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Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report

Laparoscopic splenectomy has become an established standard of care in managing surgical diseases of the normal-sized spleen. Natural orifice transluminal endoscopic surgery (NOTES) is a step forward in making laparoscopic surgery even less invasive. In addition, the spleen can be accessed easily wi...

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Autores principales: Bansal, Rohit, Dhillon, Kanwarjit Singh, Kaushal, Gourav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9306121/
https://www.ncbi.nlm.nih.gov/pubmed/35046170
http://dx.doi.org/10.4103/jmas.jmas_245_21
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author Bansal, Rohit
Dhillon, Kanwarjit Singh
Kaushal, Gourav
author_facet Bansal, Rohit
Dhillon, Kanwarjit Singh
Kaushal, Gourav
author_sort Bansal, Rohit
collection PubMed
description Laparoscopic splenectomy has become an established standard of care in managing surgical diseases of the normal-sized spleen. Natural orifice transluminal endoscopic surgery (NOTES) is a step forward in making laparoscopic surgery even less invasive. In addition, the spleen can be accessed easily with the hybrid transvaginal approach. We present the case of a 38-year-old woman with medical refractory immune thrombocytopenic purpura. Hybrid notes splenectomy was performed using three working 5-mm abdominal trocars and a 10-mm camera port through the posterior fornix of the vagina. The organ was retrieved intact transvaginally. The patient had minimal post-operative pain and was discharged on the 1(st) post-operative day. Transvaginal hybrid NOTES approach is feasible for operative visualisation, dissection, clipping and specimen extraction in patients requiring splenectomy. It may offer better cosmesis and faster recovery. Comparative studies with conventional laparoscopic approach are desirable.
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spelling pubmed-93061212022-07-23 Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report Bansal, Rohit Dhillon, Kanwarjit Singh Kaushal, Gourav J Minim Access Surg Unusual Case Laparoscopic splenectomy has become an established standard of care in managing surgical diseases of the normal-sized spleen. Natural orifice transluminal endoscopic surgery (NOTES) is a step forward in making laparoscopic surgery even less invasive. In addition, the spleen can be accessed easily with the hybrid transvaginal approach. We present the case of a 38-year-old woman with medical refractory immune thrombocytopenic purpura. Hybrid notes splenectomy was performed using three working 5-mm abdominal trocars and a 10-mm camera port through the posterior fornix of the vagina. The organ was retrieved intact transvaginally. The patient had minimal post-operative pain and was discharged on the 1(st) post-operative day. Transvaginal hybrid NOTES approach is feasible for operative visualisation, dissection, clipping and specimen extraction in patients requiring splenectomy. It may offer better cosmesis and faster recovery. Comparative studies with conventional laparoscopic approach are desirable. Wolters Kluwer - Medknow 2022 2021-11-01 /pmc/articles/PMC9306121/ /pubmed/35046170 http://dx.doi.org/10.4103/jmas.jmas_245_21 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Unusual Case
Bansal, Rohit
Dhillon, Kanwarjit Singh
Kaushal, Gourav
Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title_full Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title_fullStr Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title_full_unstemmed Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title_short Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report
title_sort hybrid natural orifice transluminal endoscopic surgery splenectomy: a case report
topic Unusual Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9306121/
https://www.ncbi.nlm.nih.gov/pubmed/35046170
http://dx.doi.org/10.4103/jmas.jmas_245_21
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