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
Endoscopyjournal_title
Endoscopyauthors
Hackethal A,Sucke J,Oehmke F,Münstedt K,Padberg W,Tinneberg HRdoi
10.1055/s-0030-1255756subject
Has Abstractpub_date
2010-10-01 00:00:00pages
875-8issue
10eissn
0013-726Xissn
1438-8812journal_volume
42pub_type
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