Hybrid Transvaginal-Transabdominal Endoscopic Surgery

Hybrid Transvaginal-Transabdominal Endoscopic Surgery

The is a pilot study to evaluate the safety and efficacy of hybrid transvaginal-transabdominal procedures. Diagnostic peritoneoscopy (visualizing the inside of the abdomen), appendectomy (removal of the appendix), and cholecystectomy (removal of the gallbladder) will be performed through a vaginal incision with an additional small incision in the umbilicus.

Inclusion Criteria:

• Chronic or early appendicitis
• Symptomatic gallstones
• Suspicious abdominal mass/nodule
• Female
• Age 18-60 years
• ASA Class I or II

Exclusion Criteria:

• Pregnant women
• History of previous abdominal, pelvic, or vaginal surgery
• History of previous abdominal or pelvic radiation therapy
• History of fibroid uterus
• History of endometriosis
• History of large ovarian cyst
• History of unexplained vaginal bleeding or dyspareunia