Premium
A case of simultaneous transvaginal NOTES gastrectomy and vaginal hysterectomy in a patient with gastric submucosal tumor and uterine prolapse
Author(s) -
Hirota Masashi,
Nakajima Kiyokazu,
Hara Johji,
Takahashi Tsuyoshi,
Yamasaki Makoto,
Tsutsui Tateki,
Kobayashi Eiji,
Kurokawa Yukinori,
Miyata Hiroshi,
Takiguchi Shuji,
Mori Masaki,
Doki Yuichiro
Publication year - 2012
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2012.00153.x
Subject(s) - medicine , concomitant , hysterectomy , dissection (medical) , surgery , vagina , gastrectomy , complication , abdominal hysterectomy , uterus , narcotic , cancer
A 5‐cm gastric submucosal tumor was incidentally found through abdominal CT as a preoperative work‐up for hysterectomy in a 62‐year‐old woman with uterine prolapse. NOTES using a flexible gastrointestinal endoscope via the transvaginal route was indicated to accomplish concomitant partial gastrectomy and hysterectomy. Perigastric dissection was performed, followed by stapled partial gastrectomy using transvaginal NOTES technique with two transabdominal ports. The specimen was delivered transvaginally by enlarging the initial vaginal entry site. Vaginal hysterectomy was then accomplished by utilizing the enlarged vaginal wound. The patient showed rapid and uneventful postoperative recovery without any narcotic need. No complication was noted, her cosmetic result was satisfactory, and there was complete resolution of preoperative gynecological symptoms. Female patients with concomitant gastrointestinal and gynecological conditions requiring large specimen retrieval would potentially be suitable candidates for the transvaginal NOTES approach.