Obstet Gynecol Sci.  2015 Jul;58(4):289-293. 10.5468/ogs.2015.58.4.289.

Public perception of "scarless" laparoendoscopic single-site surgery in gynecology

• Lee DH
• Nam SH
• Song T
• Kim WY
• Lee KW
• Kim KH

• KMID: 2314049
• DOI: http://doi.org/10.5468/ogs.2015.58.4.289

Abstract

OBJECTIVE
To investigate the public perception of laparoendoscopic single-site surgery (LESS) according to the age group.
METHODS
An anonymous questionnaire about the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases was provided to healthy volunteers (n=102). The survey participants were divided into two age groups (young women < or =40 years and middle-aged women >40 years). The desire for cosmesis was assessed using a validated scale, Body Image Scale.
RESULTS
All of the participants completed the questionnaire. The Body Image Scale scores were not different between the two age groups (11.5+/-3.5 vs. 11.8+/-4.0, P=0.656). The most common fear of surgery was the risk of complications in both age groups (69% in the young age group and 65% in the middle-aged group). Unless the operative risk increased, most of the participants (61% to 67%) in both age groups preferred LESS. Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).
CONCLUSION
Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age. Therefore, physicians should discuss and consider LESS even in middle-aged women.

Keyword

Age; Cosmesis; Laparoendoscopic single-site surgery; Laparoscopy; Perception

MeSH Terms

Anonyms and Pseudonyms
Body Image
Cicatrix
Female
Genital Diseases, Female
Gynecology*
Healthy Volunteers
Humans
Laparoscopy
Pain, Postoperative

Figure

• 

  Fig. 1 Representative operative incision. (A) Conventional laparoscopic surgery and (B) laparoendoscopic single-site surgery.

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