Establishing transvaginal NOTES for gynecological and surgical indications: benefits, limits, and patient experience.

Abstract:

:Gynecologists have been performing transvaginal surgery for over a century and consequently the transvaginal approach was advocated for establishing natural orifice transluminal endoscopic surgery (NOTES) in gynecological and surgical practice. From 2008 the NOTES alternative has been offered to selected patients. Transvaginal cholecystectomies were intended in 13 patients and completed in 12. Various additional procedures were performed. All surgical procedures and postoperative courses were uneventful. The mean operating time for transvaginal cholecystectomy only was 88.4 minutes (standard deviation [SD] 17.3). A questionnaire was posted to the patients after a mean follow-up of 8.5 months. Patients primarily chose transvaginal NOTES because of the lack of scarring. Vaginal sensation was not affected. Patients perceived transgastric, transvesical, and transrectal surgery to be less acceptable approaches. The feasibility of transvaginal NOTES was proven for different indications. Patients' experiences and perceptions concerning transvaginal NOTES were excellent.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Hackethal A,Sucke J,Oehmke F,Münstedt K,Padberg W,Tinneberg HR

doi

10.1055/s-0030-1255756

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

875-8

issue

10

eissn

0013-726X

issn

1438-8812

journal_volume

42

pub_type

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