- What Is
What is transvaginal appendectomy?
The decision to opt for transvaginal appendectomy over the other two methods remains at the discretion of the patient as also on the surgeon’s expertise.
What are the advantages of transvaginal appendectomy?
Transvaginal appendectomy can be done in either of the two ways:
- Natural orifice transluminal endoscopic surgery (NOTES) alone
- A combination of NOTES and laparoscopy
The advantages of transvaginal appendectomy via NOTES over other types of appendectomy include the following:
When is transvaginal appendectomy avoided?
A doctor may recommend the patient against transvaginal appendectomy and instead prefer laparoscopic appendectomy or open appendectomy if the patient
- Has a ruptured appendix
- Is pregnant
- Has delivered in the last two months
- Has a history of
If complications arise during the surgery, the doctor can decide to convert transvaginal appendectomy to either the laparoscopic or open approach.
How is transvaginal appendectomy performed?
Before the surgery
- The patient is evaluated if they are fit for the surgery and general anesthesia. They are not allowed to eat or drink anything for 8-12 hours, except for a few sips of water with the necessary medicines, before the surgery.
During the surgery
- The patient is given general anesthesia to make them feel relaxed throughout the procedure.
- Next, the surgeon introduces an instrument known as a speculum into the vagina to visualize the interior of the vagina.
- The surgeon then makes an incision in the vaginal wall.
- The surgeon inserts an endoscope (a long tube-like camera) through the incision and directs it further to visualize the appendix in the abdomen.
- Once the appendix is identified, the surgeon fills the abdominal cavity with air and cuts the appendix with the help of instruments inserted through the endoscope. The surgeon retrieves the appendix in a bag. Hemostasis (arresting of bleeding) is done.
- The surgeon then removes the appendix out of the vagina.
- The surgeon sutures the incision at the vagina.
After the surgery
- The patient is shifted to the general ward and observed for several hours after the surgery.
- A liquid diet can be started 12-24 hours after the surgery.
- Painkillers and antibiotics are initially given intravenously (IV) and later by mouth.
- After regular monitoring, the patient is discharged usually after one or two days.
- Patients are generally recommended to avoid sex for about two weeks to one month after the surgery.
- The patient needs to follow-up with the surgeon seven days after the discharge and later as advised.
What are the complications of transvaginal appendectomy?
The uterus is only passed by and remains uninjured while the endoscope moves toward the appendix, so it is unlikely that the surgery will affect the fertility of the patient.
The possible complications include the following:
IMAGESBrowse through our medical image collection to see illustrations of human anatomy and physiology See Images
Health Solutions From Our Sponsors
Medscape Medical Reference
Top What Is Transvaginal Appendectomy Related Articles
Appendicitis is an inflammation of the appendix. Appendicitis often causes sings and symptoms such as abdominal pain in the lower right quadrant, nausea, vomiting, abdominal tenderness, fever, and loss of appetite.
Delay in surgery can result in appendix rupture with potentially serious complications.
Appendicitis SlideshowWhat causes appendicitis? Appendix pain can lead to appendicitis. Learn about appendicitis symptoms and signs. Explore the steps of an appendectomy.
Appendicitis QuizHow dangerous is appendicitis? Take this quiz to answer questions, get quick facts, and learn the causes of appendicitis as well as symptoms, risks, and treatments for this common condition.
Illustrations of AppendixFront View of the Appendix. The appendix sits at the junction of the small intestine and large intestine. See a picture of the Appendix and learn more about the health topic.
Does a Right Hemicolectomy Remove the Appendix?A hemicolectomy is done if the part of the colon that has been infected, damaged or riddled with colon cancer beyond repair. In case of severe appendicitis or in cancer of the appendix, the surgeon will also cut the appendix along with the right colon and connect what's left of your colon to your small intestine.