title: Transvaginal single-port natural orifice transluminal endoscopic surgery for benign uterine adnexal pathologies.
abstract: Transvaginal natural orifice transluminal endoscopic surgery (NOTES) with pneumoperitoneum has been used in cholecystectomies, appendectomies, and nephrectomies, but transvaginal NOTES using a single port in gynecologic procedures has not been described despite gynecologist familiarity with the vaginal approach. We performed transvaginal single-port NOTES in 10 women with benign uterine adnexal disease: oophorectomy in 3 patients, salpingostomy and salpingectomy in 2 each, and ovarian cystectomy, paratubal cystectomy, and ovarian wedge resection in 1 each. The patients were discharged at 1 or 2 days postoperatively, and were satisfied, with minimal pain, no abdominal scar, and no complications at 2-month follow-up. We conclude that transvaginal single-port NOTES to treat benign uterine adnexal disease is a feasible and attractive option.
authors: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
authors: Ki Hoon
authors: KH
authors: Ahn
authors: Jae Yun
authors: JY
authors: Song
authors: Sun Haeng
authors: SH
authors: Kim
authors: Kyu Wan
authors: KW
authors: Lee
authors: Tak
authors: T
authors: Kim
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D010052:Ovariectomy / Q000379:methods*; D017060:Patient Satisfaction; D058994:Salpingectomy / Q000379:methods*; D012489:Salpingostomy / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina