ABSTRACT
Laparoendoscopic single-site (LESS) surgery continues to be considered as a progression of a minimally invasive surgery for gynecologic procedures. This procedure has the benefit of consolidating the fascial defect to a single site at the umbilicus, and at the same time, avoiding lateral puncture wounds. In so doing, there is the potential that LESS surgery is an improved route for certain procedures, with the potential for improved cosmesis and decreased postoperative pain. Although technological innovation has permitted a surge in interest and demonstrated feasibility of this methodology, many challenges still exist for the widespread adoption of LESS. Acknowledging the present challenges with LESS, this chapter reviews the potential benefits, available instrumentation, and surgical principles of LESS surgery.
