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Access: Transvaginal

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Scar-Less Surgery

Abstract

Endoscopic surgery through natural orifices, known as NOTES (natural orifice translumenal endoscopic surgery), is an emerging surgical modality that uses endoscopic instruments through hollow viscera to enter the peritoneal cavity and allow surgical procedures without incisions. Fundamentally, the entrances are the mouth, anus, vagina, and urethra. Any surgical procedure involves the manipulation, repair, or removal of certain tissues and organs. Two decades ago we saw the progression from the traditional open surgery to laparoscopic surgery. The minimal abdominal incision was a significant improvement in postoperative recovery, analgesic requirements, hospital stay, recovery of routine activity, and the possibility of hernias. With improved technologies and the development of new techniques, the concept of scarless surgery has emerged in an attempt to treat certain diseases, obviating the need for incisions to access the peritoneal cavity, resulting in a direct benefit to patients, offering an improvement in quality of life and an advantage over conventional laparoscopy. Laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery (NOTES) are evolutions of laparoscopy, but they are complementary techniques that should be included in this new concept.

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References

  1. Cahill RA, Marescaux J. Natural orifice transluminal endoscopic surgery (N.O.T.E.S.) for oncologic disease. Surg Oncol. 2009;18(2):91–3.

    Article  PubMed  CAS  Google Scholar 

  2. Swain P. Nephrectomy and natural orifice translumenal endoscopy (NOTES): transvaginal, transgastric, transrectal, and transvesical approaches. J Endourol. 2008;22(4):811–8.

    Article  PubMed  Google Scholar 

  3. Ribal Caparrós MJ, Peri Cusí L, Molina Cabeza A, García Larrosa A, Carmona F, Alcaraz Asensio A. First report on hybrid transvaginal nephrectomy for renal cancer. Actas Urol Esp. 2009;33(3):280–3.

    Article  PubMed  Google Scholar 

  4. Box G, Averch T, Cadeddu J, Cherullo E, Clayman R, Desai M. Nomenclature of natural orifice translumenal endoscopic surgery (NOTES ™) and laparoendoscopic single-site surgery (LESS) procedures in urology. J Endourol. 2008;22(11):2575–82.

    Article  PubMed  Google Scholar 

  5. Breda G, Silvestre P, Giunta A. Laparoscopic nephrectomy with vaginal delivery of the intact kidney. Eur Urol. 1993;24:116–7.

    PubMed  CAS  Google Scholar 

  6. Gill IS, Cherullo EE, Meraney AM, Borsuk F, Murphy DP, Falcone T. Vaginal extraction of the intact specimen following laparoscopic radical nephrectomy. JURO. 2002;167(1):238–41.

    Google Scholar 

  7. Gettman MT, Lotan Y, Napper CA, Cadeddu JA. Transvaginal laparoscopic nephrectomy: development and feasibility in the porcine model. Urology. 2002;59(3):446–50.

    Article  PubMed  Google Scholar 

  8. Clayman RV, Box GN, Abraham JBA, Lee HJ, Deane LA, Sargent ER, et al. Rapid communication: transvaginal single-port NOTES nephrectomy: initial laboratory experience. J Endourol. 2007;21(6):640–4.

    Article  PubMed  Google Scholar 

  9. Branco AW, Branco Filho AJ, Kondo W, Noda RW, Kawahara N, Camargo AAH. Hybrid transvaginal nephrectomy. Eur Urol. 2008;53:1290–4.

    Article  PubMed  Google Scholar 

  10. Alcaraz A, Peri L, Molina A, Goicoechea I, García E, Izquierdo L, et al. Feasibility of transvaginal NOTES-assisted laparoscopic nephrectomy. Eur Urol. 2010;57(2):233–7.

    Article  PubMed  Google Scholar 

  11. Alcaraz A, Musquera M, Peri L, Izquierdo L, García-Cruz E, Huguet J. Feasibility of transvaginal natural orifice transluminal endoscopic surgery–assisted living donor nephrectomy: is kidney vaginal delivery the approach of the future? Eur urol Eur Assoc Urol. 2011;22:1–9.

    Google Scholar 

  12. Porpiglia F, Fiori C, Morra I, Scarpa RM. Transvaginal natural orifice transluminal endoscopic surgery–assisted minilaparoscopic nephrectomy: a step towards scarless surgery. Eur Urol Eur Assoc Urol. 2010;13:1–5.

    Google Scholar 

  13. Alcaraz A, Peri L, Izquierdo L, Musquera M, Serapiao R, Pachón D. Transvaginal NOTES and LESS: are they the future in kidney surgery? Eur Urol Suppl Eur Assoc Urol. 2011;10(3):e58–63.

    Article  Google Scholar 

  14. Aron M, Berger AK, Stein RJ, Kamoi K, Brandina R, Canes D, et al. Transvaginal nephrectomy with a multichannel laparoscopic port: a cadaver study. BJU Int. 2009;103(11):1537–41.

    Article  PubMed  Google Scholar 

  15. Clavijo R, Ribal MJ, Sotelo R, Fernández G, Alcaraz A. NOTES, hybrid NOTES, NOTES-assisted kidney surgery: what has been achieved so far? Arch Esp Urol. 2012;65(3):399–406.

    PubMed  CAS  Google Scholar 

  16. Sotelo R, de Andrade R, Fernandez GF, Ramirez D, Di Grazia E, Carmona O. NOTES hybrid transvaginal radical nephrectomy for tumor: stepwise progression toward a first successful clinical case. Eur Urol Eur Assoc Urol. 2009;28:1–7.

    Google Scholar 

  17. Kaouk JH, White WM, Goel RK, Brethauer S, Crouzet S, Rackley RR. NOTES transvaginal nephrectomy: first human experience. Urology. 2009;74(1):5–8.

    Article  PubMed  Google Scholar 

  18. Kaouk JH, Haber GP, Goel RK, Crouzet S, Brethauer S, Firoozi F. Pure natural orifice translumenal endoscopic surgery (NOTES) transvaginal nephrectomy. Eur Urol Eur Assoc Urol. 2010;57(4):723–6.

    Google Scholar 

  19. Auyang ED, Santos BF, Enter DH, Hungness ES, Soper NJ. Natural orifice translumenal endoscopic surgery (NOTES®): a technical review. Surg Endosc. 2011;25(10):3135–48.

    Article  PubMed  Google Scholar 

  20. Federlein M, Borchert D, Müller V, Atas Y, Fritze F, Burghardt J. Transvaginal video-assisted cholecystectomy in clinical practice. Surg Endosc. 2010;24(10):2444–52.

    Article  PubMed  Google Scholar 

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Correspondence to Maria J. Ribal Caparros M.D., Ph.D. .

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© 2013 Springer-Verlag London

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Caparros, M.J.R., Asensio, A.A. (2013). Access: Transvaginal. In: Rane, A., Cadeddu, J., Desai, M., Gill, I. (eds) Scar-Less Surgery. Springer, London. https://doi.org/10.1007/978-1-84800-360-6_10

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  • DOI: https://doi.org/10.1007/978-1-84800-360-6_10

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