title: Transvaginal pure NOTES sigmoid resection using a single port device.
abstract: BACKGROUND
  The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach.
  
  
  METHODS
  An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA).
  
  
  RESULTS
  Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed.
  
  
  CONCLUSIONS
  Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.
authors.affiliation: Department of Digestive Surgery, Groeninge Hospital Kortrijk, Pres. Kennedylaan 4, 8500, Kortrijk, Belgium, mathieudhondt2000@yahoo.com.
authors.forename: M
authors.initials: M
authors.lastname: D'Hondt
authors.forename: D
authors.initials: D
authors.lastname: Devriendt
authors.forename: F
authors.initials: F
authors.lastname: Van Rooy
authors.forename: F
authors.initials: F
authors.lastname: Vansteenkiste
authors.forename: E
authors.initials: E
authors.lastname: Dozois
mesh_terms: D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery*; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000601:surgery*; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
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