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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 PDFHysteropexy with single-incision vaginal support system associated with a modified culdoplasty for enterocele prevention.
J Obstet Gynaecol
February 2020
Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele, Catania, Italy.
Our study assessed the safety and clinical outcomes of hysteropexy with a single-incision mesh associated with a modified culdoplasty, for the surgical management or prevention of enterocele, in women with pelvic organ prolapse (POP). We carried out a 1-year prospective single-cohort study, including 51 women with symptomatic, multi-compartmental POP. Anatomical outcome was assessed with a POP-Q system and the subjective outcomes were assessed using ICSQ-SF and PGI-I.
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.
Ureteric Obstruction Following McCall Culdoplasty.
J Obstet Gynaecol Can
July 2020
The Ottawa Hospital Research Institute, Ottawa, ON; Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, ON. Electronic address:
Long-term experience of vaginal vault prolapse prevention at hysterectomy time by modified McCall culdoplasty or Shull suspension: Clinical, sexual and quality of life assessment after surgical intervention.
Eur J Obstet Gynecol Reprod Biol
April 2018
Department of Gynecological and Obstetric Sciences, and Urological Sciences, University of Rome "Sapienza", Umberto I Hospital, Rome, Italy.
Objectives: The aim of this study was to evaluate the effectiveness of modified McCall culdoplasty or Shull suspension in preventing vaginal vault prolapse after vaginal hysterectomy and the long-term impact on quality of life and sexual function.
Study Design: Retrospective analysis in 414 patients underwent vaginal hysterectomy for pelvic organ prolapse (POP) and vaginal suspension through modified McCall culdoplasty (group A) or Shull suspension (group B) was evaluated. Clinical features and concomitant surgical procedures were assessed.
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