Comparative study on gasless laparoscopy using a new device versus conventional laparoscopy for surgical management of postmenopausal patients.

Publisher: Medknow Publications Country of Publication: India NLM ID: 101228183 Publication Model: Print Cited Medium: Print ISSN: 0972-9941 (Print) Linking ISSN: 19983921 NLM ISO Abbreviation: J Minim Access Surg Subsets: PubMed not MEDLINE

Original Publication: Mumbai, India : Medknow Publications

Competing Interests: None
Objective: To compare gasless laparoscopy with conventional laparoscopy for the surgical management of postmenopausal patients.
Methods: The medical records of 80 postmenopausal patients who underwent laparoscopic surgeries between February 2016 and February 2020 were reviewed. Forty patients underwent gasless laparoscopy and 40 patients underwent conventional single-port access (SPA) laparoscopy. The two groups were compared in terms of surgical outcomes.
Results: : Of 80 patients, 42 underwent adnexal surgeries and 38 underwent uterine surgeries such as total hysterectomy or myomectomy. Between the gasless SPA and conventional SPA laparoscopic groups, no significant differences were observed in terms of age, body mass index, parity or history of previous abdominal surgery. The mean retraction setup time from skin incision was 6.8 ± 1.2 min with gasless laparoscopic surgery. There was no significant difference in mean total operation times for the gasless (71.3 ± 31.4 min) and conventional (82.5 ± 36.4 min) groups. There was also no significant difference between the groups in terms of operation type, laparotomy conversion rate or duration of hospitalisation. There were no major complications in either group.
Conclusions: Gasless laparoscopy is a safe and feasible alternative to conventional laparoscopy for postmenopausal women.

Endocr J. 2004 Apr;51(2):159-64. (PMID: 15118265)
JSLS. 2020 Jan-Mar;24(1):. (PMID: 32161436)
Am J Obstet Gynecol. 1997 Jul;177(1):109-14. (PMID: 9240592)
Acta Cir Bras. 2013 Jul;28(7):494-8. (PMID: 23842929)
Surg Laparosc Endosc Percutan Tech. 2020 Aug;30(4):356-360. (PMID: 32788566)
Surg Endosc. 1995 Feb;9(2):128-33; discussion 133-4. (PMID: 7597579)
Anesthesiol Clin North Am. 2001 Mar;19(1):43-55. (PMID: 11244919)
Surg Endosc. 2021 Jun;35(6):2457-2464. (PMID: 32444972)
Surgeon. 2012 Apr;10(2):71-4. (PMID: 22385527)
Menopause Int. 2007 Jun;13(2):60-4. (PMID: 17540135)
Climacteric. 2007 Aug;10(4):289-97. (PMID: 17653955)
Surgery. 1993 Sep;114(3):549-54. (PMID: 8367810)
Med J Armed Forces India. 2015 Apr;71(2):126-31. (PMID: 25859073)
Adv Chronic Kidney Dis. 2010 Jul;17(4):302-7. (PMID: 20610357)
Obstet Gynecol. 2018 Jun;131(6):1008-1010. (PMID: 29742667)
Anaesthesia. 1996 Aug;51(8):744-9. (PMID: 8795317)
J Reprod Med. 2003 Oct;48(10):792-8. (PMID: 14619647)
Surg Endosc. 1995 Feb;9(2):121-4. (PMID: 7597577)
Surg Endosc. 2017 Nov;31(11):4576-4582. (PMID: 28389799)

Keywords: Benign gynaecologic disease; conventional laparoscopy; gasless laparoscopy; postmenopause

Date Created: 20220616 Latest Revision: 20220724

20250114

PMC9306136

10.4103/jmas.JMAS_82_21

35708378