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Related Experiment Video

Updated: May 27, 2026

Transvaginal Mesh Insertion in the Ovine Model

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Video. Repeated transvaginal notes: is it possible?

S Perretta¹, M Vix, B Dallemagne

¹IRCAD, Department of Digestive and Endocrine Surgery, University of Strasbourg, Strasbourg, France. silvana.perretta@ircad.fr

Surgical Endoscopy

|November 16, 2011

Summary

This summary is machine-generated.

Repeated transvaginal (TV) access for natural orifice transluminal endoscopic surgery (NOTES) is safe and feasible. This technique allows for subsequent extrapelvic procedures, like cholecystectomy, after initial TV surgery, with minimal complications.

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Area of Science:

Minimally Invasive Surgery
Gastroenterology
Gynecologic Surgery

Background:

Transvaginal (TV) surgery is a well-established gynecologic procedure.
Natural Orifice Transluminal Endoscopic Surgery (NOTES) has expanded to extrapelvic disease via the TV route.
Repeated TV access for NOTES has not been previously documented.

Observation:

Two women underwent transvaginal hybrid sleeve gastrectomy followed by transvaginal cholecystectomy.
The procedures were performed using a double-channel endoscope and laparoscopic assistance.
Follow-up included pelvic examinations and sexual function assessment.

Findings:

Both repeated TV access procedures were successful without intraoperative or postoperative complications.
Minimal pelvic adhesions and no vaginal scarring were noted at the colpotomy site.
Patients reported normal sexual function post-recovery.

Implications:

Repeated transvaginal access for NOTES extrapelvic surgery is safe and feasible in experienced hands.
This approach may lead to reduced adhesion formation compared to traditional laparoscopic surgery.
It offers a potentially less invasive option for patients requiring multiple abdominal procedures.