Our Summary

This study examined the effectiveness of a new type of laparoscopic surgery, called gasless reduced-port laparoscopic surgery (GRP-LS), for treating gynecological conditions. This method was compared to a more traditional type of laparoscopic surgery, the gasless three-port surgery (G3P-LS). The researchers looked at patient information, how the surgeries went, and the results for different types of surgeries including removal of fibroids (LM), ovarian cysts (LC), and fallopian tubes (LT).

The results showed that the new GRP-LS method was used in 2,338 cases and the traditional G3P-LS was used in 2,473 cases. The GRP-LS took less time, resulted in less blood loss, and had a lower rate of needing to switch to open surgery compared to G3P-LS. Also, a good number of the surgeries using GRP-LS were performed by surgeons who had done less than 50 of these types of operations, suggesting it was an easy technique for less experienced surgeons to learn.

In conclusion, the GRP-LS is an effective surgery with fewer complications and less visible scarring. It is also easy for new or less experienced laparoscopic surgeons to learn and perform.

FAQs

  1. What is gasless reduced-port laparoscopic surgery (GRP-LS)?
  2. How does the GRP-LS method compare to the traditional gasless three-port surgery (G3P-LS) in terms of blood loss, time, and need to switch to open surgery?
  3. Can less experienced surgeons perform the GRP-LS method effectively?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about laparoscopic surgery is to expect shorter recovery time, less pain, and smaller scars compared to traditional open surgery. This minimally invasive approach can also result in fewer complications and a quicker return to normal activities. It is important to follow your doctor’s post-operative instructions carefully to ensure a successful recovery.

Suitable For

Patients who are recommended for laparoscopic surgery typically have gynecological conditions such as fibroids, ovarian cysts, or fallopian tube issues. These patients may benefit from the minimally invasive nature of laparoscopic surgery, which can result in shorter recovery times, less pain, and smaller scars compared to traditional open surgery. The study suggests that the new GRP-LS method may be a good option for these patients, as it has been shown to be effective with fewer complications and is easy for less experienced surgeons to learn and perform.

Timeline

Before laparoscopic surgery:

  1. Patient consults with a surgeon to discuss the need for surgery and the options available.
  2. Pre-operative tests and evaluations are conducted to ensure the patient is a suitable candidate for laparoscopic surgery.
  3. Patient is briefed on the procedure, risks, benefits, and recovery process.
  4. Patient may need to follow specific pre-operative instructions, such as fasting before surgery.

During laparoscopic surgery:

  1. Patient is given anesthesia to ensure they are comfortable and pain-free during the procedure.
  2. Surgeon makes small incisions in the abdomen to insert a laparoscope and other surgical instruments.
  3. Surgeon performs the necessary procedure, such as removing fibroids or cysts, using the laparoscope to guide them.
  4. Surgery is monitored and completed in a timely manner to minimize the patient’s time under anesthesia.

After laparoscopic surgery:

  1. Patient is monitored in a recovery area to ensure they are waking up from anesthesia safely.
  2. Patient may experience some pain or discomfort at the incision sites, which can be managed with pain medication.
  3. Patient is discharged from the hospital once they are stable and able to walk and eat comfortably.
  4. Patient is given post-operative instructions, including information on wound care, activity restrictions, and follow-up appointments.
  5. Patient may need to schedule a follow-up appointment with the surgeon to ensure proper healing and address any concerns.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic surgery?
  2. How long is the recovery time for laparoscopic surgery compared to traditional open surgery?
  3. Will I need any special preparation before the surgery?
  4. How many laparoscopic surgeries have you performed, and what is your experience with the specific procedure I need?
  5. What is the success rate of this type of laparoscopic surgery for my condition?
  6. Will I have any restrictions or limitations after the surgery?
  7. What type of anesthesia will be used during the surgery?
  8. How will my pain be managed after the surgery?
  9. Will I have any visible scarring after the surgery?
  10. Are there any alternative treatment options to consider before proceeding with laparoscopic surgery?

Reference

Authors: Ito H, Oishi Y, Takaesu Y, Isaka K. Journal: JSLS. 2023 Jan-Mar;27(1):e2022.00083. doi: 10.4293/JSLS.2022.00083. PMID: 37009065