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[Celio-assisted vaginal surgery]

M Canestrelli¹, M Cannì, R Mori

¹Divisione di Ginecologia ed Ostetricia, Ospedale Civile E. Agnelli, Pinerolo, Torino.

Minerva Ginecologica

|December 8, 1998

Summary

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Celio-assisted vaginal surgery offers reduced operating time and intra-abdominal pressure, lowering thromboembolism risk. However, it presents challenges in abdominal cavity exposure, particularly for obese patients.

Area of Science:

Minimally Invasive Gynecological Surgery
Laparoscopic Techniques
Vaginal Surgery

Context:

Laparoscopic surgery has advanced, enabling celio-assisted vaginal operations.
Gas-free laparoscopy with mechanical retractors allows simultaneous transvaginal and laparoscopic approaches.
The uterus, an abdominal and pelvic organ, benefits from combined surgical techniques.

Purpose:

To evaluate the safety and efficacy of celio-assisted vaginal surgery.
To assess outcomes of gas-free laparoscopy in combined vaginal and laparoscopic procedures.
To explore the advantages and disadvantages of this novel surgical approach.

Summary:

A prospective study of 17 patients undergoing celio-assisted vaginal surgery (myomectomy or hysterectomy) was conducted.

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Procedures included vaginal myomectomy (58.8%) and vaginal hysterectomy (41.2%), with a 17.6% laparoconversion rate.

Outcomes showed rare postoperative complications (11.7%), a mean surgery duration of 122.7 minutes, and a mean hospital stay of 3.7 days.

Impact:

Celio-assisted vaginal surgery using gas-free laparoscopy reduces operating time and intra-abdominal pressure, decreasing thromboembolism risk.
Potential disadvantages include diminished lateral exposure and challenges with intestinal loops in obese patients.
This technique offers a promising alternative for specific gynecological procedures, balancing benefits and drawbacks.