aparoscopic single site surgery(LESS) is well established for a number of gynaecological procedures including salpingo-oophorectomy and hysterectomy. There are a
number of ports currently available, and although initialreports of cosmesis were mixed [3], there have beenreports of greatly improved cosmesis from a small trial
from a university hospital in Korea [4, 6]. The method used for analysis of scar appearance was the cosmeticbody image score (CBIS) which is a validated body
image questionnaire, and the same authors reporte good cosmetic outcomes compared to traditional multi-port surgery [7]. The same unit provided data suggest-ing that, for their population, the approach was safe,well tolerated by patients and accepted by surgeons[5]. The GELPOINT single incision port has been used for laparoscopic hysterectomy and bilateral salpingo-oophorectomy in the USA. According to one case se-ries, similar established methods carry low complicatio rates of umbilical hernia (0.9 %), conversion to conven-tional laparoscopy (3 %) or laparotomy (2 %) in th hands of experienced surgeons [1]. A French team hav used GELPOINT for para-aortic lymph node dissectio and showed the procedure to be safe and feasible [2]. To date, there has been no formal cosmetic assessmenof the GELPOINT scars in a European context. We
evaluated this type of single incision port which com-bines the principles of the ALEXIS retractor (Applied Medical) with a gel-based seal system. The specifics of
the design obviate the need for reticulated instrument which are often required with many SILS ports. In ad-dition to the surgical feasibility of this novel port in
European gynaecological practice, an assessment of pa-tients’ satisfaction with the procedure was includedCBIS was used to evaluate patients post-operatively to
determine their satisfaction with their scars (Table1). Iaddition, a visual analogue pain score documented their post-operative discomfort. Operative parameters includ-ing length of incision, duration of surgery, blood loss and need for addition ports were recorded. Postopera-tively, length of stay, blood transfusion and complications
(up 6 weeks) were noted.