Table 1 Type of laparoscopy surgery performed on thin patients

Previous surgery status in the cases (N = 39 + 31 = 70)

Total cases with previous open surgeries = 39

• Transverse scar = 24 (61.53%)

• Vertical scar = 11(28.20%)

• McBurney’s scar = 3(7.69%)

• Kocher’s scar = 1(2.56%)

# 3 cases with large vertical scar extending into the upper abdomen

Total cases with previous laparoscopy = 31

Mild (n=190)

Severe (n = 72)

1. Myomectomy (n = 53)

(n = 26)

(n = 18)

(n = 9)

Total: 7 cases with previous surgeries

6 = open

Open myomectomy = 3 (2 vertical scars, 1 transverse scar)

Laparotomy for ectopic pregnancy = 2 (1 vertical scar, 1 transverse scar)

Open appendectomy = 1 (McBurney’s scar)

1 = laparoscopic appendectomy

*7 cases with previous 1 surgery

 Range of duration of surgery

60–70 min

120–130 min

180–240 min

 Weight of specimen (g)

< 300 (n = 26)

300–999 (n = 18)

> 1000 (n = 9)

# includes 2 cases of 2500 g myoma each

2. TLH (n = 20)

(n = 15)

(n = 3)

(n = 2)

Total: 5 cases with previous surgeries

5 = open

Open cholecystectomy = 1 (Kocher’s incision)

LSCS = 4 (3 transverse, 1 vertical)

*4 cases with previous 1 surgery

*1 case with previous 3 surgeries (2 LSCS, 1 laparoscopic ovarian cystectomy)

 Range of duration of surgery

50–70 min

90–120 min

150–180 min

# includes a case with previous 3 surgeries

 Weight of specimen (g)

< 300 (n = 16)

300–999 (n = 3)

> 1000 (n = 1)

# include 1 case of 1200 g uterus

3. Endometriosis (N = 69)

–

(n = 20)

(n = 49)

Total: 9 cases with previous surgeries

5 = open surgeries

Endometrioma = 1 (vertical above the umbilicus)

Myomectomy = 2 (transverse)

Open for endometriosis = 2 (transverse)

4 = laparoscopies

Endometriosis II/III (1)

Lap for adhesions (2)

DIE (1)

*8 cases with previous 1 surgery

*1 case with previous 2 surgeries

 Range of duration of surgery

–

90–120 min

150–180 min

 Per op findings

Grade I/II (n = 0)

Grade III (n = 20)

Severe grade IV endometriosis with endometriotic cyst (n = 14)

DIE (n = 35)

4. Adenomyoma (n = 4)

–

(n = 2)

(n = 2)

Total: 1 case with previous surgeries

1 = laparoscopy for extensive endometriosis

*1 case with previous 1 surgery

 Range of duration of surgery

–

90–120 min

120 min

# includes a case with previous laparotomy with vertical scar and dense adhesions

5. Ovarian cysts (n = 12)

(n = 2)

(n = 6)

(n = 4)

No case with previous surgery

 Size of cysts (cm)

6–8 cm

> 8 cm without adhesions

> 8 cm with adhesions

 Range of duration of surgery

60–80 min

80–120 min

120–150 min

6. Urogynecological surgeries (n = 2) (pectopexy/sacrocolpopexy/for prolapse uterus)

–

(n = 2)

–

Total: 1 case with previous surgery

1 = open surgery

TAH for large multiple fibroids (transverse)

*1 case with previous 1 surgery

 Range of duration of surgery

–

70–120 min

–

7. Koch’s abdomen (n = 46)

–

(n = 40)

(n = 6)

Total: 8 cases with previous surgeries

6 = open surgeries

Ectopic = 1 (transverse)

LSCS = 2 (1 transverse, 1 vertical)

Dense adhesions, caseoma = 1 (transverse)

Frozen pelvis = 1 (vertical scar extending above the umbilicus)

Myoma = 1 (transverse)

2 = laparoscopies

1 = endometriotic cyst

1 = dense adhesion

*7 cases with previous 1 surgery

*1 case with previous 2 surgeries

 Range of duration of surgery

60–90 min

90–130 min

# include cases with frozen pelvis, caseoma, extensive bowel adhesions

8. Mullerian anomalies (n = 29)

–

(n = 29)

–

Total: 12 cases with previous surgery

7 = open surgeries

LSCS = 2 (transverse scar)

Myomectomy = 2 (1 vertical, 1 transverse)

Ovarian cystectomy = 1 (transverse)

Laparotomy for ectopia vesicae = 1 (vertical above the umbilicus)

Open appendectomy = 1 (McBurney’s scar)

5 = laparoscopies

Septate resection, adhesiolysis, adenomyoma, adenomyosis

*10 cases with previous 1 surgery

*2 cases with previous 2 surgeries

 Range of duration of surgery

–

60–120 min

–

9. Vaginoplasty (n = 4)

–

(n = 4)

–

No previous surgery

 Range of duration of surgery

–

70–90 min

–

10. Video laparoscopy hysteroscopy for infertility evaluation (n = 121)

(n = 121)

–

–

Total: 19 cases with previous surgeries

5 = open surgeries

LSCS = 3 (2 transverse, 1 vertical)

Appendectomy = 1 (McBurney’s scar)

Ectopic = 1 (transverse)

14 = laparoscopies

3 = lap for endometriosis

2 = lap for Koch’s

2 = lap for myoma

1 = lap for ovarian torsion

1 = lap for prolapse repair

5 = lap for infertility evaluation

*17 cases with previous 1 surgery

*2 cases with previous 2 surgeries

 Range of duration of surgery

40–60 min

–

–

11. PCOS (n = 20)

(n = 20)

–

–

Total: 2 cases with previous surgeries

2 = laparoscopies

Myomectomy = 1

Appendectomy = 1

*2 cases with previous 1 surgery

 Range of duration of surgery

30–60 min

–

–

12. Ectopic pregnancy (n = 10)

(n = 6)

(n = 4)

–

Total: 4 cases with previous surgeries

4 = open surgeries

Tubal recanalization = 1 (vertical)

LSCS = 3 (transverse)

*2 cases with previous 1 surgery

*2 cases with previous 2 surgeries (LSCS, lap for endometriosis)

 Range of duration of surgery

40–70 min

70–90 min

–

13. Tubal block (n = 4)

–

(n = 4)

–

Total: 2 cases with previous surgeries

2 = laparoscopies

TO mass = 1

PCOS = 1

2 case with previous 1 surgery

 Range of duration of surgery

–

60–120 min

–

14. Dermoid cyst (n = 4)

–

(n = 4)

–

No previous surgery

 Range of duration of surgery

–

90–100 min

–