PMID- 23392983
OWN - NLM
STAT- MEDLINE
DCOM- 20140312
LR  - 20211021
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Linking)
VI  - 27
IP  - 8
DP  - 2013 Aug
TI  - Is the transvaginal route appropriate for intra-abdominal NOTES procedures? 
      Experience and follow-up of 222 cases.
PG  - 2807-12
LID - 10.1007/s00464-013-2812-z [doi]
AB  - BACKGROUND: Since 2007, natural orifice transluminal endoscopic surgery (NOTES) 
      has been applied in humans. We performed this prospective study to evaluate the 
      transvaginal route in terms of risks, complication rate, and long-term side 
      effects such as dyspareunia. METHODS: From June 2007 to September 2011, we 
      performed 222 transvaginal hybrid NOTES procedures: 220 transvaginal 
      cholecystectomies (TVC) and 2 transvaginal appendectomies (TVA). All patients 
      were asked to present to our associated gynecologists within 1 week for an 
      examination. After at least 3 months, the patients were interviewed using a 
      standard questionnaire. RESULTS: All operations could be successfully performed 
      in this technique except two cases, which were converted to conventional 
      laparoscopic cholecystectomy. The only intraoperative complication was the 
      puncture of the urine bladder. We observed two postoperative complications: one 
      biliary fistula 3 days after TVC, and one abscess in the Douglas pouch 3 weeks 
      after TVC. The gynecological examinations revealed no abnormalities. The 
      interview (median postoperative time, 6 months) with a follow-up rate of 93 % 
      revealed no pain in the pelvis, dyspareunia, or sexual dysfunction after TVC. 
      CONCLUSIONS: The transvaginal route is appropriate for NOTES procedures; there is 
      only a minor and acceptable rate of intra- and postoperative morbidity.
FAU - Mofid, Hamid
AU  - Mofid H
AD  - Department of Surgery, Israelitisches Krankenhaus, Orchideenstieg 14, 22297 
      Hamburg, Germany. hamid@mofid.de
FAU - Emmermann, Alice
AU  - Emmermann A
FAU - Alm, Margret
AU  - Alm M
FAU - von Waldenfels, Hans-Albrecht
AU  - von Waldenfels HA
FAU - Felixmuller, Conrad
AU  - Felixmuller C
FAU - Zornig, Carsten
AU  - Zornig C
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130208
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Appendectomy/*methods
MH  - Cholecystectomy/*methods
MH  - Dyspareunia/*epidemiology/etiology
MH  - Female
MH  - Follow-Up Studies
MH  - Germany/epidemiology
MH  - Humans
MH  - Middle Aged
MH  - Natural Orifice Endoscopic Surgery/*methods
MH  - Postoperative Complications/epidemiology/etiology
MH  - Prospective Studies
MH  - Risk Factors
MH  - Surveys and Questionnaires
MH  - Time Factors
MH  - Treatment Outcome
MH  - Vagina
MH  - Young Adult
EDAT- 2013/02/09 06:00
MHDA- 2014/03/13 06:00
CRDT- 2013/02/09 06:00
PHST- 2012/10/30 00:00 [received]
PHST- 2012/12/31 00:00 [accepted]
PHST- 2013/02/09 06:00 [entrez]
PHST- 2013/02/09 06:00 [pubmed]
PHST- 2014/03/13 06:00 [medline]
AID - 10.1007/s00464-013-2812-z [doi]
PST - ppublish
SO  - Surg Endosc. 2013 Aug;27(8):2807-12. doi: 10.1007/s00464-013-2812-z. Epub 2013 
      Feb 8.