Department of Gynaecology and Obstetrics, Justus-Liebig-Universiy Giessen, Klinikstrasse 32, Giessen, Germany.
Arch Gynecol Obstet. 2011 Jan;283(1):131-2. doi: 10.1007/s00404-010-1430-4. Epub 2010 Mar 25.
To evaluate semi-rigid and rigid endoscopes for transvaginal NOTES surgery.
One rigid endoscope (EndoCAMeleon, KARL STORZ GmbH & Co. KG, Tuttlingen Germany) and one semi-rigid endoscope (EndoEYE LTF-VH, Olympus Deutschland GmbH, Hamburg, Germany) that allow adjustable viewing angles have been used during four transvaginal gynecological NOTES procedures for chronic pelvic pain and infertility.
Feasibility of transvaginal access to enter the abdominal cavity was shown. Posterior peritoneum, ovaries and tubal patency were evaluated. The evaluated endoscopes did not overcome the inability to explore the anterior pelvic structures.
Rigid and semi-rigid endoscopes that allow adjustable viewing angles during transvaginal NOTES approaches cannot explore the whole pelvic anatomical structures.
评估经阴道NOTES 手术中使用的半刚性和刚性内窥镜。
在四项用于慢性盆腔痛和不孕的经阴道妇科NOTES 手术中，使用了一种刚性内窥镜（EndoCAMeleon，德国卡尔史托斯有限责任两合公司）和一种具有可调节视角的半刚性内窥镜（EndoEYE LTF-VH，奥林巴斯德国有限公司，汉堡，德国）。
经阴道进入腹腔的可行性得到了证明。评估了后腹膜、卵巢和输卵管通畅情况。评估的内窥镜无法克服无法探查前盆腔结构的问题。
在经阴道NOTES 入路中使用可调节视角的刚性和半刚性内窥镜无法探查整个盆腔解剖结构。
