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vNOTES for adnexal procedures.
J Obstet Gynaecol
October 2021
Department of Gynaecologic Endoscopy, Hospital Lusíadas Porto Av. da Boavista 171, Porto, Portugal.
This work aims to describe the technique and review all transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for adnexal procedures performed and to acknowledge vNOTES as an alternative to conventional laparoscopy. The procedure consisted of an incision in the Pouch of Douglas, insertion of a single port device, laparoscopic surgery through the device, extraction of specimens through the vagina and closure of the vaginal apex with a direct suture. Eighteen procedures have been successfully completed, 1 patient required conversion to conventional abdominal surgery due to intolerance to pneumoperitoneum.
View Article and Find Full Text PDFProphylactic McCall Culdoplasty by a Vaginal Approach during Mini-Laparoscopic Hysterectomy.
Biomed Res Int
December 2019
Izmir Katip Celebi University, Atatürk Education and Research Hospital, Department of Obstetrics and Gynecology, Izmir, Turkey.
Background: In gynecological surgery, one particular area of concern after hysterectomy is the risk of developing an enterocele or vaginal apical prolapse. The aims of this study were to evaluate the safety and efficacy of prophylactic McCall culdoplasty (MC) performed during mini-total laparoscopic hysterectomy (mini-TLH), as well as to compare the differences in apical support, total vaginal length (TVL), and sexual function at one and two years postoperatively.
Methods: Data were retrospectively reviewed for all women who underwent mini-TLH and mini-TLH + MC at a tertiary care center between August 2012 and January 2016 were from the hospital database.
Compliance and complications of culdotomy.
Minerva Ginecol
August 2016
Maternity Unit, Hospital of Asiago, Asiago, Vicenza, Italy -
Background: Culdotomy is a practically exclusive appanage of gynaecological surgeons. Today the transvaginal access to pelvis and abdominal cavity is also utilized for non-gynecological surgery.
Methods: The authors report the complications and compliance of 326 culdotomies performed in the Simple Maternity Unit of Asiago Hospital (Asiago, Vicenza, Italy).
Minimally invasive surgery in gynecologic oncology.
ISRN Obstet Gynecol
September 2013
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, 250 E. Superior Street, Suite 05-2168, Chicago, IL 60611, USA.
Minimally invasive surgery has been utilized in the field of obstetrics and gynecology as far back as the 1940s when culdoscopy was first introduced as a visualization tool. Gynecologists then began to employ minimally invasive surgery for adhesiolysis and obtaining biopsies but then expanded its use to include procedures such as tubal sterilization (Clyman (1963), L. E.
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