open access

Vol 91, No 1 (2020)
ORIGINAL PAPERS Gynecology
Published online: 2020-01-31
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Transvaginal salpingo-oophorectomy with gasless laparoscopy — an optional pure natural orifice transluminal endoscopic surgery

Tingting Liu, Yinghan Chen, Xinyou Wang
DOI: 10.5603/GP.2020.0001
·
Pubmed: 32039460
·
Ginekol Pol 2020;91(1):1-5.

open access

Vol 91, No 1 (2020)
ORIGINAL PAPERS Gynecology
Published online: 2020-01-31

Abstract

Objectives: To establish the appropriate technique for salpingo-oophorectomy via transvaginal natural orifice transluminal
endoscopic surgery (NOTES), under gasless laparoscopy.
Material and methods: Ten patients with clinical indication underwent gasless laparoscopic transvaginal salpingo-oophorectomy
with concurrent vaginal hysterectomy. An abdominal-wall lifting device was used after removal of the uterus,
and the adnexa was removed trans-vaginally by gasless laparoscopy. The perioperative clinical data, such as operative
duration, volume of blood loss, morbidity, intraoperative and postoperative complications, and length of hospital stay,
were retrospectively analyzed.
Results: All procedures were successfully done, without any intraoperative or major postoperative complications, and no
additional transabdominal ports were required. The salpingo-oophorectomy part of the procedure was completed in approximately
11–40 minutes, with minimal blood loss. All of the patients were discharged, scar-free, 2–4 days after surgery.
Conclusions: Transvaginal NOTES with gasless laparoscopy is a feasible and safe surgical technique in cases involving difficult
vaginal salpingo-oophorectomy, which avoids conversion to an abdominal route.

Abstract

Objectives: To establish the appropriate technique for salpingo-oophorectomy via transvaginal natural orifice transluminal
endoscopic surgery (NOTES), under gasless laparoscopy.
Material and methods: Ten patients with clinical indication underwent gasless laparoscopic transvaginal salpingo-oophorectomy
with concurrent vaginal hysterectomy. An abdominal-wall lifting device was used after removal of the uterus,
and the adnexa was removed trans-vaginally by gasless laparoscopy. The perioperative clinical data, such as operative
duration, volume of blood loss, morbidity, intraoperative and postoperative complications, and length of hospital stay,
were retrospectively analyzed.
Results: All procedures were successfully done, without any intraoperative or major postoperative complications, and no
additional transabdominal ports were required. The salpingo-oophorectomy part of the procedure was completed in approximately
11–40 minutes, with minimal blood loss. All of the patients were discharged, scar-free, 2–4 days after surgery.
Conclusions: Transvaginal NOTES with gasless laparoscopy is a feasible and safe surgical technique in cases involving difficult
vaginal salpingo-oophorectomy, which avoids conversion to an abdominal route.

Get Citation

Keywords

Transvaginal salpingo-oophorectomy; gasless laparoscopy; natural orifice transluminal endoscopic surgery (NOTES)

About this article
Title

Transvaginal salpingo-oophorectomy with gasless laparoscopy — an optional pure natural orifice transluminal endoscopic surgery

Journal

Ginekologia Polska

Issue

Vol 91, No 1 (2020)

Pages

1-5

Published online

2020-01-31

DOI

10.5603/GP.2020.0001

Pubmed

32039460

Bibliographic record

Ginekol Pol 2020;91(1):1-5.

Keywords

Transvaginal salpingo-oophorectomy
gasless laparoscopy
natural orifice transluminal endoscopic surgery (NOTES)

Authors

Tingting Liu
Yinghan Chen
Xinyou Wang

References (23)
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