BACKGROUND: The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach. METHODS: An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA). RESULTS: Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed. CONCLUSION: Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.
BACKGROUND: The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach. METHODS: An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA). RESULTS: Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed. CONCLUSION: Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.
Authors: Anthony N Kalloo; Vikesh K Singh; Sanjay B Jagannath; Hideaki Niiyama; Susan L Hill; Cheryl A Vaughn; Carolyn A Magee; Sergey V Kantsevoy Journal: Gastrointest Endosc Date: 2004-07 Impact factor: 9.427
Authors: Dana A Telem; Kyung Su Han; Min-Chan Kim; Ifode Ajari; Dae Kyung Sohn; Kevin Woods; Varun Kapur; Mohammad A Sbeih; Silvana Perretta; David W Rattner; Patricia Sylla Journal: Surg Endosc Date: 2012-06-30 Impact factor: 4.584
Authors: Francisco Alba Mesa; Antonio Amaya Cortijo; Jose Manuel Romero Fernandez; Andrzej L Komorowski; Miguel Angel Sanchez Hurtado; Enrique Fernandez Ortega; Francisco Miguel Sanchez Margallo Journal: J Laparoendosc Adv Surg Tech A Date: 2012-06-12 Impact factor: 1.878