Transvaginal Appendectomy in Morbidly Obese Patient

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dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorAtes, Mustafa
dc.date.accessioned2024-08-04T21:02:17Z
dc.date.available2024-08-04T21:02:17Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction. Laparoscopic appendectomy has significant benefits in obese patients. However, morbid obesity can be accepted as an exclusion criterion for natural orifice transluminal endoscopic surgery (NOTES). Here, we present a transvaginal appendectomy in a 66-year-old morbidly obese (BMI 36 kg/m(2), ASA III) patient. Case and Technique. Acute appendicitis was suspected based on history, physical examination, laboratory tests, and ultrasound findings. During laparoscopic surgery, a 5mm trocar was inserted through the umbilicus and a 5mm telescope was placed. A 12 mm trocar and a 5mm grasper were inserted separately through the posterior fornix of the vagina under laparoscopic guidance. The appendix was divided with an endoscopic stapler through the transvaginal 12 mm trocar and removed from the same trocar. The operating time was 75 minutes with minimal blood loss (<10 mL). The patient was discharged 16 hours after surgery uneventfully and she did not require any analgesic administration. Conclusion. To the best of our knowledge, this is the first clinical case that focuses on the transvaginal appendectomy at morbid obesity. We can say that morbid obesity does not constitute an obstacle for treatment of acute appendicitis by transvaginal endoscopic surgery.en_US
dc.identifier.doi10.1155/2014/368640
dc.identifier.issn2090-6900
dc.identifier.issn2090-6919
dc.identifier.pmid25506028en_US
dc.identifier.urihttps://doi.org/10.1155/2014/368640
dc.identifier.urihttps://hdl.handle.net/11616/104635
dc.identifier.volume2014en_US
dc.identifier.wosWOS:000215560200034en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHindawi Ltden_US
dc.relation.ispartofCase Reports in Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEndoscopic Surgeryen_US
dc.titleTransvaginal Appendectomy in Morbidly Obese Patienten_US
dc.typeArticleen_US

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