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Article Synopsis
  • The manuscript details a rare case of a large ovarian dermoid cyst that includes a mandibular structure with three teeth.
  • Only six similar cases have been reported previously, making this one particularly unique.
  • This is the first instance documented where such a dermoid cyst was treated using transumbilical laparoendoscopic single-site surgery.
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Background: Transumbilical laparoendoscopic single-site surgery (TU-LESS) has gained increasing attention due to the potential to maximize the benefits of laparoscopic surgery. This study aimed to compare outcomes of TU-LESS and multiport laparoscopic surgery (MLS) for the treatment of benign ovarian cysts.

Methods: This retrospective cohort study included patients with benign ovarian cysts that were admitted to the Second Hospital of Hebei Medical University between September 2010 and September 2022.

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Transvaginal natural orifice endoscopic surgery for hysterectomy: a prospective cohort study.

BMC Womens Health

November 2024

Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, 1617 Riyue Avenue, Qingyang District, Chengdu, Sichuan, 611731, China.

Article Synopsis
  • The study compares vaginal natural orifice transluminal endoscopic surgery (vNOTES) to transumbilical laparoendoscopic single-site surgery (LESS) for hysterectomy, focusing on safety and benefits.
  • The research involved 192 patients in Chengdu, China, and found that vNOTES resulted in shorter surgery times and quicker recovery, but had a higher conversion rate and slightly increased blood loss.
  • The conclusion emphasizes vNOTES advantages in minimal invasiveness and cosmetic results, while recommending improvements in surgical techniques to minimize risks associated with the approach.
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Comparison of different types of single-port laparoscopic surgery in posterior uterine fibroid resection.

Sci Rep

September 2024

Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, 1617 Riyue Avenue, Qingyang District, Chengdu, 610036, Sichuan, China.

Article Synopsis
  • This study analyzes three surgical methods for treating posterior uterine fibroids: transumbilical laparoendoscopic single-site surgery (LESS), vaginal natural orifice transluminal endoscopic surgery in prone position (vNOTES-P), and vNOTES in lithotomy position (vNOTES-L).
  • The research included 79 patients from January to July 2023, with no significant differences in operative time, blood loss, or complications among the groups; however, vNOTES showed faster recovery with less postoperative pain.
  • Notably, vNOTES-P was highlighted as an advantageous technique for posterior fibroid resection, suggesting better surgical maneuverability and shorter operative time compared to LESS.
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To evaluate the operative outcome of the use of intracavitary retractors in transumbilical laparoendoscopic single-site (LESS) adrenalectomy in comparison with the conventional multiport laparoendoscopic procedure. Between July 2021 and December 2023, 34 patients underwent transumbilical LESS adrenalectomy with intracavitary retractors, while 47 patients underwent conventional multiport laparoscopic adrenalectomy. Comprehensive data were compared, including demographics, intraoperative outcomes, perioperative complications, postoperative visual analog pain scale score, analgesic requirement, and short-term measures of convalescence.

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