Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/61133
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Type: Journal article
Title: Transvaginal natural orifice translumenal endoscopic surgery (NOTES): a survey of women's views on a new technique
Author: Strickland, A.
Norwood, M.
Behnia-Willison, F.
Olakkengil, S.
Hewett, P.
Citation: Surgical Endoscopy: surgical and interventional techniques, 2010; 24(10):2424-2431
Publisher: Springer
Issue Date: 2010
ISSN: 0930-2794
1432-2218
Statement of
Responsibility: 
Andrew D. Strickland, Michael G. A. Norwood, Fariba Behnia-Willison, Santosh A. Olakkengil and Peter J. Hewett
Abstract: Background: Laparoscopic and minimally invasive surgery has changed the surgical landscape irrevocably. Natural orifice translumenal endoscopic surgery (NOTES) offers the possibility of surgery without visible scars. Transvaginal entry offers potential benefits because it gains access to the peritoneal cavity without the need to open an abdominal viscus. Much of the discussion pertaining to NOTES focuses on technical and training issues, with little attention to date paid to the opinions of women. The perceptions of female health care workers and patients were sought in relation to their views on transvaginal NOTES. Methods: This study surveyed 300 women using a 12-point questionnaire devised by a multidisciplinary group of surgeons interested in minimally invasive surgery. The questionnaire was designed to establish the opinions of women with respect to NOTES surgery versus standard laparoscopic procedures. Responses were de-identified. Results: Three-fourths of the women surveyed were neutral or unhappy about the prospect of a NOTES procedure, and this remained constant even when it was stipulated that laparoscopic cholecystectomy and NOTES had equivalent safety and efficacy. Younger nulliparous women were most concerned about the potential negative effect of NOTES on sexual function. A minority were concerned about the cosmetic effect of surgery, although surgical scars were perceived as more important to younger respondents. Conclusions: Potentially, NOTES surgery offers women a scarless operation with the possibility of less pain than experienced in standard laparoscopic surgery. Few women, however, were troubled about the cosmetic effect of surgery. The effect of NOTES on sexual function was expressed as a particular concern by younger women. In all groups and across all ages, peritoneal access using the transvaginal route was met by significant scepticism. In Australia, women remain to be convinced about the potential advantages of the emerging NOTES technology.
Keywords: NOTES
Patient perceptions
Questionnaire
Transvaginal cholecystectomy
Rights: © Springer Science+Business Media, LLC 2010
DOI: 10.1007/s00464-010-0968-3
Appears in Collections:Aurora harvest 5
Surgery publications

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