Transvaginal single-port natural orifice transluminal endoscopic surgery for benign uterine adnexal pathologies.

Abstract

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.

• Authors: Ki Hoon Ahn, Jae Yun Song, Sun Haeng Kim, Kyu Wan Lee, Tak Kim
• Journal: Journal of minimally invasive gynecology (J Minim Invasive Gynecol) 2012 Sep-Oct Vol. 19 Issue 5 Pg. 631-5 ISSN: 1553-4669 [Electronic] United States
• PMID: 22763314 (Publication Type: Evaluation Study, Journal Article, Video-Audio Media)
• Copyright: Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.

Topics

• Adnexal Diseases (surgery)
• Adult
• Female
• Follow-Up Studies
• Humans
• Length of Stay
• Middle Aged
• Natural Orifice Endoscopic Surgery (methods)
• Ovariectomy (methods)
• Patient Satisfaction
• Salpingectomy (methods)
• Salpingostomy (methods)
• Treatment Outcome
• Vagina