Abstract | INTRODUCTION: Transvaginal natural orifice transluminal endoscopic surgery procedures are at the forefront of minimally invasive innovation, remarkable for shorter recovery times and decreased postoperative pain. We aim to demonstrate a novel technique of pure transvaginal laparoscopic ventral hernia repair in a series of patients performed in our institution. TECHNIQUE DESCRIPTION: The patient was placed in lithotomy position and steep Trendelenburg. A 2-cm transverse colpotomy incision was made and a SILS port was introduced. One 12-mm trocar and two 5-mm trocars were placed through the SILS port and standard straight laparoscopic instruments were used. An appropriately sized round mesh was deployed within a specimen retrieval bag into the peritoneal cavity. Complete anterior circumferential fixation of the mesh was achieved using an AbsorbaTack device. The colpotomy incision was closed. RESULTS: There were a total of 6 pure transvaginal ventral hernia repair procedures performed in our institution between November 2010 and February 2012. The first case was converted to an open procedure after a rectal injury was recognized and repaired. Two patients had transient urinary retention that resolved after 24 hours. One patient had vaginal wound granulation noted at 2 months postoperatively. No long-term complications or recurrences were noted with a median follow-up of 9 months. The mean operative time was 107 minutes. CONCLUSION: Our initial experience with transvaginal ventral hernia repair in humans suggests that this procedure is feasible, safe, and associated with improved cosmetic results.
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Authors | Stephanie G Wood, Lucian Panait, Andrew J Duffy, Robert L Bell, Kurt E Roberts |
Journal | Surgical innovation
(Surg Innov)
Vol. 21
Issue 2
Pg. 130-6
(Apr 2014)
ISSN: 1553-3514 [Electronic] United States |
PMID | 23899619
(Publication Type: Journal Article)
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Topics |
- Adult
- Female
- Hernia, Ventral
(surgery)
- Herniorrhaphy
(adverse effects, methods)
- Humans
- Laparoscopy
(adverse effects, methods)
- Middle Aged
- Natural Orifice Endoscopic Surgery
(adverse effects, methods)
- Pain, Postoperative
- Quality of Life
- Treatment Outcome
- Vagina
(surgery)
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