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 long articulating laparoscopic instrument provided stable retraction.Hook cautery was used to dissect the gallbladder,which was removed via the vaginal trocar.12345Next
Introduction It is widely accepted that the uterosacral ligaments (UTSL),together with the cardinal ligament (CL),hold the upper vagina and cervix over the levator plate.The aim of this study is to evaluate the anatomical relationship between the right vs.left CL and UTSL during robotic and laparoscopic utero-sacral ligament suspension (UTSLS) and its implication with the surgical Cited by 10Publish Year 2010Author Santiago Horgan,Yoav Mintz,Garth R.Jacobsen,Bryan J.Sandler,John P.Cullen,Adam Spivack,DaviUpdate on Instrumentations for Cholecystectomies1.Introduction.Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an innovative approach in which a flexible endoscope enters the abdominal cavity via the transesophageal,transgastric,transcolonic,transvaginal,or transvesical route,combining the technique of minimally invasive surgery with flexible endoscopy .The first report of transvaginal cholecystectomy (TVC) is devised to
The GelPOINT V-Path transvaginal access platform enables access for minimally invasive instruments to perform transvaginal natural orifice transluminal endoscopic surgery (vNOTES) procedures.Conventional Surgical treatment of apical prolapseJan 05,2014 transvaginal retraction instruments vaginal plate#0183;Vaginal Colpocleisis retraction,introduction of sutures,and suction irrigation).If additional assistance with retraction was needed,another vaginal angle above levator plate White 2009 Birnbaum 1973 01.05.2014 TAJEV Congress,Antalya 30 .Abdominal sacrohysteropexy
Offers 360 degrees of atraumatic retraction and protection REF for enhanced exposure,access and cosmetic results Facilitates extracorporeal anastomosis and specimen retrieval while protecting the incision site Low Profile Sleeves.Float above the incision to maximize internal working diameter Hybrid Transvaginal Nephrectomy Development of Our Jul 01,2014 transvaginal retraction instruments vaginal plate#0183;Prebent instruments inserted through the vagina were used for the retraction of the ureter,which facilitated the mobilization of the lower pole of the kidney.The upper pole of the kidney was mobilized with the vaginal instruments retracting both the ureter and liver,whereas the umbilical instruments performed the dissection.
Transvaginal hybrid MA-NOS sleeve gastrectomy is both feasible and safe.The hybrid technique ensured safety during the performance of the procedure.MA-NOS is a potential option to avoid abdominal incisions and related complications for the laparoscopic resectionMagnetic retraction for NOTES transvaginal cholecystectomy Methods Four patients underwent transvaginal cholecystectomy.All procedures were performed under laparoscopic vision to ensure safety.The endoscope and a long articulating RealHand instrument were placed via a 15-mm vaginal trocar.A magnetic retraction system was used to retract the gallbladder
(A,From Lyons EA,Gratton D,Harrington C Transvaginal sonography of normal pelvic anatomy.Radiol Clin North Am 30:663,1992.) During insertion of the probe,the orientation of the transducer can be assessed by noting the position of the urinary bladder,which usually contains aNOTES transvaginal cholecystectomy with assisting The long articulating laparoscopic instrument provided stable retraction.Hook cautery was used to dissect the gallbladder,which was removed via the vaginal trocar.The vaginal incision was closed using a single figure-of-eight absorbable suture under direct vision.The procedure lasted 96 min.
The long articulating laparoscopic instrument provided stable retraction.Hook cautery was used to dissect the gallbladder,which was removed via the vaginal trocar.The vaginal incision was closed using a single figure-of-eight absorbable suture under direct vision.The procedure lasted 96 min.NOTES transvaginal cholecystectomy with assisting a 15-mm trocar through the vaginal conduit.The endoscope and a long exible RealHand surgical instrument (Novare,Cupertino,CA) were placed via the vaginal trocar.The cystic duct and artery were identied and clipped using laparoscopic clips from the umbilical port.The long artic-ulating laparoscopic instrument provided stable retraction.
Natural orifice translumenal endoscopic surgery (NOTES) has moved quickly from preclinical investigation to clinical implementation.However,several major technical problems limit clinical NOTES including safe access,retraction and dissection of the gallbladder,and clipping of key structures.This study aimed to identify challenges and develop solutions for NOTES during the initial clinical People also askWhat is transvaginal approach?What is transvaginal approach?The transvaginal approach bypasses attenuating tissue and allows a high frequency probe to be placed close to the target organs. TVS demonstrates anatomic detail of the uterus,ovaries,and adnexa,which cannot be duplicated by TAS.NORMAL ANATOMY OF THE FEMALE PELVIS AND TRANSVAGINAL
Both used transvaginal access and single transabdominal port assistance for visualization,retraction and dissection.Isariyawongse et al.[ 17 ] performed bilateral nephrectomy in one pig through a simultaneous transgastric and transvaginal approach using two gastroscopes and laparoscopic instruments.Rapid Communication Transvaginal Single-Port NOTES The 5 mm umbilical port was only used to control vaginal port placement and retraction of the colon during hilar stapling.No intra or postoperative complications occurred.Hospital stay was 23 hours.
