Background:
Single port laparoscopic surgery represents the latest advancement in minimally invasive surgery, combining the benefits of conventional laparoscopic surgery, such as less pain, faster recovery, with improved cosmesis. Single port laparoscopy is performed through a single, small skin incision 15-20 mm in size, usually hidden in the umbilicus.
Although single port laparoscopy seems similar to standard laparoscopy, theoretically there are some differences in techniques. To perform the former, some principals of conventional laparoscopy have to be broken in order to avoid crowding of all the working instruments within one incision transumbillically, and the basic principle of triangulation is therefore lost to some extent. The need for specially designed instruments (longer and roticulating) and flexible/ barrelled bariatric scopes may increase the cost and hence be another barrier to the uptake of this technique. When related to inadequate training and experience, these challenges may affect the safety and feasibility of this type of surgery
Aim:
To evaluate the safety, recovery time, cosmetic and clinical outcomes of single port laparoscopy in gynaecology in comparison to conventional laparoscopy

Materials and methods:
At FBW gynaecology plus we conducted a prospective study with regards to operating time, postoperative analgesia requirement, length of stay, complication rate and cosmetic satisfaction which will be presented in this PowerPoint presentation.

Results and conclusion:
In our hands single port laparoscopy is superior to conventional laparoscopy for some gynaecological pathologies in terms of pain score, length of stay and cosmetic outcome with no increased rate of complication. There is a new learning curve when switching from conventional laparoscopy to single port surgery which should be taken in to consideration before embarking on more complex surgery via single port laparoscopy.