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Transvaginal pure NOTES sigmoid resection using a single port device

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The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach.


An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA).


Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed.


Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.

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Correspondence to M. D’Hondt.

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D’Hondt, M., Devriendt, D., Van Rooy, F. et al. Transvaginal pure NOTES sigmoid resection using a single port device. Tech Coloproctol 18, 77–80 (2014).

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