title: Transvaginal specimen removal in minimally invasive surgery.
abstract: The demand for urological surgical treatment associated with better cosmesis, lower morbidity rates and shorter hospitalization constantly grows. The transvaginal route has been proposed in an attempt to avoid long abdominal incisions for the removal of the large laparoscopic specimens. Moreover, the transvaginal NOTES approach represents a promising evolution of laparoscopic surgery to a more "minimally invasive" alternative. The current review summarizes the available experience in the literature in transvaginal conventional laparoscopy and NOTES in urology, gynecology and general surgery. The clinical outcome is presented. The most important issues associated with the transvaginal approach are the complications and the postoperative sexual function. These issues are presented.
authors.affiliation: Department of Urology, University of Patras, Rion, 26 504, Patras, Greece.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kallidonis
authors.affiliation: Department of Urology, University of Patras, Rion, 26 504, Patras, Greece.
authors.forename: Vasilis
authors.initials: V
authors.lastname: Panagopoulos
authors.affiliation: Department of Urology, University of Patras, Rion, 26 504, Patras, Greece.
authors.forename: Iason
authors.initials: I
authors.lastname: Kyriazis
authors.affiliation: Department of Urology, University of Patras, Rion, 26 504, Patras, Greece.
authors.forename: Marinos
authors.initials: M
authors.lastname: Vasilas
authors.affiliation: Department of Urology, University of Patras, Rion, 26 504, Patras, Greece. liatsikos@yahoo.com.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Liatsikos
mesh_terms: D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014621:Vagina
keywords: Access; Laparoscopic; NOTES; Natural orifices; Transvaginal
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