STUDY OBJECTIVE: The modality of surgical specimen extraction is extremely important in the setting of minimally invasive operations. To assess the feasibility, safety, and applicability of transvaginal specimen extraction through posterior colpotomy in women with uterus in situ, we present our 11-year experience with this technique and perform a systematic review of the available studies in the field of gynecologic laparoscopy. DESIGN: A retrospective analysis and systematic review of the literature (Canadian Task Force classification II-2). SETTING: A tertiary care center. PATIENTS: Two hundred thirty women with uterus in situ undergoing minimally invasive surgery for gynecologic disease at our institution with transvaginal specimen removal in the period between 2001 and 2012. We then reviewed 17 studies, collecting data on a total of 899 transvaginal retrieval procedures. INTERVENTIONS: Transvaginal specimen retrieval after operative laparoscopy. MEASUREMENTS AND MAIN RESULTS: Overall, 259 retrieval procedures were performed in the 230 patients operated on at our institution (including extraction of adnexal specimens [n = 190], uterine myomectomies [n = 36], bowel resections [n = 17], and other [n = 16]). All interventions were completed laparoscopically. Two (0.8%) women required secondary surgery because of postoperative intraperitoneal bleeding. Three additional (1.3%) minor postoperative complications were observed. No intra- and postoperative complications associated with the extraction technique occurred. In our literature review, a total of 58 (6.5%) complications were recorded. Only 1 (0.1%) adverse event was related to the transvaginal extraction procedure. CONCLUSION: Our data suggest that transvaginal specimen retrieval after operative laparoscopy represents a safe, feasible, and applicable technique. Further research is needed to assess the real advantages of this natural orifice extraction procedure.
STUDY OBJECTIVE: The modality of surgical specimen extraction is extremely important in the setting of minimally invasive operations. To assess the feasibility, safety, and applicability of transvaginal specimen extraction through posterior colpotomy in women with uterus in situ, we present our 11-year experience with this technique and perform a systematic review of the available studies in the field of gynecologic laparoscopy. DESIGN: A retrospective analysis and systematic review of the literature (Canadian Task Force classification II-2). SETTING: A tertiary care center. PATIENTS: Two hundred thirty women with uterus in situ undergoing minimally invasive surgery for gynecologic disease at our institution with transvaginal specimen removal in the period between 2001 and 2012. We then reviewed 17 studies, collecting data on a total of 899 transvaginal retrieval procedures. INTERVENTIONS: Transvaginal specimen retrieval after operative laparoscopy. MEASUREMENTS AND MAIN RESULTS: Overall, 259 retrieval procedures were performed in the 230 patients operated on at our institution (including extraction of adnexal specimens [n = 190], uterine myomectomies [n = 36], bowel resections [n = 17], and other [n = 16]). All interventions were completed laparoscopically. Two (0.8%) women required secondary surgery because of postoperative intraperitoneal bleeding. Three additional (1.3%) minor postoperative complications were observed. No intra- and postoperative complications associated with the extraction technique occurred. In our literature review, a total of 58 (6.5%) complications were recorded. Only 1 (0.1%) adverse event was related to the transvaginal extraction procedure. CONCLUSION: Our data suggest that transvaginal specimen retrieval after operative laparoscopy represents a safe, feasible, and applicable technique. Further research is needed to assess the real advantages of this natural orifice extraction procedure.
Authors: M W Beckmann; I Juhasz-Böss; D Denschlag; P Gaß; T Dimpfl; P Harter; P Mallmann; S P Renner; S Rimbach; I Runnebaum; M Untch; S Y Brucker; D Wallwiener Journal: Geburtshilfe Frauenheilkd Date: 2015-02 Impact factor: 2.915
Authors: Jan Baekelandt; Peter A De Mulder; Ilse Le Roy; Chantal Mathieu; Annouschka Laenen; Paul Enzlin; Steven Weyers; Ben Wj Mol; Jan Ja Bosteels Journal: BMJ Open Date: 2016-08-12 Impact factor: 2.692
Authors: Jun Seok Park; Hyun Kang; Soo Yeun Park; Hye Jin Kim; In Taek Lee; Gyu-Seog Choi Journal: Ann Surg Treat Res Date: 2017-12-28 Impact factor: 1.859
Authors: Andrea Tinelli; Daniel A Tsin; Antonello Forgione; Ricardo Zorron; Giovanni Dapri; Antonio Malvasi; Tahar Benhidjeb; Radmila Sparic; Farr Nezhat Journal: J Turk Ger Gynecol Assoc Date: 2017-09-01