Journal article

Publication year: 2010

Pages: 876-879

Journal: Endoscopy

Volume number: 42

Issue number: 10

ISSN: 0013-726X

DOI Link: https://doi.org/10.1055/s-0030-1255756

Publisher: Thieme Publishing

Abstract: 
Gynecologists have been performing transvaginal surgery for over a century and consequently the transvaginal approach was advocated for establishing natural orifice transluminal endoscopic surgery (NOTES) in gynecological and surgical practice. From 2008 the NOTES alternative has been offered to selected patients. Transvaginal cholecystectomies were intended in 13 patients and completed in 12. Various additional procedures were performed. All surgical procedures and postoperative courses were uneventful. The mean operating time for transvaginal cholecystectomy only was 88.4 minutes (standard deviation [SD] 17.3). A questionnaire was posted to the patients after a mean follow-up of 8.5 months. Patients primarily chose transvaginal NOTES because of the lack of scarring. Vaginal sensation was not affected. Patients perceived transgastric, transvesical, and transrectal surgery to be less acceptable approaches. The feasibility of transvaginal NOTES was proven for different indications. Patients' experiences and perceptions concerning transvaginal NOTES were excellent.

Harvard Citation style: Hackethal, A., Sucke, J., Oehmke, F., Muenstedt, K., Padberg, W. and Tinneberg, H. (2010) Establishing transvaginal NOTES for gynecological and surgical indications: benefits, limits, and patient experience, Endoscopy, 42(10), pp. 876-879. https://doi.org/10.1055/s-0030-1255756

APA Citation style: Hackethal, A., Sucke, J., Oehmke, F., Muenstedt, K., Padberg, W., & Tinneberg, H. (2010). Establishing transvaginal NOTES for gynecological and surgical indications: benefits, limits, and patient experience. Endoscopy. 42(10), 876-879. https://doi.org/10.1055/s-0030-1255756