Mimic mini-laparoscopic surgery is a simple and secure approach using direct placement of 3-mm trocars without noticeable scars.

Masao Ichikawa, Akira S, Hamano E, Ono S, Mine K, Takeshita T
Journal of Nippon Medical School = Nippon Ika Daigaku zasshi · 2013 · doi:10.1272/jnms.80.78 · PMID:23470811
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The authors describe mimic mini-laparoscopic surgery using 3-mm trocars for direct placement in the lateral abdominal wall and lower pubic border to provide a scarless cosmetic alternative for gynecological patients.

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This case report introduces mimic mini-laparoscopic surgery, a technique utilizing direct placement of 3-mm trocars into the lateral abdominal wall and lower pubic hairline to avoid umbilical incisions. The authors developed this method to address cosmetic concerns associated with traditional laparoendoscopic single-site surgery, such as umbilical pigmentation, scarring, herniation, or eversion. They present cases demonstrating that this approach provides a secure surgical option with superior cosmetic outcomes for patients seeking concealed scars without altering the natural appearance of the navel. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Minimally invasive surgery is widely used in gynecology. Women who seek a cosmetic advantage (i.e., concealed scars) choose minimally invasive surgery. Although laparoendoscopic single-site surgery could be an ideal solution, some of our patients have had cosmetic problems, such as pigmentation and cicatrix of the umbilicus. In addition, umbilical eversion and umbilical herniation occasionally develop. Therefore, mini-laparoscopic surgery using 3-mm trocars can be recommended for patients who do not want the natural appearance of the navel to be altered. We have developed an approach to achieve a superior cosmetic outcome by direct placement of 3-mm trocars in the lateral wall of the abdomen and at the lower border of the pubic hair. We refer to this method as mimic mini-laparoscopic surgery and report cases in which this procedure was used.
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Keywords

mini-laparoscopic surgery, minimally invasive surgery, ovarian cystectomy, laparoendoscopic single-site surgery 2013 Volume 80 Issue 1 Pages 78-82 Details

Abstract

Minimally invasive surgery is widely used in gynecology. Women who seek a cosmetic advantage (i.e., concealed scars) choose minimally invasive surgery. Although laparoendoscopic single-site surgery could be an ideal solution, some of our patients have had cosmetic problems, such as pigmentation and cicatrix of the umbilicus. In addition, umbilical eversion and umbilical herniation occasionally develop. Therefore, mini-laparoscopic surgery using 3-mm trocars can be recommended for patients who do not want the natural appearance of the navel to be altered. We have developed an approach to achieve a superior cosmetic outcome by direct placement of 3-mm trocars in the lateral wall of the abdomen and at the lower border of the pubic hair. We refer to this method as mimic mini-laparoscopic surgery and report cases in which this procedure was used. © 2013 by the Medical Association of Nippon Medical School Favorites & Alerts Recently viewed articles Predecessor

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