ArticleSurgical endoscopy2013
Is the transvaginal route appropriate for intra-abdominal NOTES procedures? Experience and follow-up of 222 cases.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 38 citations in OpenAlex.
- Transvaginal hybrid NOTES cholecystectomy--results of a randomized clinical trial after 6 months.Langenbeck's archives of surgery · 2014Trial
- Natural orifice transluminal endoscopic surgery: history and current development.Clinical endoscopy · 2026Review
- Review
- Implementing the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) "first" strategy in benign gynecological surgeries.Archives of gynecology and obstetrics · 2023Article
- Women's Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) - Impact of Medical Education, Stage of Life and Cross-Cultural Aspects.International journal of women's health · 2022Article
- Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery: An Italian initial experience.Frontiers in medicine · 2022Article
- Transvaginal Hybrid-NOTES procedures-do they have a negative impact on pregnancy and delivery?Langenbeck's archives of surgery · 2021Observational
- Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report.World journal of clinical cases · 2021Article
- Transvaginal Hybrid NOTES Cholecystectomy: A Single-Centre Long-Term Experience on Sexual Function.World journal of surgery · 2018Article
- [Natural orifice transluminal endoscopic surgery in Germany: Data from the German NOTES registry].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Article
- Current Status of Single-Site Robotic Cholecystectomy, its feasibility, economic and overall impact.American journal of robotic surgery · 2014Article
- Transvaginal organ extraction: potential for broad clinical application.Surgical endoscopy · 2014Article
- Transvaginal appendectomy in morbidly obese patient.Case reports in surgery · 2014Article
- Transvaginal appendectomy: a systematic review.Minimally invasive surgery · 2014Review
- Transvaginal route for kidney extraction in laparoscopic donor nephrectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince 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.
methodsFrom 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.
resultsAll 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.
conclusionsThe transvaginal route is appropriate for NOTES procedures; there is only a minor and acceptable rate of intra- and postoperative morbidity.
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