2427 Hysterectomy and Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-Notes): Video Technical Report
| Autor: | Neeraj Kulkarni, D Pinto Rosario, R Sumak, A Vigueras Smith, Helder Ferreira |
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| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic surgery
Abdominal pain medicine.medical_specialty Hysterectomy Ovarian cyst business.industry medicine.medical_treatment Trendelenburg position Obstetrics and Gynecology Cosmesis Abdominal cavity medicine.disease Surgery Abdominal wall medicine.anatomical_structure medicine medicine.symptom business |
| Zdroj: | Journal of Minimally Invasive Gynecology. 26:S204 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2019.09.416 |
| Popis: | Video Objective to demonstrate a new NOTES technique in gynecology which can be used for hysterectomy and salpingo-oophorectomy in patients with uterine and adnexal pathology Setting NOTES yields access to the abdominal cavity without any incisions on the abdominal wall (scarless surgery), and the natural orifices of the body surface, such as the mouth and the vagina, serve as the gateway to the peritoneal cavity. Recently, clinical application of transvaginal NOTES has broadened significantly in gynecology. A 63-year-old woman (gravida 2 para 2) was referred to our clinic with left-sided abdominal pain and a history of a persistent ovarian cyst. The ultrasound revealed a left complex hypoechoic ovarian cyst of 4 cm. Tumor markers were normal and no suspicion for malignancy. The NOTES technique was planned due to the possibility of pelvic adhesions and her concerns about cosmesis. Interventions transvaginal NOTES hysterectomy with bilateral adnexectomy using one grasper and a vessel sealing instrument under the visualization of a 0° scope through an ALEXIS system. The procedure was performed under Trendelenburg position without any abdominal scar. Conclusion Using transvaginal NOTES by applying the method of single-incision laparoscopic surgery via the vaginal route, adnexal surgery and hysterectomy could be performed safely and effectively in selected patients |
| Databáze: | OpenAIRE |
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