J Surg Tech Proced | Volume 2, Issue 1 | Research Article | Open Access

Transvaginal Specimen Extraction after Laparoscopic Colorectal Resection: Multicentre Observational Study

Jose Noguera^1*, Jose Munoz², Alejandra Garcia¹ and Gonzalo Martin³

¹Department of Surgery, Complejo Hospitalario Universitario A Coruña, Spain
²Department of Surgery, Hospital Llatzer Hospital, Spain
³Department of Surgery, San Espases University Hospital Spain

^*Correspondance to: José Noguera Aguilar 

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Abstract

Background: Complications related to abdominal wall incisions as infection, pain or incisional hernia are the most common problems in abdominal surgery. New laparoscopic techniques such as Natural Orifice Specimen Extraction (NOSE) allow a reduced rate of surgical site infection and incisional hernia with the avoidance of a laparotomy. We present the experience of one multiinstitutional surgical team in transvaginal assistance for minimally invasive colorectal procedures.Methods: Retrospective multicenter review of consecutive colorectal minimally invasive resections with transvaginal assistance and specimen extraction from June 2008 to January 2016. We included female between 45 and 65 years old, with colorectal laparoscopic resection and abscense of gynaecological disease.Results: 24 women were included in the study. Laparoscopic approach was employed in 12 patients (50%), mini laparoscopy in 11 (45.8%) and one patient was operated by umbilical-single-port using SILS™ device (4.2%). The mean postoperative hospital stay was 6.39 ± 3.56 days (range 3 to 17). Three patients (12.5%) had complications, two of them presented anastomotic leakage (8.33%) with non-operative treatment and one patient (4.16%) had prolonged postoperative ileus. No late complications were reported.Conclusions: Transvaginal specimen extraction for colorectal resection has low incidence of surgical complications and adequate short-term oncological results. Decreasing the risk of infection and incisional hernia and also better cosmetic result.

Keywords:

Transvaginal; Laparoscopy; Colorectal

Citation:

Noguera J, Munoz J, Garcia A, Martin G. Transvaginal Specimen Extraction after Laparoscopic Colorectal Resection: Multicentre Observational Study. J Surg Tech Proced. 2018; 2(1): 1010.