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Related Experiment Video

Updated: Jun 24, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Initial experience with transvaginal incisional hernia repair.

G R Jacobsen1, K Thompson, A Spivack

  • 1University of California San Diego, San Diego, CA 92103, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|April 16, 2009
PubMed
Summary

This study introduces a novel transvaginal approach for abdominal wall hernia repair, demonstrating its feasibility and successful outcome in a single patient case. Further research is needed to overcome challenges before widespread adoption for hernia treatment.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Gastroenterology

Background:

  • Natural orifice surgery is increasingly utilized, with transvaginal techniques becoming more common.
  • Reducing abdominal wall incisions may decrease hernia formation, especially in patients with recurrent hernias.
  • This study explores a novel Natural Orifice Transluminal Endoscopic Surgery (NOTES) approach for abdominal wall hernia repair.

Observation:

  • A 38-year-old female with a recurrent umbilical hernia underwent transvaginal repair with a single additional 5-mm port for safety.
  • The procedure involved a transvaginal approach to address the recurrent ventral abdominal wall hernia.

Findings:

  • The transvaginal hernia repair resulted in no intraoperative or postoperative complications.

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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Related Experiment Videos

Last Updated: Jun 24, 2026

Transvaginal Mesh Insertion in the Ovine Model
10:32

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

  • At 5-month follow-up, the patient reported no complaints, showed no signs of hernia recurrence, and was satisfied with the outcome.
  • Implications:

    • Transvaginal repair of ventral abdominal wall hernias is technically feasible, offering a potential alternative to traditional methods.
    • Significant challenges remain, including safe transvaginal abdominal access, appropriate mesh selection, and infection risk mitigation.
    • This approach may benefit patients at increased risk for incisional hernias or those with recurrent hernias.