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A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

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Transvaginal access: current experience and potential implications for urologic applications.

Geoffrey N Box¹, Marc Bessler, Ralph V Clayman

¹Department of Urology, University of California, Irvine, Orange, 92868, USA.

Journal of Endourology

|May 15, 2009

Summary

Natural orifice translumenal endoscopic surgery (NOTES) offers a less invasive surgical option. The transvaginal approach shows promise as the optimal NOTES portal, with successful clinical cholecystectomies reported.

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Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Area of Science:

Minimally invasive surgery
Surgical innovation
Gastrointestinal and urologic surgery

Background:

Natural orifice translumenal endoscopic surgery (NOTES) is a novel approach to reduce surgical invasiveness.
The vagina is a potential natural orifice for endoscopic surgery, with a history of gynecological use.
Transvaginal specimen retrieval is established in laparoscopic procedures.

Purpose of the Study:

To evaluate the transvaginal approach as a primary portal for Natural orifice translumenal endoscopic surgery (NOTES).
To review the current evidence and potential of transvaginal NOTES for intra-abdominal procedures.

Main Methods:

Review of existing literature on transvaginal surgery and NOTES procedures.
Analysis of animal studies and early clinical reports of transvaginal NOTES.
Comparison of transvaginal NOTES with traditional laparoscopic surgery.

Main Results:

Animal studies demonstrate successful transvaginal NOTES for various gastrointestinal and urologic surgeries.
Early clinical series report successful transvaginal cholecystectomy, indicating feasibility.
The transvaginal route is suggested as the most suitable NOTES portal where applicable.

Conclusions:

The transvaginal approach is a promising and potentially optimal route for Natural orifice translumenal endoscopic surgery (NOTES).
Further research is required to address specific concerns and compare transvaginal NOTES with standard laparoscopic surgery.
Clinical validation is essential to determine the ultimate value of transvaginal NOTES techniques.