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Transvaginal salpingo-oophorectomy with gasless laparoscopy — an optional pure natural orifice transluminal endoscopic surgery
Affiliations- Shengjing Hospital of China Medical University, Shenyang, China
open access
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.
Keywords
Transvaginal salpingo-oophorectomy; gasless laparoscopy; natural orifice transluminal endoscopic surgery (NOTES)
About this articleTitle
Transvaginal salpingo-oophorectomy with gasless laparoscopy — an optional pure natural orifice transluminal endoscopic surgery
Journal
Issue
Article type
Research paper
Pages
1-5
Published online
2020-01-31
Page views
1399
Article views/downloads
1091
DOI
Pubmed
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
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