{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:05:31Z","timestamp":1694423131432},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>Summary  Objective: to describe the initial results of a laparoscopic single port access hysterectomy and also to evaluate the feasibility and safety of this access.  Methods: a prospective study was performed at a tertiary university medical center (Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo) between March 2013 and June 2014. A total of 20 women, referred for hysterectomy due to benign uterine disease, were included in the study after they had signed an informed consent. Outcome measures, including operating time, blood loss, rate of complications, febrile morbidity, visual analogical pain score and length of hospital stay were registered.  Results: mean patient age and body mass index (BMI) were 47.8 years and 27.15 kg\/m2, respectively. Mean operating time was 165.5 min. Blood loss was minimal, with no blood transfusion. All procedures but one were successfully performed via a single incision and no post-operative complications occurred. We experienced one conversion to multiport laparoscopic hysterectomy due to extensive pelvic adhesions. There was no conversion to \u201copen\u201d total abdominal hysterectomy. None of the patients required narcotics or NSAD post-operatively.  Conclusion: single-port hysterectomy is a feasible and safe technique, with no major complications.<\/jats:p>","DOI":"10.1590\/1806-9282.61.05.446","type":"journal-article","created":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T21:51:44Z","timestamp":1448056304000},"page":"446-451","source":"Crossref","is-referenced-by-count":4,"title":["Single-port laparoscopic hysterectomy: preliminary results"],"prefix":"10.1590","volume":"61","author":[{"given":"Renata Assef","family":"Tormena","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio Conti","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Arantes","family":"Maciel","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edmund Chada","family":"Baracat","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0020-7292(03)00271-6","article-title":"A randomized study of total abdominal, vaginal and laparoscopic hysterectomy","volume":"83","author":"Ribeiro SC","year":"2003","journal-title":"Int J Gynecol Obstet"},{"key":"ref2","first-page":"543627","article-title":"Single-port access laparoscopy-assisted vaginal hysterectomy: our initial experiences with 100 cases","volume":"2012","author":"Choi YS","year":"2012","journal-title":"Minim Invasive Surg"},{"key":"ref3","first-page":"69","article-title":"Current trends of gynecologic surgery in the 21st century: scarless surgery","volume":"22","author":"Park YS","year":"2010","journal-title":"Korean J Gynecol Endosc Minim Invasive Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.eururo.2008.07.009","article-title":"Transumbilical single-port surgery: evolution and current status","volume":"54","author":"Canes D","year":"2008","journal-title":"Eur Urol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1089\/gyn.1989.5.213","article-title":"Laparaoscopic hysterectomy","volume":"5","author":"Reich H","year":"1989","journal-title":"J Gynecol Surg"},{"key":"ref6","first-page":"721","article-title":"Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture","volume":"88","author":"Pelosi MA","year":"1991","journal-title":"N J Med"},{"key":"ref7","first-page":"195","article-title":"Laparo-endoscopic single site hysterectomy in gynecologic surgery","volume":"20","author":"Hart S","year":"2010","journal-title":"Surg Technol Int"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1159\/000324384","article-title":"Learning curve and surgical outcome for single-port access total laparoscopic hysterectomy in 100 consecutive cases","volume":"72","author":"Paek J","year":"2011","journal-title":"Gynecol Obstet Invest"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S1074-3804(00)80004-3","article-title":"The AAGL Classification system for laparoscopic hysterectomy","volume":"7","author":"Olive DL","year":"2000","journal-title":"J Am Assoc Gynecol Laparosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"389","DOI":"10.5468\/ogs.2013.56.6.389","article-title":"Laparoscopic vaginal vault closure with conventional straight instruments in single-port access total laparoscopic hysterectomy","volume":"56","author":"Park D","year":"2013","journal-title":"Obstet Gynecol Sci"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/GCO.0000000000000090","article-title":"Laparoendoscopic single-site hysterectomy: is it safe and feasible?","volume":"26","author":"Fanfani F","year":"2014","journal-title":"Curr Opin Gynecol Obstet"},{"key":"ref12","first-page":"133","article-title":"Single-port gynecologic surgery","volume":"3","author":"Jackson T","year":"2010","journal-title":"Rev Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/j.jmig.2014.03.012","article-title":"Barbed suture versus traditional suture in single-port total laparoscopic hysterectomy","volume":"21","author":"Song T","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2462","DOI":"10.1007\/s00464-010-1567-z","article-title":"A randomized prospective study of single-port and four-port approaches for hysterectomy in terms of postoperative 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