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Updated: Apr 18, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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Transvaginal appendectomy: a systematic review.

Mehmet Ali Yagci¹, Cuneyt Kayaalp¹

¹Department of Surgery, Turgut Ozal Medical Center, Inonu University, 44315 Malatya, Turkey.

Minimally Invasive Surgery

|January 24, 2015

Summary

Transvaginal appendectomy, a natural orifice transluminal endoscopic surgery (NOTES), shows promise for uncomplicated appendicitis in non-obese women. This minimally invasive approach may reduce pain and recovery time.

Area of Science:

Minimally invasive surgery
Natural orifice transluminal endoscopic surgery (NOTES)

Background:

Natural orifice transluminal endoscopic surgery (NOTES) offers a novel approach to minimally invasive procedures.
Transvaginal appendectomy utilizes natural orifices for surgical access, potentially reducing external scarring and patient discomfort.

Purpose of the Study:

To review the clinical feasibility, complications, and limitations of transvaginal appendectomy.
To summarize surgical techniques for transvaginal appendectomy.

Main Methods:

Comprehensive literature search across PubMed/MEDLINE, Cochrane, Google-Scholar, EBSCO, and clinicaltrials.gov.
Inclusion of all relevant reports regardless of patient demographics, comorbidities, or surgical history.

Main Results:

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112 transvaginal appendectomies were analyzed, focusing on patients with uncomplicated appendicitis and without morbid obesity.
Average operating time was 53.3 minutes, with conversion and complication rates of 3.6% and 8.2%, respectively.
Mean hospital stay was 1.9 days, indicating a potentially shorter recovery period.

Conclusions:

Transvaginal appendectomy is a viable option for non-morbidly obese female patients with uncomplicated appendicitis.
This technique may lead to decreased postoperative pain and faster return to daily activities.
Further comparative and randomized studies are needed to establish efficacy across diverse patient subgroups.