Pure transvaginal appendectomy versus traditional laparoscopic appendectomy

Abstract

I read with great interest the article by Roberts et al.1 I want to thank the authors and the journal for the first published study that compares transvaginal (TVA) and traditional laparoscopic appendectomies (LA). Their study included 18 patients in TVA and 22 patients in LA groups. They reported that ‘‘mean operative time (TVA: 44.4 4.5 minutes vs LA: 39.8 2.6 minutes, P¼ 0.38) and mean length of hospital stay (TVA: 1.1 0.1 days vs LA: 1.2 0.1 days, P¼ 0.53) were not statistically significant.’’ They also commented that similar operative times could be attributed to the single incision of the TVA, previous single port experience of the surgeon, and the assistance of the gynecologists.