Lee Doo Haeng, Nam Su Hyun, Song Taejong, Kim Woo Young, Lee Kyo Won, Kim Kye Hyun
Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2015 Jul;58(4):289-93. doi: 10.5468/ogs.2015.58.4.289. Epub 2015 Jul 16.
To investigate the public perception of laparoendoscopic single-site surgery (LESS) according to the age group.
An anonymous questionnaire about the desire for cosmesis and the preference for LESS in treatment of benign gynecologic diseases was provided to healthy volunteers (n=102). The survey participants were divided into two age groups (young women ≤40 years and middle-aged women >40 years). The desire for cosmesis was assessed using a validated scale, Body Image Scale.
All of the participants completed the questionnaire. The Body Image Scale scores were not different between the two age groups (11.5±3.5 vs. 11.8±4.0, P=0.656). The most common fear of surgery was the risk of complications in both age groups (69% in the young age group and 65% in the middle-aged group). Unless the operative risk increased, most of the participants (61% to 67%) in both age groups preferred LESS. Their choice was influenced by reduced scarring (43% to 61%), more safety (20% to 39%), reduced postoperative pain (8% to 10%), and new technology (4% to 6%).
Based on these results, there was no difference in the desire for cosmesis and perception of LESS according to the age. Therefore, physicians should discuss and consider LESS even in middle-aged women.
根据年龄组调查公众对单孔腹腔镜手术（LESS）的认知。
向健康志愿者（n = 102）提供一份关于美容需求以及对LESS治疗良性妇科疾病偏好的匿名问卷。调查参与者被分为两个年龄组（≤40岁的年轻女性和>40岁的中年女性）。使用经过验证的量表“身体形象量表”评估美容需求。
所有参与者均完成问卷。两个年龄组的身体形象量表得分无差异（11.5±3.5对11.8±4.0，P = 0.656）。两个年龄组最常见的手术担忧都是并发症风险（年轻组为69%，中年组为65%）。除非手术风险增加，两个年龄组的大多数参与者（61%至67%）都更倾向于LESS。他们的选择受以下因素影响：疤痕减少（43%至61%）、更安全（20%至39%）、术后疼痛减轻（8%至10%）和新技术（4%至6%）。
基于这些结果，根据年龄，美容需求和对LESS的认知没有差异。因此，医生即使在中年女性中也应讨论并考虑LESS。
