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NOTES über den transvaginalen Zugang

Transvaginal access for NOTES

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Zusammenfassung

NOTES („natural orifice transluminal endoscopic surgery“) hat das Potenzial, minimal-invasive Operationen zu optimieren. Mit dem transvaginalen Zugang zum Bauchraum bestehen in der Gynäkologie reichlich Erfahrungen. Er ist einfach anzulegen und zu verschließen und birgt ein geringes Infektrisiko. Insofern bietet er sich am ehesten für NOTES an. Mithilfe starrer Instrumente der laparoskopischen Chirurgie lassen sich z. B. Cholezystektomien routinemäßig durchführen. In unserer Klinik gelangen bisher 149 dieser Operationen; im NOTES-Register der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie sind über 900 transvaginale Operationen registriert.

Abstract

NOTES („natural orifice transluminal endoscopic surgery“) has the potential to optimize minimally invasive surgery. In gynecology there is extensive experience with the transvaginal approach to the abdominal cavity. It is easy to perform, closure is safe and there is little risk of infection. Hence, this is the approach most suitable for NOTES. By means of rigid laparoscopic instruments cholecystectomy can be routinely performed. Such operations could be performed in 149 patients in our hospital and the NOTES register of the DGAV has data on more than 900 transvaginal operations.

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  1. Klinik für Chirurgie, Israelitisches Krankenhaus, Orchideenstieg 14, 22297, Hamburg, Deutschland

    C. Zornig, H. Mofid, L. Siemssen & C.H. Wenck

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  1. C. Zornig
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  2. H. Mofid
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  3. L. Siemssen
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  4. C.H. Wenck
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Correspondence to C. Zornig.

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Zornig, C., Mofid, H., Siemssen, L. et al. NOTES über den transvaginalen Zugang. Chirurg 81, 426–430 (2010). https://doi.org/10.1007/s00104-009-1802-0

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  • DOI: https://doi.org/10.1007/s00104-009-1802-0

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