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Updated: May 7, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Pure NOTES transvaginal appendectomy with gasless laparoscopy.

Ying-Han Chen¹, Dan-Bo Wang, Yu Tian

¹Department of Gynecology and Obstetrics, Shengjing Hospital of China Medical University, Shenyang, China.

The Journal of Surgical Research

|October 8, 2013

Summary

This summary is machine-generated.

Gasless laparoscopic transvaginal appendectomy is a safe and feasible technique for treating chronic appendicitis. This scarless procedure offers acceptable outcomes, avoiding complications associated with pneumoperitoneum.

Keywords:

Gasless Hysterectomy Laparoscopy Pure NOTES Transvaginal appendectomy

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Last Updated: May 7, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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Published on: September 15, 2023

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

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Published on: September 11, 2021

Area of Science:

Minimally Invasive Surgery
Gynecologic Endoscopy
Gastrointestinal Endoscopy

Background:

The transvaginal approach is common in natural orifice transluminal endoscopic surgery.
Gas insufflation during laparoscopic surgery can complicate transvaginal procedures.
Developing gasless techniques is crucial for optimizing transvaginal surgery.

Purpose of the Study:

To establish a proper technique for transvaginal appendectomy under gasless laparoscopy.
To evaluate the feasibility and safety of gasless transvaginal appendectomy.

Main Methods:

Five patients with chronic appendicitis underwent gasless laparoscopic transvaginal appendectomy concurrently with vaginal hysterectomy.
An abdominal wall-lifting device was used after uterine removal.
The appendix was removed transvaginally, and outcomes were analyzed.

Main Results:

All procedures were successfully completed without intraoperative or major postoperative complications.
Appendectomy took 20-30 minutes with minimal blood loss.
Patients were discharged scar-free within 3 days.

Conclusions:

Gasless laparoscopic transvaginal appendectomy following vaginal hysterectomy is a feasible and safe surgical modification.
This technique demonstrates acceptable outcomes for patients with chronic appendicitis.
It offers a scarless alternative to traditional appendectomy methods.