4.1 Article

Minilaparoscopic single-site bilateral salpingo-oophorectomy: a scarless prophylactic procedure

Journal

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
Volume 31, Issue 2, Pages 313-318

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/13645706.2020.1790391

Keywords

Salpigo-oophorectomy; risk-reducing surgery; minilaparoscopy; laparoscopy; BRCA

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This case report presents the successful use of minilaparoscopic single-site technique for bilateral salpingo-oophorectomy, demonstrating its potential as a minimally invasive and effective option for risk-reducing surgery in certain patients.
We present the first case of minilaparoscopic single-site bilateral salpingo-oophorectomy (BSO) performed as a risk-reducing procedure in a 39-year-old woman presenting with BRCA-1 mutation. Surgery was performed using only minilaparoscopic instruments inserted alternatively through two 3-mm umbilical trocars placed one next to the other. Following the BSO, specimens were retrieved within an endobag through the posterior vaginal fornix. No intraoperative or postoperative complications occurred. The patient was discharged home on the day of surgery. Thirty-day postoperative clinical evaluation was uneventful. In selected patients, the minilaparoscopic single-site approach might represent an alternative technique to minimize surgical trauma and morbidity in patients undergoing risk-reducing BSO.

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