Applying the vaginal approach to ovarian cystectomy: current evidence and future applications.

Nicolas Galazis,Stephanie Mappouridou,Srdjan Saso,Joseph Yazbek,Konstantinos Lathouras

doi:10.2144/fsoa-2020-0083

Abstract

Vaginal ovarian cystectomy has not gained wide acceptance owing to the potential difficulty in entering the cul-de-sac. We review the current evidence on vaginal approaches to benign ovarian cysts....

Highlights

We do hope that this review will ignite more interest in vaginal adnexal and vaginal natural orifice transluminal endoscopic surgery
In response to the comments raised, the authors are right to point out that bladder injury has been described in vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy and not in adnexal surgery, as reported by Baekeladt et al (2019) and this complication was not statistically significant when compared with the conventional total laparoscopic hysterectomy [2]
VNOTES does not require abdominal incisions but involves pneumoperitoneum, another factor that could potentially add to postoperative pain

Summary

Introduction

VNOTES does not require abdominal incisions but involves pneumoperitoneum, another factor that could potentially add to postoperative pain. We are very pleased that our colleagues have shown interest in our review [1]. We do hope that this review will ignite more interest in vaginal adnexal and vaginal natural orifice transluminal endoscopic surgery (vNOTES).

Results

Conclusion