Abstract | BACKGROUND: The objective of this study is to assess the safety and efficacy of transvaginal (TV) natural orifice transluminal endoscopic surgery (NOTES) operations in morbidly obese patients. METHODS: One hundred seven NOTES operations have been performed at our institution to date, of which 17 were completed in patients with body mass index (BMI) between 35 and 45 kg/m(2). These included 14 cholecystectomies, one appendectomy, and two ventral hernia repairs. The patients had average age of 36.2 years (range 19-62 years) and average BMI of 38.9 kg/m(2) (range 35.2-44.9 kg/m(2)). The mean number of previous abdominal operations was 1. The TV cholecystectomies were hybrid NOTES procedures, while TV appendectomy and ventral hernia repair were pure NOTES. All operations were completed with standard straight laparoscopic instruments. RESULTS: CONCLUSIONS: NOTES is an attractive alternative to laparoscopy in female patients with morbid obesity. The procedures are safe and have short operative times, good postoperative outcomes, and improved cosmesis compared with laparoscopy.
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Authors | Lucian Panait, Stephanie G Wood, Robert L Bell, Andrew J Duffy, Kurt E Roberts |
Journal | Surgical endoscopy
(Surg Endosc)
Vol. 27
Issue 7
Pg. 2625-9
(Jul 2013)
ISSN: 1432-2218 [Electronic] Germany |
PMID | 23355168
(Publication Type: Journal Article)
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Topics |
- Adult
- Appendectomy
(methods)
- Body Mass Index
- Cholecystectomy
(methods)
- Female
- Hernia, Ventral
(surgery)
- Humans
- Laparoscopy
- Length of Stay
- Middle Aged
- Natural Orifice Endoscopic Surgery
- Obesity, Morbid
(complications)
- Operative Time
- Vagina
- Young Adult
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