Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology
| Autor: | Navdar Doğuş Uzun, Mehmet Salıcı, Ünal Türkay, Hasan Terzi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Gynecology
medicine.medical_specialty Abdominal pain 030219 obstetrics & reproductive medicine Ovarian cyst Hysterectomy business.industry medicine.medical_treatment Cosmesis Natural orifice transluminal endoscopic surgery medicine.disease Malignancy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Salpingo-Oophorectomy medicine Surgery medicine.symptom Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports. 51:349-351 |
| ISSN: | 2210-2612 |
| Popis: | Introduction Natural orifice transluminal endoscopic surgery (NOTES) is a new development in the field of minimally invasive surgery. The aim of this study was to demonstrate a new hybrid NOTES technique in gynecology which can be used for hysterectomy and salpingo-oophorectomy in patients with adnexal pathology and multiple operation histories. Presentation of case A 50-year-old woman with gravida 2 para 2 was referred to our clinic with left-sided abdominal pain. She had a history of two previous abdominal surgeries and a persistent ovarian cyst for 2 years. An ultrasound examination revealed a left complex hypoechoic ovarian cyst of 10 cm. Tumor markers were normal and the patient had no suspicion for malignancy. The hybrid NOTES technique assisted by an umbilical camera was planned due to the possibility of pelvic adhesions and her concerns about cosmesis. Discussion The major difference between NOTES and umbilical camera assisted NOTES is seeing all of the major structures, such as the ureters, uterine vessels, bowels, and pelvic adhesions, which can lead to complications during the surgery. In fact, hybrid NOTES can make surgeries more feasible. Conclusion This new hybrid NOTES offers effective and safer surgical management in patients who have had previous surgery and adnexal masses. |
| Databáze: | OpenAIRE |
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