Transvaginal Endoscopic Tubal Sterilization

Abstract

Transvaginal endoscopic tubal ligation is feasible and can be considered an alternative approach to perform female sterilization.

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (Notes): Surgical Technique and Results

“…That same year, several reports of cholecystectomy using this technique were published worldwide (Branco Filho et al, 2007;Dolz et al, 2007;Zorrón et al, 2007). Since then, this access has been used to perform several procedures, including nephrectomy (Branco et al, 2008b;Castillo et al, 2009;Kaouk et al, 2010;Ribal Caparrós et al, 2009), tubal sterilization (Kondo et al, 2009), liver resection (Noguera et al, 2008), sleeve gastrectomy (Fischer et al, 2009;Ramos et al, 2008b), adjustable gastric banding (Michalik et al, 2010), incisional hernia repair (Jacobsen et al, 2010), cancer diagnostic staging (Zorrón et al, 2008), splenectomy (Targarona et al, 2009), retroperitoneoscopy (Zorron et al, 2010a) among others. More recently, some case series have been published (Alcaraz et al, 2010;Asakuma et al, 2009;Cuadrado-Garcia et al, 2011;Hackethal et al, 2010;Horgan et al, 2009;Lehmann et al, 2010;Niu et al, 2010;Noguera et al, 2009;Noguera et al, 2010;Palanivelu et al, 2008;Pugliese et al, 2010;Ramos et al, 2008a;Sotelo et al, 2010;Zornig et al, 2010a;Zornig et al, 2010b;Zorron et al, 2010b).…”

“…For the endoscopic tubal sterilization (Kondo et al, 2009), a uterine manipulator was positioned to facilitate exposure of the tubes for the procedure (Figure 13). The tubes were coagulated and transected using endoscopic instruments inserted through the flexible endoscope with dual working channel (Figure 14).…”

“…After these initial reports, several researchers have demonstrated the safety of the transgastric access to perform tubal ligation , cholecystectomy (Park et al, 2005), gastrojejunostomy , subtotal hysterectomy with oophorectomy (Wagh et al, 2005;Wagh et al, 2006), splenectomy (Kantsevoy et al, 2006), gastric bypass (Kantsevoy et al, 2007), nephrectomy (Lima et al, 2007) and pancreatectomy (Matthes et al, 2007), all based on experimental studies in the porcine model. Since 2007, reports of cholecystectomy (Branco Filho et al, 2007;Marescaux et al, 2007;Zorrón et al, 2007), nephrectomy (Branco et al, 2008b) and tubal ligation (Kondo et al, 2009) Transvaginal Natural Orifice Transluminal Endoscopic Surgery (Notes): Surgical Technique and Results…”

Laparoscopic Transumbilical Cholecystectomy: Surgical Technique

“…15 Our group has already demonstrated the feasibility of performing hybrid transvaginal cholecystectomy 6 and nephrectomy 16 in human beings by using a combined transvaginal and transabdominal approach, and totally transvaginal endoscopic tubal ligation. 17 Potential benefits of NOTES include lack of an abdominal scar, reduction of postoperative pain, ability to be performed under conscious sedation, and faster recovery.…”

Safety of Culdotomy as a Surgical Approach: Implications for Natural Orifice Transluminal Endoscopic Surgery

“…19,23,24,27,30 Briefly, patients are prepped and draped while in the dorsal lithotomy position. The posterior lip of the cervix is grasped with a tenaculum and retracted caudally and anteriorly to expose the posterior fornix.…”