Department of Obstetrics, Gynecology, and Women's Health, Minimally Invasive Gynecologic Surgery, Saint Louis University, St. Louis, Missouri 63117, USA.
J Minim Invasive Gynecol. 2013 Jan-Feb;20(1):79-84. doi: 10.1016/j.jmig.2012.09.008.
To estimate patient preferences insofar as the cosmetic appeal of abdominal incisions used for hysterectomy. We hypothesized that the laparoendoscopic single-site surgery (LESS) incision would be preferred cosmetically to traditional multiport laparoscopic incisions and open abdominal incisions via Pfannenstiel, vertical midline, or horizontal mini-laparotomy.
Prospective comparative study (Canadian Task Force classification II-2).
Two gynecology clinics at Duke University Medical Center in Durham, North Carolina.
Seventy-three women including 50 consecutive women from a private specialty clinic and 23 consecutive women from a resident indigent care clinic.
A brief questionnaire was distributed that assessed preferences via ranking and by using a visual analog scale. Patients were also asked to rate the importance of 4 factors in their decision making: size, location, and number of incisions, and perceived recovery time. Descriptive statistics, t tests, Wilcoxon rank-sum tests, and χ(2) tests were used to compare continuous or categorical values.
Overall, the LESS incision was the most preferred incision according to most common choice and visual analog scale scores. In the private clinic, the LESS incision was preferred most often, with 53% of women (39/73) ranking it as their first choice. In the resident clinic, the horizontal mini-laparotomy incision was preferred most often, with 27% of women (20/73) ranking it their first choice. Neither the demographic factors nor any of the factors in decision making explained the difference between the clinics.
The LESS incision was most preferred in this study. However, the horizontal mini-laparotomy incision and the traditional laparoscopic with low lateral incisions were also highly preferred. Patient perception of the "visibility" of abdominal incisions may be the distinguishing issue to explain the difference in the preferences between the clinics and the differences between the present study and previously published studies of cosmetic preferences.
评估患者对用于子宫切除术的腹部切口美容吸引力的偏好。我们假设腹腔镜单部位手术（LESS）切口在美容方面优于传统多孔腹腔镜切口和经 Pfannenstiel 切口、垂直中线切口或水平小剖腹切口的开放式腹部切口。
前瞻性比较研究（加拿大任务组分类 II-2）。
北卡罗来纳州达勒姆市杜克大学医学中心的两个妇科诊所。
73 名女性，包括来自私人专科诊所的 50 名连续女性和来自居民贫困护理诊所的 23 名连续女性。
分发了一份简短的问卷，通过排名和使用视觉模拟量表评估偏好。患者还被要求对他们决策的 4 个因素的重要性进行评分：切口的大小、位置和数量，以及感知的恢复时间。使用描述性统计、t 检验、Wilcoxon 秩和检验和 χ(2)检验来比较连续或分类值。
总体而言，根据最常见的选择和视觉模拟量表评分，LESS 切口是最受欢迎的切口。在私人诊所中，LESS 切口最受欢迎，有 53%的女性（39/73）将其列为首选。在居民诊所中，水平小剖腹切口最受欢迎，有 27%的女性（20/73）将其列为首选。人口统计学因素或决策中的任何因素都无法解释诊所之间的差异。
在这项研究中，LESS 切口最受欢迎。然而，水平小剖腹切口和传统腹腔镜低侧切口也非常受欢迎。患者对腹部切口“可见性”的感知可能是解释诊所之间偏好差异以及本研究与之前发表的美容偏好研究之间差异的关键问题。
