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Clinical Study of the Application on Transvaginal Single-Port Laparoscopy in Treatment of Acute Appendicitis

  • Surgical Techniques and Innovations
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Abstract

This paper is to explore the clinical effect of transvaginal single-port laparoscopic appendectomy, a minimally invasive technique for acute appendicitis. The clinical data of 8 lady cases with acute simple appendicitis undergoing transvaginal single-port laparoscopic appendectomy from May 2019 to September 2020 were analyzed. The process of the procedure and details were recorded, and its safety and feasibility are retrospectively analyzed. The operation of all 8 cases was successfully completed, with no case required conversion to routine laparoscopic or open surgery. The average operation time was (50.27 SD8.66) min. The average intraoperative bleeding was (2.77 SD0.90) ml. The average intestinal function recovery time was (8.87 SD3.94) h. The average hospitalization time was (3.86 SD0.74) day. And the average hospitalization cost was (1.28 SD0.10) thousand yuan. Besides, 24-h postoperative pain score, CRP and IL-6 were (2.66 SD0.89) mg/l, (40.93 SD5.56) mg/l, and (68.66 SD15.19) pg/ml, respectively. No postoperative complications were observed during hospital stay, but two patients developed complications after discharge, including one abdominal infection and one poor healing of the wound. Patients’ satisfaction with their incision accounted for 87.5% after 1-month follow-up. And none of the patients had discomforts after 6-month follow-up, especially for sexual life. At the same time, patients’ self-confidence was improved greatly. Traditional single-port laparoscopic approach is a safe and feasible method for transvaginal appendectomy, which broadens the path of appendectomy and avoids the drawbacks of transabdominal surgery. Besides, it is more minimally invasive, without scars on the skin, and has accurate cosmetic effect. Therefore, it is considered to be a feasible approach for lady patients with appendicitis and higher cosmetic requirements.

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References

  1. Li SK, Li CQ, Li YB, Ning L, Ren JA (2020) Analysis of clinical characteristics of recurrent appendicitis. Chinese J Gastrointest Surg 23(08):786–790

    CAS  Google Scholar 

  2. Bhangu A, Seide K, Di Saverio S, Assarsson JH, Drake FT (2015) Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet 386(10000):1278–1287

    Article  PubMed  Google Scholar 

  3. Jia BX, Jiang PQ, Han W (2015) Laparoscopic appendectomy for complicated appendicitis. Chin J Gen Surg 30(12):1006–1007

    Google Scholar 

  4. Sun H, Chu XQ, Zhu Z (2018) Clinical analysis of laparoscopic appendectomy in daytime operation mode. World J Laparosc 23(2):116–119

    Google Scholar 

  5. Wang XS (2018) Prospects and challenges of transluminal specimen extraction, endoscopic surgery via natural lumen and total transanal mesenterectomy. J Gastrointest Surg 21(08):856–861

    Google Scholar 

  6. Wang XS (2015) Status and prospect of colorectal neoplasms -NOTES surgery. Chin J Colorectal Dis (Electronic Edition) 4(04):11–16

    Google Scholar 

  7. Zhang XM, Zhou HT, Liang JW, Hou HR, Hu JJ, Zhou ZX (2014) Totally laparoscopic resection with natural orifice specimen extraction (NOSE) has more advantages comparing with laparoscopic-assisted resection for selected patients with sigmoid colon or rectal cancer. Int J Colorectal Dis 29(9):1119–1124

    Article  Google Scholar 

  8. Di Saverio S, Birindelli A, Kelly MD (2016) WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World J Emerg Surg 18(11):34

    Article  Google Scholar 

  9. Wang XS (2014) Status and thinking of 3D laparoscopic technique in minimally invasive surgery. Chin J Colorectal Dis (Electronic Edition) 3(03):177–179

    Google Scholar 

  10. Tong DK, Fan J, Law S, Law WL (2009) Systemic inflammatory response after natural orifice translumenal surgery: transvaginal cholecystectomy in a porcine model. Gastroenterology 134(4):A-892-A−892

    Google Scholar 

  11. Solomon D, Lentz R, Duffy AJ et al (2012) Female sexual function after pure transvaginal appendectomy: a cohort study. J Gastrointest Surg 16(1):183–186

    Article  PubMed  Google Scholar 

  12. Yang E, Nie D, Li ZY (2019) Comparison of major clinical outcomes between transvaginal notes and traditional laparoscopic surgery: a systematic review and meta-analysis. J Surg Res 244:278–290

    Article  CAS  PubMed  Google Scholar 

  13. Ostrzenski A (2014) Anatomic documentation of the G-spot complex role in the genesis of anterior vaginal wall ballooning. Eur J Obstet Gynecol Reprod Biol 180:186–191

    Article  PubMed  Google Scholar 

  14. Sun DW, Wang Y (2019) Application of transvaginal laparoscopic surgery in gynecology [J]. Journal of Practical Obstetrics and Gynecology 35(03):6–170

    Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, No. 988 Hospital of the Joint Logistic Support Force of the Chinese People’s Liberation Army, Zhengzhou, 450000, China

    Ji-xin Zhang, Shuang Xie, Zu-yin Wu & Chun-xu Zhang

  2. Department of Colorectal and Anal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China

    Jun-hong Hu

  3. College of Veterinary Medicine, F University, Zhejiang A &, Hangzhou, 311300, China

    Meng-yuan Zhang

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  1. Ji-xin Zhang
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  2. Shuang Xie
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  3. Jun-hong Hu
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  4. Zu-yin Wu
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  5. Meng-yuan Zhang
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  6. Chun-xu Zhang
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Correspondence to Chun-xu Zhang.

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Zhang, Jx., Xie, S., Hu, Jh. et al. Clinical Study of the Application on Transvaginal Single-Port Laparoscopy in Treatment of Acute Appendicitis. Indian J Surg 85, 939–943 (2023). https://doi.org/10.1007/s12262-022-03603-0

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  • DOI: https://doi.org/10.1007/s12262-022-03603-0

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