Female population perception of conventional laparoscopy, transumbilical LESS, and transvaginal NOTES for cholecystectomy

Bucher, Pascal Alain Robert; Ostermann, Sandrine; Pugin, François Louis; Morel, Philippe

doi:10.1007/s00464-010-1554-4

Cited by 71 publications

(54 citation statements)

References 25 publications

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“…28,29 In the first one, participants were queried about their expectations for surgical treatment and their approach preference. 28 Again, the main concern of the survey responders was the risk of surgical complications (92%).…”

Section: Notes Versus Less: Comparative Analysismentioning

confidence: 99%

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Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature

Autorino

White

Gettman

et al. 2012

Urology

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Evidence relating to the perception and view of patients and physicians on natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) was scrutinized. A comprehensive literature search was performed through PubMed. A total of 18 studies were included in the analysis. Patients demonstrated interest in scarless surgery, with a preference for LESS over NOTES. Safety and efficacy remain the key factors in the decision-making process of patients. With more information about the safety and reproducibility of LESS and NOTES, and with improved educational efforts, patients and physicians alike may feel more comfortable in widespread application of scarless surgery. UROLOGY 80: 495-502, 2012.

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Section: Notes Versus Less: Comparative Analysismentioning

confidence: 99%

“…In the following survey, the authors focused their attention on a specific procedure, ie, cholecystectomy. 29 With similar operative risk, 87% preferred LESS, 4% NOTES, and 8% laparoscopy. LESS/NOTES choice was influenced by a desire of improved cosmetics and lower pain.…”

Section: Notes Versus Less: Comparative Analysismentioning

confidence: 99%

Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature

Autorino

White

Gettman

et al. 2012

Urology

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“…An anonymous questionnaire given to female medical staff, patients, and the general population with regard to transvaginal NOTES revealed that their worries were related to fears regarding fertility and postoperative sexuality (8). Preclinical studies using animal models are insufficient to identify all complications that may occur in humans, especially for infertility and dyspareunia, for which no animal models are appropriate.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of transvaginal peritoneal surgery in young female patients

et al. 2013

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“…Our results are in line with other papers [8,22] showing similar concerns about fertility and sexual life. In a recent paper, Bucher et al [10] reported that 96% of a female population analysed for perception of conventional laparoscopy, transumbilical singleaccess surgery and trans-vaginal NOTES for cholecystectomy were worried about trans-vaginal access. The most important concerns were dyspareunia (68%), decreased sensibility during intercourse (43%), refusal of short-term post-operative sexual abstinence (40%) and infertility (23%).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, for different reasons, women seem to be reticent to accept surgical access to the peritoneal cavity through the genital tract [7]. Although the acceptance of trans-vaginal NOTES procedures has been studied in a few papers [7][8][9][10], to date no study exists on the perception of this approach by obese women undergoing bariatric surgery. Since bariatric surgery could be one of the applications of NOTES in the near future, it would be of critical importance to highlight the patients' position on it.…”

Section: Introductionmentioning

confidence: 99%

Obese Women’s Perception of Bariatric Trans-vaginal NOTES

et al. 2011

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Much of the discussion pertaining to natural orifice transluminal endoscopic surgery (NOTES) focuses on technical issues, with little attention to women's perception and to their willingness to consent to this surgery, especially in the field of obesity. Aim of this study was to evaluate obese women's perception of NOTES and trans-vaginal access. Sixty two obese patients undergoing bariatric surgery were given a written description of NOTES with an anonymous questionnaire exploring their concerns and opinions regarding this technique. The risk of complications was the most important aspect with regard to surgical procedures for 87.1% of patients, while the aesthetic result counted only for 16.1%; none of the patients would accept an increased risk of surgical complications for a better aesthetic result, and 74.2% of them would prefer a standardized traditional surgical approach. Nulliparous women were more concerned about the potentially negative effects of NOTES on fertility than multiparous women and younger women were more worried about the effects on sexual function than older women. 83.9% of patients refusing NOTES stated that the main reason for their refusal was the lack of definitive data on the beneficial effects. Bariatric NOTES potentially offers obese women a scarless intervention, but only a few obese women expressed worries about the cosmetic/aesthetic effects of surgery, while most of them were worried about effects on future fertility and sexual life. Our study highlights a strong need for early reporting of outcome data to enlighten patients about this new approach to bariatric surgery.

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Female population perception of conventional laparoscopy, transumbilical LESS, and transvaginal NOTES for cholecystectomy

Cited by 71 publications

References 25 publications

Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature

Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature

Evaluation of transvaginal peritoneal surgery in young female patients

Obese Women’s Perception of Bariatric Trans-vaginal NOTES

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