Transvaginal Mini-Laparoscopic Splenectomy

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorYagci, Mehmet Ali A.
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorSumer, Fatih
dc.date.accessioned2024-08-04T21:02:17Z
dc.date.available2024-08-04T21:02:17Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe aimed to perform a more and more minimal invasive splenectomy by only through two 5 mm umbilical trocars and one vaginal trocar. A 43-year-old female (BMI 31 kg/m(2), ASA II) with immune thrombocytopenic purpura was planned for splenectomy. She had a history of a previous cesarean section for three times. Two 5 mm trocars were inserted separately through the umbilicus. We did not use any single port device or similar modifications. A 15 mm trocar was inserted through the posterior fornix of the vagina under umbilical laparoscopic vision. The 5 mm umbilical ports were used for camera and retraction of the spleen. The transvaginal port was used for dissection and division of the spleen by a 10-mm LigaSure Atlas vessel sealing system. No clips or staples were used. As the spleen became completely free in the abdomen, it was removed through the vagina in a bag without fragmentation. The operating time was 200 minutes and the blood loss was minimal (< 20 ml). No drain or abdominal fascia suturing was used but closing the posterior fornix of the vagina. Her postoperative course was uneventful and she was discharged on day two without complication. She did not require any analgesics postoperatively. Platelet values increased to 408.000 mm(3) in the follow-up. To the best of our knowledge, this report described the most minimal invasive splenectomy even. Additionally, it provided an unfragmented spleen extraction. The transvaginal approach seems to be a feasible way to perform natural orifice splenectomy.en_US
dc.identifier.doi10.7759/cureus.336
dc.identifier.issn2168-8184
dc.identifier.issue9en_US
dc.identifier.pmid26543694en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.336
dc.identifier.urihttps://hdl.handle.net/11616/104636
dc.identifier.volume7en_US
dc.identifier.wosWOS:000453605700023en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectlaparoscopyen_US
dc.subjectnatural orifice surgeryen_US
dc.subjectsplenectomyen_US
dc.subjecttransvaginalen_US
dc.subjectnatural orifice specimen extractionen_US
dc.subjectnatural orifice transluminal endoscopic surgeryen_US
dc.titleTransvaginal Mini-Laparoscopic Splenectomyen_US
dc.typeArticleen_US

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