What is transvaginal appendectomy?
What are the advantages of transvaginal appendectomy?
Transvaginal appendectomy can be done in either of the two ways:
The advantages of transvaginal appendectomy via NOTES over other types of appendectomy include the following:
When is transvaginal appendectomy avoided?
A doctor may recommend the patient against transvaginal appendectomy and instead prefer laparoscopic appendectomy or open appendectomy if the patient
- Has a ruptured appendix
- Is pregnant
- Has delivered in the last two months
- Has a history of
If complications arise during the surgery, the doctor can decide to convert transvaginal appendectomy to either the laparoscopic or open approach.
How is transvaginal appendectomy performed?
Before the surgery
- The patient is evaluated if they are fit for the surgery and general anesthesia. They are not allowed to eat or drink anything for 8-12 hours, except for a few sips of water with the necessary medicines, before the surgery.
During the surgery
- The patient is given general anesthesia to make them feel relaxed throughout the procedure.
- Next, the surgeon introduces an instrument known as a speculum into the vagina to visualize the interior of the vagina.
- The surgeon then makes an incision in the vaginal wall.
- The surgeon inserts an endoscope (a long tube-like camera) through the incision and directs it further to visualize the appendix in the abdomen.
- Once the appendix is identified, the surgeon fills the abdominal cavity with air and cuts the appendix with the help of instruments inserted through the endoscope. The surgeon retrieves the appendix in a bag. Hemostasis (arresting of bleeding) is done.
- The surgeon then removes the appendix out of the vagina.
- The surgeon sutures the incision at the vagina.
After the surgery
- The patient is shifted to the general ward and observed for several hours after the surgery.
- A liquid diet can be started 12-24 hours after the surgery.
- Painkillers and antibiotics are initially given intravenously (IV) and later by mouth.
- After regular monitoring, the patient is discharged usually after one or two days.
- Patients are generally recommended to avoid sex for about two weeks to one month after the surgery.
- The patient needs to follow-up with the surgeon seven days after the discharge and later as advised.
What are the complications of transvaginal appendectomy?
The possible complications include the following:
Health Solutions From Our Sponsors
Medscape Medical Reference