OverviewWhat Is Lateral Spine Fusion?Who Is A Candidate?The Surgical DecisionWho Performs The Procedure?What Happens Before Surgery?Morning of SurgeryWhat Happens After Surgery?Recovery and PreventionWhat Are The Results?What Are The Risks?GlossaryLateral interbody fusion is a minimally invasive surgery to treat disc problems in the low back.In spinal fusion,two or more bones of the spine are joined to stop painful motion,decompress pinched nerves,and correct scoliosis.Through a small incision at the side of the waist,the disc is removed and a bone graft is inserted to restore the height and relieve nerve pinching.During healing,the bones fuse into one solid piece.See more on mayfieldclinicChina Depressor,Depressor Manufacturers,Suppliers,Price China Depressor manufacturers - Select 2021 high quality Depressor products in best price from certified Chinese Mask manufacturers,China Bandage suppliers,wholesalers and factory on The safe use of the transvaginal ultrasound probe for AbstractKey WordsIntroductionMaterials and MethodsResults and DiscussionReferencesObjective : transvaginal retraction instruments vaginal plate#160;The aim of this study was to compare the complications of the oocyte retrieval,the number of oocytes obtained and the intra-cytoplasmic semen injection (ICSI) outcomes in the same patients undergoing both transvaginal and transabdominal ultrasound-guided approaches,by using the same vaginal ultrasound probe.Methods : transvaginal retraction instruments vaginal plate#160;1972 oocyte pick up were reviewed in the period between January 2012 and December 2017,among which were identified 21 women,in which both transabdominal and tSee more on oatextVaginal Extraction of Large Uteri with the Alexis Sep 01,2009 transvaginal retraction instruments vaginal plate#0183;The Alexis retractor is particularly helpful in cases where optimal exposure is difficult in patients with narrow vaginal vaults,and also in those patients with vaginal wall relaxation.It optimizes visualization in patients with elevated BMI and may help to prevent vaginal lacerations,tears,and bruising caused by retractors that have sharp edges  .
The aim of this study was to compare the clinical results of total laparoscopic hysterectomy (TLH) for large uterus with uterus size of 12 gestational weeks (g.w.) or greater through transvaginal or uterine morcellation approaches.We retrospectively collected the clinical data of those undergoing total laparoscopic hysterectomies between January 2004 and June 2012.Transvaginal Mesh Insertion in the Ovine Model ProtocolHere,we describe an experimental procedure in sheep,aimed to mimic vaginal dissection and transvaginal mesh insertion of an implant with or without anchoring arms.The subsequent steps and instruments were inspired by surgical procedures done for POP and stress urinary incontinence 15,16,19,20.After initial anatomical dissections,there
instruments were all introduced via the transvaginal ZOU-port.Extra-long 5-mm exible forceps,prebent suction,a monopolar 5-mm J-hook electrode (Zhouji Medical Instruments Co Ltd),and an extra-long 5-mm harmonic scalpel (Ethicon Endosurgery) were used for retraction and dissectingtheupperpoleofthekidney.Anextra-long,prebentHem-o-lokTransvaginal cholecystectomy with endoscopic submucosal A hybrid approach with single-channel endoscope together with endoscopic submucosal dissection instruments for transvaginal cholecystectomy was shown to be safe and feasible in this pig model and this serves as a good training model before application of this technique in human.A distinct pattern o
transvaginal retraction instruments vaginal plate#0183;Photoacoustic endoscopy offers in vivo examination of the visceral tissue using endogenous contrast,but its typical B-scan rate is 10 Hz,restricted by the speed of the scanning unit and the laser pulse repetition rate.Here,we present a transvaginal fast-scanning optical-resolution photoacoustic endoscope with a 250-Hz B-scan rate over a 3-mm scanning range.Transvaginal nephrectomy with a multichannel laparoscopic May 11,2009 transvaginal retraction instruments vaginal plate#0183;To our knowledge,this experimental study is the first to evaluate transvaginal NOTES with conventional laparoscopic and articulating instruments,deployed through a large calibre multichannel singleaccess laparoscopic port in the vagina.MATERIALS AND METHODS.The study was conducted over a 4week period in June 2008.
A transvaginal tube adapted for insertion into the vaginal tract of a patient for use during performance of a laparoscopic hysterectomy or other laparoscopic surgery on the patient.The tube has a diameter greater than the patient's cervix opening and has a distal end and a proximal end.The proximal end is cut in a plane non-normal to its tubular axis being adapted to define the patient's US8814789B2 - Vaginal manipulator including expansion The constrained end of the door is hinged to the central plate and the free end of the door is configured to move away from the central plate.When the vaginal manipulator is inserted into a
Feb 11,2010 transvaginal retraction instruments vaginal plate#0183;Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an innovative approach in which a flexible endoscope enters the abdominal cavity via the transesophageal,transgastric,transcolonic,transvaginal or transvescical route,combining the technique of minimally invasive surgery with flexible endoscopy.Several groups have described different modifications by using flexibleUpdateonInstrumentationsforCholecystectomiesPerformed the vaginal access allows the introduction of instruments for retraction.One of the largest series of laparoscopically assisted transvaginal cholecystectomies is reported by Horgan et al. in 5 patients a 5mm umbilical trocar is inserted for abdominal exploration
instruments,using,again,two abdominal ports (one 10 mm and one 3 mm).There were no perioperative complications,blood loss was minimal and both patients were discharged 36 h after the surgery.Alcaraz et al. presented their early experience with transvaginal NOTES-assisted laparoscopic simple and radical nephrectomy.vaginal platevaginal plateTransvaginal Natural Orifice Transluminal Endoscopic The use of videoscopic instruments inserted by transvaginal route to explore the pelvic peritoneal cavity is feasible and the technique has been applied in thousands of patients with complication rates below 1% (Gordts et al.,2008).