Hybrid NOTES transvaginal intraperitoneal onlay mesh in abdominal wall hernias: an alternative to traditional laparoscopic procedures

Descloux, Alexandre; Pohle, S.; Nocito, Antonio; Keerl, Andreas

doi:10.1007/s00464-015-4141-x

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…Although there is no clear consensus on the technique for ultimate surgical outcomes, the outcome of the umbilical hernia repair is evaluated by recurrence, postoperative chronic pain, and complications [15]. The recurrence rate is doubtlessly the most critical parameter in terms of the quality of the operation.…”

Section: Discussionmentioning

confidence: 99%

Concurrent hysterectomy and umbilical hernia repair via transvaginal notes among morbidly obese patients

Altintaş¹,

Kuru²,

Küçük³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: Umbilical hernias are especially common along with overweight, multiparous women. Laparoscopic hernia repair is preferred due to many advantages. On the other hand, the risk of trocar site hernia is disadvantageous. Trocars do not go through the abdominal wall via transvaginal natural orifice transluminal endoscopic surgery (V-NOTES). We investigate the V-NOTES hysterectomy and concomitant umbilical hernia repairment feasibility and outcomes. Methods: Six morbidly obese patients underwent V-NOTES hysterectomy and concurrent umbilical hernia repair between April 2020 and January 2021. Demographic features of patients, operating time, hernia size, complications, hospitalization time, recurrence of the hernia, visual analog scale (VAS) at 6th, 12th, and 24th hours, first, fourth, 12th weeks, and sixth months were recorded. Results: The average age of patients was 47.667 ± 2.422 (45-52). Mean body mass index (BMI), hernia and operating time size were 44.367 ± 3.217 kg/m 2 (40.3-48.5), 6.167 ± 1.722 cm (4-9) and 88 ± 12.791 minutes (75-110), respectively. Intraoperative complications did not occur. Seroma was detected in one patient(16.6%). In six month follow-up period, we did not establish a diagnosis of hernia recurrence and postoperative chronic pain. Conclusion: Our study offers a novel perspective on V-NOTES umbilical hernia repair and hysterectomy in morbidly obese patients. According to our study, performing V-NOTES umbilical hernia repairment in a risky patient population is feasible and has promising outcomes.

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Section: Discussionmentioning

confidence: 99%

Concurrent hysterectomy and umbilical hernia repair via transvaginal notes among morbidly obese patients

Altintaş¹,

Kuru²,

Küçük³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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“…Previously, it was shown that the vaginal canal can be safer than the skin incision for abdominal imaging, peritoneal and liver biopsy, and insertion of a synthetic mesh 12,13 . The patient-related factors for the occurrence of trocar site hernias are advanced age, diabetes mellitus, and obesity 14 . Recurrent hernia repair, surgical site infection, and the extending the trocar site are also other surgical risk factors for the recurrence 15,16 .…”

Section: Discussionmentioning

confidence: 99%

Reparación laparoscópica transvaginal de hernia ventral: un caso y revisión de la literatura

Bağ

Kayaalp

Cavus

et al. 2021

CIRU

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“…Safety and patient satisfaction were promising, and we further successfully implemented hybrid transvaginal techniques for appendectomies and intraperitoneal hernia repair. 20,21 The aim of our study was to assess outcome and complications of NOTES TVC, with a focus on evaluating necessity and consequences of pre- and postoperative routine gynecological examinations.…”

Section: Introductionmentioning

confidence: 99%

Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies

et al. 2020

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Objective. To assess outcome and safety of 571 hybrid natural orifice transluminal endoscopic surgery (NOTES) cholecystectomies. Methods. We retrospectively analyzed all consecutive NOTES cholecystectomies performed at our center between June 2009 and January 2018. All procedures were performed using a hybrid transvaginal technique, including an umbilical small-size trocar. End points, calculated at discharge, 30 and up to 90 days postoperatively, included intra- and postoperative morbidity assessed by the validated Clavien–Dindo classification and the Comprehensive Complication Index (CCI). Special focus was held on outcome and necessity of pre- and postoperative gynecological examinations. Results. We performed 571 hybrid NOTES cholecystectomies within 9 years. The vast majority were elective, 9.6% were emergency cholecystectomies. 6.7% of patients developed at least one complication until discharge, most of them minor (≤grade II). 30- and 90-day complication rates were 10.7% and 11%, respectively. Mean CCI at discharge and postoperative days 30 and 90 was 1.45 (±6.4), 2.3 (±7.7), and 2.4 (±7.8), respectively. Major complications (≥grade IIIa) occurred in 1.6% of patients, and 4 patients required emergency reoperation. No mortality was observed. In 9.8%, an additional abdominal trocar was placed. All patients underwent routine gynecological examination, whereof only 5 were rejected for transvaginal access preoperatively. In no case transvaginal access was discontinued intraoperatively due to gynecological disease. Conclusion. Hybrid NOTES transvaginal cholecystectomy represents a safe and feasible alternative to standard laparoscopic cholecystectomy. Preoperative gynecological examination is no longer routinely necessary, as intraoperative assessment is adequate.

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Hybrid NOTES transvaginal intraperitoneal onlay mesh in abdominal wall hernias: an alternative to traditional laparoscopic procedures

Abstract: Although no final conclusion can be made regarding the presumed non-inferiority of this technique in terms of recurrence and mesh infection compared with traditional laparoscopic IPOM, laparoscopic-assisted transvaginal IPOM is a feasible alternative to treat abdominal wall hernias.

Cited by 7 publications

References 25 publications

Concurrent hysterectomy and umbilical hernia repair via transvaginal notes among morbidly obese patients

Concurrent hysterectomy and umbilical hernia repair via transvaginal notes among morbidly obese patients

Reparación laparoscópica transvaginal de hernia ventral: un caso y revisión de la literatura

Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies

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