Pure NOTES transvaginal appendectomy with gasless laparoscopy.
J Surg Res
; 186(1): 179-83, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-24095022
ABSTRACT
BACKGROUND:
The vagina is the most widely used approach to natural orifice transluminal endoscopic surgery. However, a gas leak can significantly affect transvaginal operations during pneumoperitoneum laparoscopy. We tried to establish the proper technique for transvaginal appendectomy under gasless laparoscopy. MATERIALS ANDMETHODS:
Five patients with chronic appendicitis were selected to receive gasless laparoscopic transvaginal appendectomy with concurrent vaginal hysterectomy. An abdominal wall-lifting device was applied after removal of the uterus, and the appendix was removed transvaginally. Clinical data such as operative duration, bleeding volume, morbidity, and hospital stay duration were analyzed.RESULTS:
All procedures were performed successfully, without intraoperative or major postoperative complications. The appendectomy portion of the procedure took approximately 20-30 minutes, with minimal blood loss. All patients were discharged, scar-free, 3 d after surgery.CONCLUSIONS:
Transvaginal appendectomy with gasless laparoscopy after vaginal hysterectomy appears to be a feasible and safe modification of established techniques, with acceptable outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apendicite
/
Laparoscopia
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Cirurgia Endoscópica por Orifício Natural
Limite:
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Surg Res
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
China