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Journal of Gastrointestinal Surgery

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01-05-2013 | Original Article

Hybrid Transvaginal Cholecystectomy, Clinical Results and Patient-Reported Outcomes of 50 Consecutive Cases

Authors: Peter B. van den Boezem, Simone Velthuis, Harm J. Lourens, Rahul A. K. Samlal, Miguel A. Cuesta, Colin Sietses

Published in: Journal of Gastrointestinal Surgery | Issue 5/2013

Abstract

Objective

The aim of this study was to report the clinical and cosmetic results of transvaginal hybrid cholecystectomy (TVC).

Background

Natural orifice transluminal endoscopic surgery (NOTES) has been developed as a minimal invasive alternative for conventional laparoscopic cholecystectomy. Although transvaginal NOTES procedures are becoming increasingly popular, data focussing on body image, cosmesis and sexual recovery are rare.

Methods

Our clinic started to perform the TVC in the beginning of 2011. Female patients with symptomatic gallstone disease that were treated between January 2011 and April 2012 with TVC were entered in a prospective database. All patients received a survey postoperative with questions about recovery, cosmesis and body image.

Results

Fifty consecutive patients were treated with a TVC. There were no major complications. Mean operative time was 61 min. In five patients (10 %), a conversion to another type of cholecystectomy was necessary. None of the sexually active women observed dyspareunia postoperative. The results for cosmesis and body image after the transvaginal approach were excellent.

Conclusions

TVC is a safe and feasible procedure when performed on selected patients. The transvaginal route seems to result in excellent cosmetic outcomes without gynaecologic complications after short-term follow up. Randomised trials are needed to specify the role of TVC in the treatment of patients with symptomatic gallstone disease and to detect differences in cosmetic outcomes.

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Title: Hybrid Transvaginal Cholecystectomy, Clinical Results and Patient-Reported Outcomes of 50 Consecutive Cases
Authors: Peter B. van den Boezem
Simone Velthuis
Harm J. Lourens
Rahul A. K. Samlal
Miguel A. Cuesta
Colin Sietses
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 5/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-013-2175-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Hybrid Transvaginal Cholecystectomy, Clinical Results and Patient-Reported Outcomes of 50 Consecutive Cases

Abstract

Objective

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Background

Methods

Results

Conclusions

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