventional three port laparoscopic tubal ligation: A prospective comparative study", Journal of Surgery and Medicine, c. 5, sayı. 1, ss. 85-88, Oca. 2021, doi:10.28982/josam.838138