| Seow KM |
------>authors3_c=??? ------>paper_class1=1 ------>Impact_Factor=1.147 ------>paper_class3=2 ------>paper_class2=1 ------>vol=95 ------>confirm_bywho=shiemin ------>insert_bywho=m001015 ------>Jurnal_Rank=57.9 ------>authors4_c=??? ------>comm_author= ------>patent_EDate=None ------>authors5_c=??? ------>publish_day=1 ------>paper_class2Letter=None ------>page2=34 ------>medlineContent= ------>unit=E0100 ------>insert_date=20070417 ------>iam=4 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c=??? ------>score=-5 ------>journal_name=Int J Gynaecol Obstet ------>paper_name=Outcomes and complications of laparoscopically assisted vaginal hysterectomy ------>confirm_date=20070417 ------>tch_id=092060 ------>pmid=19366534 ------>page1=29 ------>fullAbstract=BACKGROUND AND OBJECTIVES: Natural orifice transluminal endoscopic surgery involves the introduction of instruments through a natural orifice into the peritoneal cavity to perform diagnostic and therapeutic surgical interventions. We report the utilization of the vaginal opening at the time of laparoscopic-assisted vaginal hysterectomy or total laparoscopic hysterectomy as a natural orifice for appendectomy. METHODS: We reviewed cases of 42 patients who underwent total laparoscopic hysterectomy or laparoscopic-assisted vaginal hysterectomy followed by appendectomy, performed by applying a stapler and removing the appendix transvaginally. By using a small-diameter laparoscope, the appendix was mobilized, especially in patients with adhesions, endometriosis, or retrocecal appendix, to facilitate transvaginal access with the stapler. RESULTS: All procedures were performed successfully without intraoperative or major postoperative complications. The appendectomy portion of the procedure took approximately 5 minutes to 10 minutes. Appendiceal pathology included serosal adhesions (14), fibrous obliteration of the lumen (12), endometriosis (4), serositis (2), and carcinoid tumor (1), among others. CONCLUSIONS: Appendectomy performed with an endoscopic stapler introduced transvaginally for amputation and retrieval following total laparoscopic hysterectomy or laparoscopically assisted vaginal hysterectomy appears to be a safe and effective modification of established techniques with acceptable outcomes. ------>tmu_sno=None ------>sno=14988 ------>authors2=Tsou CT ------>authors3=Lin YH ------>authors4=Hwang JL ------>authors5=Tsai YL ------>authors6=Huang LW ------>authors6_c=??? ------>authors=Seow KM ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c=??? ------>publish_area=0 ------>updateTitle=Natural orifice-assisted laparoscopic appendectomy. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2006 ------>submit_flag=None ------>publish_month=8 |