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.
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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)
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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
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