Transvaginal Cholecystectomy

Wood, Stephanie G.; Solomon, Daniel; Panait, Lucian; Bell, Robert L.; Duffy, Andrew; Roberts, Kurt E.

doi:10.1001/jamasurg.2013.108

Cited by 11 publications

(6 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…49 The primary patient concerns regarding sexual health and future pregnancies have been largely disproven in the literature. Colpotomy in the setting of TVC has not been shown to have any negative affect on female sexual function, quality of life, 26,[50][51][52][53][54] or pregnancy. 54 In a retrospective cohort study of 88 patients, Bulian et al observed no significant changes in postoperative sexual function, menorrhea, or vaginal discharge at an average of two years postoperatively from TVC.…”

Section: Discussionmentioning

confidence: 92%

Laparoscopic-Assisted Transvaginal Cholecystectomy – the US Military Experience With Long-Term Follow Up

Judge,

Bandle,

Wang

et al. 2024

JSLS

View full text Add to dashboard Cite

Objectives: We present our initial clinical experience applying Natural Orifice Transluminal Endoscopic Surgical (NOTES) technique to perform cholecystectomy in ten patients at a military institution.Methods: A posterior colpotomy was created to accommodate a single site working port used to facilitate dissection and gallbladder mobilization under direct visualization via an infraumbilical port. The specimen was retrieved through the vagina and the colpotomy was closed with absorbable suture under direct visualization. Long-term follow up was performed over the phone to assess quality of life with 2 widely used health-related quality of life (HRQoL) surveys including RAND-36 Health Item Survey (Version 1.0), 1 and the Female Sexual Function Index (FSFI). 2Results: Ten women underwent a laparoscopic-assisted transvaginal cholecystectomy (TVC) with 7 available for long-term follow-up. The average age was 28.9 years (20-37) and the indications for surgery included symptomatic cholelithiasis (9) and biliary dyskinesia (1). The mean operative time was 129 mins (95-180), and median blood loss was 34 ml (5-400). There were no conversions and the average length of stay was 9.98 hours (2.4-28.8). Pain (analogue scale 1-10) on postoperative day three was minimal (mean 2.3) and was limited to the infraumbilical incision. On average patients returned to work by postoperative day six and resumed normal daily activities at seven days. Immediate postoperative complications included one incident of postoperative urinary retention requiring bladder catheterization. One intra-operative cholangiogram was successfully performed due to elevated preoperative liver enzymes without significant findings. Long-term complications included one asymptomatic incisional hernia repair at the infraumbilical port site. The RAND-36 survey demonstrated an average physical and mental health summary score of 82.2 and 63.7 with an average general health score of 63.6. The average FSFI total score was 21.8. Conclusion:TVC is safe and effective. Implementation may improve operational readiness by returning service members to normal activities more expeditiously than conventional laparoscopy.

show abstract

Section: Discussionmentioning

confidence: 92%

Laparoscopic-Assisted Transvaginal Cholecystectomy – the US Military Experience With Long-Term Follow Up

Judge,

Bandle,

Wang

et al. 2024

JSLS

View full text Add to dashboard Cite

show abstract

“…17,18 Studies regarding vNOTES for non-gynecologic procedures suggested no influence of this surgical technique on women's sexual function. 5,19,20 Similarly, small retrospective observational studies on vNOTES for gynecologic procedures did not report any adverse impact of adnexal interventions on the development of new postoperative dyspareunia. Frequency: always.…”

Section: Discussionmentioning

confidence: 94%

Sexual quality of life and postoperative deep dyspareunia after vNOTES benign adnexal procedures

Berisha,

Hurni,

Simonson

et al. 2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveThis study aimed to investigate the impact of vNOTES on postoperative sexual dysfunction in patients undergoing adnexal procedures.MethodsWe analyzed data from patients who underwent vNOTES adnexal surgeries for benign conditions between May 2020 and May 2023. The primary outcome was the presence of new postoperative deep dyspareunia (DD) or other sexual dysfunctions, which were assessed through a phone survey conducted 6 to 24 months after surgery. Secondary outcomes included surgical feasibility, operative times, complications rate, and postoperative pain evaluation.ResultsWe included 103 patients for primary and secondary outcomes and 111 patients for secondary outcomes analysis only. Newly postoperative DD was reported by three patients (2.9%), remained present at 12 postoperative months in one case (1.0%), and spontaneously disappeared in two cases (1.9%) after four and 10 postoperative months, respectively. In the remaining 100 patients (97.1%), no new DD or other sexual function disorders were reported after surgery. vNOTES procedures were successfully performed in all cases, with a mean operative time of 38.2 ± 19.6 min and a conversion rate to conventional laparoscopy of 0.9%. No significant complication was observed.ConclusionThis study suggests a very limited risk of developing postoperative sexual dysfunction after vNOTES benign adnexal procedures.

