Hysterectomy and bilateral adnexectomy using transvaginal natural orifice transluminal endoscopic surgery: The role of multichannel abdominal PORT and vaginal support ring

Author(s):  
Junji Zhang ◽  
Yi Dai ◽  
Jinhua Leng ◽  
Lan Zhu ◽  
Jinghe Lang ◽  
...  
2016 ◽  
Vol 43 (3) ◽  
pp. 209-213
Author(s):  
GERALDO JOSÉ DE SOUZA LIMA ◽  
RODRIGO FABIANO GUEDES LEITE ◽  
GUSTAVO MUNAYER ABRAS ◽  
LIVIO JOSÉ SURETTI PIRES ◽  
EDUARDO GODOY CASTRO

ABSTRACT The role of laparoscopy in the modern surgery era is well established. With the prospect of being able to improve the already privileged current situation, new alternatives have been proposed, such as natural orifice endoscopic surgery (NOTES), the method for single transumbilical access (LESS - Laparo-endoscopic single-site surgery) and minilaparoscopy (MINI). The technique proposed by the authors uses a laparoscope with an operative channel like the flexible endoscope used in NOTES. All operative times are carried out through the umbilical trocar as in LESS, and assisted by a minilaparoscopy grasper. This new technic combines, and results from, the rationalization of technical particularities and synergy of these three approaches, seeking to join their advantages and minimize their disadvantages.


Endoscopy ◽  
2010 ◽  
Vol 42 (12) ◽  
pp. 1096-1103 ◽  
Author(s):  
G. Fernández-Esparrach ◽  
R. San José Estépar ◽  
C. Guarner-Argente ◽  
G. Martínez-Pallí ◽  
R. Navarro ◽  
...  

2010 ◽  
Vol 71 (5) ◽  
pp. AB317
Author(s):  
Gloria Fernandez-Esparrach ◽  
Raul San Jose Estepar ◽  
Carlos Guarner-Argente ◽  
Graciela Martínez-Pallí ◽  
Cristina Rodriguez De Miguel ◽  
...  

2012 ◽  
Vol 75 (4) ◽  
pp. AB270
Author(s):  
Henry Cordova ◽  
Raul San Jose Estepar ◽  
Antonio RodríGuez-D'JesúS ◽  
Ricard Navarro-Ripoll ◽  
Graciela MartíNez-Pallí ◽  
...  

2009 ◽  
Vol 23 (5) ◽  
pp. 793-802 ◽  
Author(s):  
Jens Rassweiler ◽  
Matthias Baumhauer ◽  
Uwe Weickert ◽  
Hans-Peter Meinzer ◽  
Dogu Teber ◽  
...  

2014 ◽  
Vol 80 (5) ◽  
pp. 807-816 ◽  
Author(s):  
Yang Bai ◽  
Wei-guang Qiao ◽  
Hui-ming Zhu ◽  
Qiong He ◽  
Na Wang ◽  
...  

2021 ◽  
Vol 10 (13) ◽  
pp. 2951
Author(s):  
Maria Baldovin ◽  
Diego Cazzador ◽  
Claudia Zanotti ◽  
Giuliana Frasson ◽  
Athanasios Saratziotis ◽  
...  

Bilateral choanal atresia (CA) is a rare congenital malformation frequently associated with other anomalies. CHARGE association is closely linked to bilateral CA. The aim of this study was to describe the outcomes of the endoscopic repair in bilateral CA, and to assess the role of postoperative nasal stenting in two cohorts of CHARGE-associated and non-syndromic CA. Thirty-nine children were retrospectively analyzed (16 patients had CHARGE-associated CA). The rate of postoperative neochoanal restenosis was 31.3% in the CHARGE population, and 47.8% in the non-syndromic CA cohort. Data on postoperative synechiae and granulation tissue formation, need for endonasal toilette and dilation procedures, and number of procedures per patient were presented. Stent positioning led to a higher number of postoperative dilation procedures per patient in the non-syndromic cohort (p = 0.018), and to a higher rate of restenosis both in the CHARGE-associated, and non-syndromic CA populations. Children with CHARGE-associated and non-syndromic bilateral CA benefitted from endonasal endoscopic CA correction. The postoperative application of an endonasal stent should be carefully evaluated.


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