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

Masao Ichikawa, Shigeo Akira, Akira S, Eri Hamano, Hamano E, Shuichi Ono, Ono S, Mine K, Katsuya Mine, Takeshita T, Toshiyuki Takeshita
Journal of Nippon Medical School = Nippon Ika Daigaku zasshi · 2013 · doi:10.1272/jnms.80.78 · PMID:23470811
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⚙ AI-generated summary by claude@2026-07, 2026-07-16 ⓘ

This paper presents mimic mini-laparoscopic surgery, a technique using 3-mm trocars placed laterally and near the pubic hairline, as a secure method for cosmetic gynecological procedures with minimal scarring.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-16 · read from full text ⓘ

This case report describes a “mimic mini-laparoscopic surgery” technique for gynecologic patients who prioritize cosmetic outcomes, using direct placement of 3-mm trocars in the lateral abdominal wall and at the lower border of the pubic hair rather than laparoendoscopic single-site approaches. The authors report that the method was used in their cases to achieve a superior cosmetic outcome, aiming to avoid issues like umbilical pigmentation, cicatrix, umbilical eversion, and umbilical herniation. A key limitation is that the evidence presented is limited to case reports without broader comparative data. Relevance to endometriosis: the paper is about cosmetic aspects of minimally invasive trocar placement and mentions ovarian cystectomy as a keyword, but it does not explicitly discuss endometriosis or adenomyosis.

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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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Condition tags

endometriosis

MeSH descriptors

Laparoscopy Laparoscopy Surgical Instruments Adult Dermoid Cyst Dermoid Cyst Endometriosis Endometriosis Female Humans Laparoscopy Ovarian Neoplasms Ovarian Neoplasms Pregnancy Pregnancy, Ectopic Pregnancy, Ectopic Reproducibility of Results Treatment Outcome Young Adult

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