Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 2
Transvaginal Specimen Extraction In Minimally Invasive Colorectal Resections: Initial Experience of a Tertiary Referral Hospital
Onur Bayraktar1,Eren Esen1,Fuat Barış Bengür1,İlknur Erenler Bayraktar1,Erman Aytaç1,İsmail Ahmet Bilgin1,Bilgi Baca1,Mete Güngör2,Tayfun Karahasanoğlu1,İsmail Hamzaoğlu1
1Acibadem Mehmet Ali Aydinlar University School of Medicine, Department of General Surgery, Istanbul, Turkey
2Acibadem Mehmet Ali Aydinlar University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey
DOI : 10.31067/0.2019.130 Purpose: The aim of the present (this) study is to present the initial experience of a single team on specimen extraction from the vagina after laparoscopic or robotic colorectal resections.

Patients and methods: Between January 2010 and April 2015, ten female patients whose resection specimens had been extracted transvaginally after robotic or laparosopic colorectal resections were evaluated in terms of short and mid term postoperative outcomes.

Results: 10 cases were included. The operations were robotic rectal resections for cancer (n=6), laparoscopic total colectomy for transverse colon tumor (n=1), single port laparoscopic transumbilical right colectomy for Crohn"s disease (n=1), laparoscopic rectal resection for endometriosis (n=2). In one patient, a vaginal bleeding occurred on postoperative day 7 and a vaginal tampon was inserted and the bleeding was stopped. One patient had a urinary tract infection, it was treated with proper antibiotic therapy. The median postoperative hospital stay was 5 (4-9) days. No mortality occurred.

Conclusion: Transvaginal specimen extraction is feasible after colorectal resection and could prevent additional skin incision and its potential complications. Keywords : Transvaginal specimen extraction, natural orifice specimen extraction, minimally invasive surgery, laparoscopic colorectal surgery, robotic surgery