Transvaginal Single-Port Natural Orifice Transluminal Endoscopic Surgery for Benign Uterine Adnexal Pathologies

Autor: Ki Hoon Ahn, Tak Kim, Jae Yun Song, Kyu Wan Lee, Sun Haeng Kim
Rok vydání: 2012
Předmět:
Zdroj: Journal of Minimally Invasive Gynecology. 19:631-635
ISSN: 1553-4650
DOI: 10.1016/j.jmig.2012.04.001
Popis: Transvaginal natural orifice transluminal endoscopic surgery (NOTES) with pneumoperitoneum has been used in cholecystectomies, appendectomies, and nephrectomies, but transvaginal NOTES using a single port in gynecologic procedures has not been described despite gynecologist familiarity with the vaginal approach. We performed transvaginal single-port NOTES in 10 women with benign uterine adnexal disease: oophorectomy in 3 patients, salpingostomy and salpingectomy in 2 each, and ovarian cystectomy, paratubal cystectomy, and ovarian wedge resection in 1 each. The patients were discharged at 1 or 2 days postoperatively, and were satisfied, with minimal pain, no abdominal scar, and no complications at 2-month follow-up. We conclude that transvaginal single-port NOTES to treat benign uterine adnexal disease is a feasible and attractive option.
Databáze: OpenAIRE