What about vaginal extraction of the kidney? results of an online survey

Abstract

Purpose We aimed to characterize surgeons opinion about the vaginal extraction of the kidney after transperitoneal laparoscopic nephrectomy.Matherial and Methods A 9-item questionnaire was published online (Survey Monkey TM) and publicized via email to a multidisciplinary pool of surgeons in Portugal. Data was collected and statistical analysis was performed using IBM SPSS Statistics, Version 21.0.Results Three hundred and fifty nine inquiries were sent, 154 surgeons completed the questionnaires (response rate of 43.0%). Fifty five point eight percent of the participants would choose the transvaginal approach for themselves or for a close relative. The most stated arguments were a better cosmesis (29.0%) expectancy of lower post operative pain (26.0%) and lower rate of incisional hernias (23.0%). Defenders of the transabdominal procedure justified with an expectancy of lower complication rate (39%), namely impairment of sexual function and fertility (22%). The female gender and the familiarity with transvaginal surgery were the stronger predictors of the option for this approach (70.6% vs 48.5%; p=0,016 and 85.3% vs 46.6%; p <0.001 respectively).Conclusions Contrasting with similar surveys published on transvaginal NOTES, the vaginal specimen extraction after conventional laparoscopic nephrectomy was fairly accepted by the inquired surgeons.

Women’s Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) – Impact of Medical Education, Stage of Life and Cross-Cultural Aspects

“…The results revealed a preference for the transvaginal access on the part of female surgeons who were familiar with this access. 15 In general, the rationale behind a NOTES survey with health professionals seems to be obvious. Health professionals play an important role in informing the patients’ decision making.…”

“…Different target groups have been surveyed, ranging from broad populations, outpatients, inpatients and obese patients to surgeons and gynecologists. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] To date, the total number of respondents has reached 2704 in China and Korea, 2510 in Europe, 1787 in the USA and Canada and 524 in Australia, reaching more than 7500 subjects polled (Table 1). 7 However, the overall number of respondents alone does not reflect the broad scope of cross-cultural differences and similarities.…”

Robotic transvaginal natural orifice transluminal endoscopic surgery for bilateral salpingo oophorectomy

“…Accordingly, a recent consensus statement was published regarding the use of NOSES to avoid abdominal incision in laparoscopic surgery [ 41 ]. In an online survey among surgeons in Brazil, 56 % of the respondents stated they would choose a transvaginal approach for extracting a kidney, for themselves or a close relative [ 42 ]. Among patients hospitalized in China, 45 % stated they would choose NOTES; the latter comprised predominantly females, and the younger and more educated patients [ 43 ].…”