Study of Laparoendoscopic Single Site Hysterectomy in Benign and Preinvasive Uterine Disease

Prospective Randomized Comparison of Single-port and Three-port Laparoscopic Assisted Vaginal Hysterectomy

To compare the efficacy between single-port and three-port laparoscopic assisted vaginal hysterectomy in patients with benign or preinvasive uterine disease

This study intended to conduct a randomized trial to determine whether LESS LAVH has a faster recovery rate than three-port LAVH.

Inclusion Criteria:

• Patient who undergo laparoscopic assisted vaginal hysterectomy due to following gynecologic disease

  1. uterine leiomyoma
  2. uterine adenomyosis
  3. Endometrial hyperplasia
  4. cervical intraepithelial neoplasia including carcinoma in situ
  5. Dysfunctional uterine bleeding
  6. Other benign gynecologic disease requiring hysterectomy

• American Society of Anesthesiologists Physical Status classification I-II

• Patient who have signed an written informed consent

Exclusion Criteria:

• Uncontrolled medical disease
• Active infectious disease
• Previous pelvic radiation therapy
• Patient who requiring further procedure excluding hysterectomy, unilateral or bilateral salpingooophorectomy / salpingectomy / oophorectomy
• Patient who undergoes subtotal hysterectomy
• Patient who have other pain source excluding gynecologic disease
• Pregnancy and lactating woman