Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a minimally-invasive laparoscopic surgery that provides access to the abdomen without any incisions on the abdominal wall resulting in less postoperative pain, faster recovery, and better esthetic results. Different approaches, such as transvaginal, transcolonic, and transurethral are used for laparoscopic NOTES cholecystectomy.
Transvaginal NOTES procedure offers the following advantages: Scar-free procedure Mirrors conventional laparoscopic procedure Minimal morbidity Easy view of pelvic anatomy Minimal postoperative pain and recovery time Prevents herniation from trocar site The disadvantages of transvaginal NOTES are as follows: It cannot be performed in men Prolonged periods of sexual abstinence after the procedure Question: Which among the following is NOT a potential contraindication of transvaginal NOTES cholecystectomy?…
