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Transvaginal laparoscopic salpingo-oophorectomy: an oncological risk-reducing procedure
Kostas Lathouras1, Srdjan Saso1, Benjamin P Jones1
1Imperial College Healthcare NHS Foundation Trust, Queen Charlotte's and Hammersmith Hospitals, Du Cane Road, London W12 0HS, United Kingdom.
Aim:
Since the first natural orifice transluminal endoscopic surgery procedure, renewed interest has arisen in further developing and advancing minimal access surgery. We introduce a natural orifice endoscopic approach for a bilateral salpingo-oophorectomy.
Patients & Methods:
Using the vagina as a natural orifice, we performed a transvaginal laparoscopic salpingo-oophorectomy to remove bilateral adnexa in patients with a strong family history of ovarian and/or breast cancer and those positive for BRCA1/2 mutation.
Results:
Total 36 women underwent transvaginal laparoscopic salpingo-oophorectomy. Conversion to routine laparoscopy was required in eight patients to complete the operation. No peri-operative complications were noted.
Conclusion:
We describe a novel approach in gynecological surgery. Our technique proved to be safe and efficient with the advantage of avoiding any abdominal scars.
