Transabdominal wall deployment for instruments, lights, and micromotors using the concept of secured independent tools.

Use of secured independent tools (SIT) is changing the laparoscopy paradigm, which involves the use of instruments inside the abdominal cavity that are operated via a port that is larger in diameter than the instrument itself. However, in SIT instead of ports we used filaments or cables. Here we describe a modified SIT for use in the introduction of sutures or cables inside the peritoneum.

Transvaginal single port cholecystectomy.

Background: Transvaginal cholecystectomy encourages researchers to develop new hybrid or pure techniques for natural orifice surgery. We present an approach that combines flexible endoscopes, rigid instruments, and percutaneous needles.

Methods: A 26-year-old female patient with cholelithiasis underwent a single-port culdolaparoscopy cholecystectomy at "Hospital Regional Poza Rica" (Poza Rica, Mexico) on July 2008.

Postoperative patient attitudes and perceptions of transvaginal cholecystectomy.

A survey was conducted in order to dispel misconceptions about natural orifice transvaginal cholecystectomy. Forty-two patients were surveyed after having undergone that procedure. Those patients were asked questions related to 1) patient satisfaction, 2) whether they would recommend the procedure to others, and 3) dyspaurenia.