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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jun 24, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Natural orifice-assisted laparoscopic appendectomy.

Ceana Nezhat1, M Shoma Datta, Andrew Defazio

  • 1Atlanta Center for Special Minimally Invasive Surgery and Reproductive Medicine, Atlanta, Georgia, USA. Ceana@Nezhat.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 16, 2009
PubMed
Summary
This summary is machine-generated.

Transvaginal appendectomy using an endoscopic stapler during hysterectomy is a safe and effective technique. This natural orifice surgery offers a minimally invasive approach for appendix removal with good outcomes.

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Last Updated: Jun 24, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision

Published on: June 13, 2025

Area of Science:

  • Minimally Invasive Surgery
  • Gynecologic Surgery
  • Gastrointestinal Surgery

Background:

  • Natural orifice transluminal endoscopic surgery (NOTES) utilizes natural orifices for surgical access.
  • The vaginal opening can serve as a natural orifice for gynecologic procedures.
  • Appendectomy is a common surgical intervention.

Purpose of the Study:

  • To report the utilization of the vaginal opening for appendectomy during hysterectomy.
  • To evaluate the safety and efficacy of transvaginal appendectomy.
  • To explore a novel application of NOTES in gynecologic surgery.

Main Methods:

  • Retrospective review of 42 patients undergoing hysterectomy and transvaginal appendectomy.
  • Appendix mobilization using a small-diameter laparoscope.
  • Transvaginal removal of the appendix with an endoscopic stapler.

Main Results:

  • All procedures were successful without major complications.
  • Appendectomy took 5-10 minutes.
  • Pathologies included adhesions, endometriosis, and carcinoid tumors.

Conclusions:

  • Transvaginal appendectomy is a safe and effective modification of hysterectomy.
  • Endoscopic stapler use facilitates transvaginal appendix retrieval.
  • This approach offers acceptable outcomes for selected patients.