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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=466;epage=468;aulast=Bansal |
| _version_ | 1818196109766426624 |
|---|---|
| author | Rohit Bansal Kanwarjit Singh Dhillon Gourav Kaushal |
| author_facet | Rohit Bansal Kanwarjit Singh Dhillon Gourav Kaushal |
| author_sort | Rohit Bansal |
| collection | DOAJ |
| 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 1st 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. |
| first_indexed | 2024-12-12T01:28:52Z |
| format | Article |
| id | doaj.art-e7285d4219954faaaf0305fed4ddf0a5 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-12T01:28:52Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-e7285d4219954faaaf0305fed4ddf0a52022-12-22T00:43:01ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-0118346646810.4103/jmas.jmas_245_21Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case reportRohit BansalKanwarjit Singh DhillonGourav KaushalLaparoscopic 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 1st 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.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=466;epage=468;aulast=Bansalhybrid natural orifice transluminal endoscopic surgerynatural orifice transluminal endoscopic surgerytransvaginal splenectomy |
| spellingShingle | Rohit Bansal Kanwarjit Singh Dhillon Gourav Kaushal Hybrid natural orifice transluminal endoscopic surgery splenectomy: A case report Journal of Minimal Access Surgery hybrid natural orifice transluminal endoscopic surgery natural orifice transluminal endoscopic surgery transvaginal splenectomy |
| 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 | hybrid natural orifice transluminal endoscopic surgery natural orifice transluminal endoscopic surgery transvaginal splenectomy |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=3;spage=466;epage=468;aulast=Bansal |
| work_keys_str_mv | AT rohitbansal hybridnaturalorificetransluminalendoscopicsurgerysplenectomyacasereport AT kanwarjitsinghdhillon hybridnaturalorificetransluminalendoscopicsurgerysplenectomyacasereport AT gouravkaushal hybridnaturalorificetransluminalendoscopicsurgerysplenectomyacasereport |