{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:21:51Z","timestamp":1771460511107,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,4,30]],"date-time":"2012-04-30T00:00:00Z","timestamp":1335744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Single incision laparoscopic surgery (<jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content>) represents the latest advancement in minimally invasive surgery, combining the benefits of conventional laparoscopic surgery, such as less pain and faster recovery, with improved cosmesis. Although the successful use of this technique is well reported in general surgery and urology, there is a lack of studies on <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> in gynaecology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the feasibility, safety, cosmesis and outcome of <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> in gynaecology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective case series analysis of 105 women scheduled to undergo surgery by <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> from August 2010 to November 2011. Intra\u2010operative data such as operative time, estimated blood loss, complications, additional ports and hospital stay were collected. Post\u2010operative pain and cosmetic outcomes (scar size) were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of 105 women, <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> was performed for 84 (60 excisions of endometriosis, 13 divisions of adhesions, five hysterectomies, two mesh sacrohysteropexies and four ovarian cystectomies). <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> was not undertaken for 21 women because of a number of factors, including the lack of required equipment (eg bariatric scope, <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> port, roticulating instruments and diathermy leads). Four women required insertion of additional ports because of surgical difficulties. One intra\u2010operative (uterine perforation) and seven post\u2010operative complications (six wound infections and one vault haematoma) occurred. Mean operation times were as follows: mesh sacrohysteropexy \u2013 60\u00a0min, excision of endometriosis \u2013 55\u00a0min, hysterectomy \u2013 150\u00a0min, laparoscopic division of adhesions \u2013 62\u00a0min and ovarian cystectomy \u2013 40\u00a0min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our experience shows that <jats:styled-content style=\"fixed-case\">SILS<\/jats:styled-content> is a feasible and safe technique for the surgical management of various gynaecological conditions. Satisfaction is high because of improved cosmesis and reduced analgesic requirements post\u2010operatively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1479-828x.2012.01443.x","type":"journal-article","created":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T16:17:46Z","timestamp":1335889066000},"page":"366-370","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Single incision laparoscopic surgery (<scp>SILS<\/scp>) in gynaecology: Feasibility and operative outcomes"],"prefix":"10.1111","volume":"52","author":[{"given":"Fariba","family":"Behnia\u2010Willison","sequence":"first","affiliation":[{"name":"Obstetrics &amp; Gynaecology Flinders Medical Centre Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Foroughinia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Shiraz University of Medical Sciences Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Sina","sequence":"additional","affiliation":[{"name":"FBW gynaecology plus Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"McChesney","sequence":"additional","affiliation":[{"name":"Obstetrics &amp; Gynaecology Flinders Medical Centre Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.12.024"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.05.005"},{"key":"e_1_2_6_4_1","first-page":"751","article-title":"Laparoscopic sterilization. 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