show abstract

“…[35][36][37] Moreover, many reports indicated that vNOTES has little negative in uence on patients' sexual function; however, they merely focused on its non-gynecologic application among non-Chinese populations and little of them applied the double blind RCT design. [55][56][57] Another focus of the CLOCKBEGIN study is the incidence of postoperative IH. To date, studies reporting this issue are extremely scarce.…”

Section: Discussionmentioning

confidence: 99%

Study Protocol Protocol for the Chengdu Longitudinal Cohort Study on vNOTES in Treating Benign Gynecologic Indications (the CLOCKBEGIN study): a Randomized Controlled Trial

Feng,

Liu,

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Natural orifice transluminal endoscopic surgery (NOTES) is a series of novel and controversial minimally invasive surgical (MIS) approaches. NOTES performed in a transvaginal fashion (vNOTES) reportedly has many advantages over other NOTES approaches and is preferentially used for treating benign gynecologic conditions. However, the lack of detailed, large-scale perioperative and long-term postoperative data to support the feasibility and safety of vNOTES, especially on its impact on patients’ postoperative outcomes, remains contentious and may impede its acceptance in gynecology. Methods The Chengdu Longitudinal Cohort Study on vNOTES in Treating Benign Gynecologic Indications (the CLOCKBEGIN study) is a randomized controlled trial (RCT) that will recruit about 3,400 gynecologic patients with benign indications who underwent vNOTES or transumbilical laparoendoscopic single-site surgery for oviduct salpingostomy, tubal ligation, salpingectomy, ovarian cystectomy, adnexectomy, hysterectomy, or myomectomy. After obtaining the participants’ consent, a perioperative assessment and a 5-year postoperative follow-up with eight visits will be conducted. Data collection will be performed perioperatively and postoperatively at designated time points, e.g., 1st, 2nd, and 3rd postoperative day; 1st, 3rd, and 6th month; and 1st, 2nd, 3rd, 4th, and 5th year after the surgery. The baseline information collection will include subjects’ sociodemographics and their health- and gestation-related history obtained from the Hospital Information System and face-to-face interviews. As planned, perioperative and postoperative outcomes will be examined based on intraoperative assessment, in-patient clinical observation, and follow-up WeChat questionnaires or clinic services. Among these outcomes, long-term postoperative results, such as sexual function, pregnancy, vaginal delivery, and incisional hernia, will be the focus. Discussion The CLOCKBEGIN study aims to assess the perioperative and long-term postoperative outcomes of vNOTES in the treatment of major benign gynecologic conditions compared to TU-LESS, focusing on patients’ sexual function, pregnancy, vaginal delivery, and incisional hernia. This large cohort, two-arm, prospective CLOCKBEGIN study, incorporating a comprehensive long-term follow-up strategy and employing a double-blinded randomized RCT design, has the potential to furnish substantial and robust clinical evidence for refining and establishing guidelines for gynecologic vNOTES procedures. This initiative is also expected to enhance patients' perceptions and acceptance of this innovative minimally invasive surgical approach. Trial registration number: ChiCTROOC- 2200059282 (registered on April 28th, 2022)

show abstract

Transvaginal Cholecystectomy

Abstract: In our experience to date, female sexual function is unchanged and quality of life either is unchanged or improves at 1 and 3 months following TVC. Undergoing TVC does not appear to negatively affect female sexual function or quality of life in the short term.

Cited by 11 publications

References 28 publications

Laparoscopic-Assisted Transvaginal Cholecystectomy – the US Military Experience With Long-Term Follow Up

Laparoscopic-Assisted Transvaginal Cholecystectomy – the US Military Experience With Long-Term Follow Up

Sexual quality of life and postoperative deep dyspareunia after vNOTES benign adnexal procedures

Study Protocol Protocol for the Chengdu Longitudinal Cohort Study on vNOTES in Treating Benign Gynecologic Indications (the CLOCKBEGIN study): a Randomized Controlled Trial

Contact Info

Product

Resources

About