Related Experiment Video
Updated: Jun 2, 2026
06:46
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
[The transvaginal approach in acute appendicitis]
Raúl Castro Pérez1, Luis Ramón Acosta González, Eduardo Dopico Reyes
1Servicio de Cirugía General, Hospital Provincial Docente Abel Santamaría Cuadrado, Ciudad de Pinar del Río, Provincia de Pinar del Río, Cuba. castro@princesa.pri.sld.cu
Cirugia Espanola
|April 26, 2011
Summary
Minilaparoscopic-assisted transvaginal appendectomy using rigid instruments is a safe and feasible surgical option for acute appendicitis in selected women, offering potential aesthetic benefits.
Area of Science:
- Minimally invasive surgery
- Gastrointestinal surgery
- Surgical techniques
Context:
- Acute appendicitis is a common surgical emergency.
- Traditional appendectomy methods can lead to visible scarring.
- Minimally invasive approaches aim to reduce patient morbidity and improve cosmesis.
Purpose:
- To present a series of 8 minilaparaparoscopic-assisted transvaginal appendectomies using rigid instruments.
- To evaluate the feasibility, safety, and outcomes of this novel surgical approach.
Summary:
- Eight women aged 18-42 with acute appendicitis underwent minilaparoscopic-assisted transvaginal appendectomy with rigid instruments.
- Mean surgical time was 48.3 minutes, with minimal need for post-operative analgesics.
- All patients recovered well with no post-surgical complications and early discharge.
Impact:
- This technique demonstrates a safe and feasible alternative for appendectomy in selected female patients.
- It offers potential advantages in terms of aesthetic outcomes compared to conventional laparoscopic appendectomy.
- Further research is warranted to confirm the long-term benefits and broader applicability of this approach.
Related Concept Videos
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...