NOTES—case report of a unidirectional flexible appendectomy

Bernhardt, J.; Gerber, Bernd; Schober, Hans-Christof; Kähler, Georg; Ludwig, Kaja

doi:10.1007/s00384-007-0427-3

Cited by 103 publications

(60 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most NOTES procedures have been hybrid procedures requiring at least one transabdominal port and the most common procedures are cholecystectomy, appendicectomy and mainly performed via transvaginal access. Thus far, pure transvaginal NOTES have been performed in cholecystectomies, 17,18 appendectomies 19,20 and nephrectomy. 21 Only a few of the studies reported pure transvaginal NOTES procedures in gynecological surgery.…”

Section: Discussionmentioning

confidence: 99%

Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses

Yang

Hur

et al. 2013

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: Natural orifice transluminal endoscopic surgery (NOTES) is currently a very important topic for surgeons. This study aimed to describe the initial clinical experience of transvaginal NOTES for adnexal masses and investigate its feasibility and surgical outcome. Methods: We performed transvaginal NOTES in seven patients with adnexal masses through a 2-cm incision in the posterior vaginal fornix. A transvaginal NOTES system comprising a wound protractor and a surgical glove with sheaths was used. Resection was performed according to the method of standard laparoscopic adnexal surgery. The adnexal mass was removed via the incision of the posterior vaginal fornix after complete resection. Results: Since June 2011, seven patients have undergone transvaginal NOTES for adnexal masses. All cases were completed successfully without conversion to standard laparoscopic approach. The median age of the patients was 48 years (range, 36-60) and the median body mass index was 23.6 (range, 20.4-25.3). The median tumor size was 6 cm (range, 3.7-6.7). The median operative time was 45 min (range, 40-80). The estimated blood loss was minimal (range, 5-300 mL). The median postoperative hospital stay was 2 days (range, 1-3). No postoperative complications were observed at follow-up. All the patients were very satisfied with the cosmetic result. Conclusion:The findings show transvaginal NOTES with our method to be a feasible, safe and effective surgical technique that results in excellent cosmesis. It may be an alternative technique for the treatment of properly selected female patients with adnexal masses. More experience and instrumental improvement suitable for transvaginal NOTES are needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses

Yang

Hur

et al. 2013

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Many attempts have been made to reduce complications by minimizing the number of trocars inserted and reducing the size of incisions, and have been applied to cholecystectomy, appendectomy and splenectomy using single port laparoscopic surgery (SPLS) [7][8][9]. SPLS has also been used to perform hysterectomies, with acceptable clinical safety [10,11].…”

Section: Introductionmentioning

confidence: 99%

Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea

Jung

Choi

Chung

et al. 2011

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

“…Die Entwicklung von NOTES ist in der letzten Zeit rasant verlaufen, so wur den bereits Splenektomien, Cholezystek tomien, Appendektomien, Pankreasre sektionen, Nephrektomien und Darmre sektionen durchgeführt, wobei sich viele Verfahren noch in der tierexperimentel len Phase befinden [6,8,9,10]. …”

unclassified

Suprasymphysäre laparoskopische Cholezystektomie ohne sichtbare Narben

Bachmann

Izbicki

Strate

2008

Chirurg

View full text Add to dashboard Cite

Laparoscopic cholecystectomy was established in the 1980s and is the gold standard for treating cholecystolithiasis and cholecystitis. Laparoscopy offers reduction of postoperative pain, smaller scars, and a lower complication rate, resulting in shorter hospitalisation and faster recovery. In recent years alternative approaches for cholecystectomy have been developed to meet requirements of aesthetic surgery (scarless surgery, natural orifice transluminal endoscopic surgery). Access to the abdominal cavity with these methods is transgastral, transcolonal via endoscopy, or transvaginal with potential fatal effects such as peritonitis. In this paper a new variation with minimal risks is presented. In contrast to conventional laparoscopy, no visible scars are left behind.

show abstract

NOTES—case report of a unidirectional flexible appendectomy

Cited by 103 publications

References 14 publications

Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses

Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses

Single port transumbilical laparoscopic surgery for adnexal lesions: a single center experience in Korea

Suprasymphysäre laparoskopische Cholezystektomie ohne sichtbare Narben

Contact Info

Product

Resources

About