METHOD FOR PERFORMING TRANSVAGINAL APPENDECTOMY Russian patent published in 2014 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: method refers to medicine, namely to surgery. Two trocars of the diameter of 5 mm are inserted through a 10-mm umbilical approach into the abdominal cavity. That is followed by a visually controlled puncture of a posterior vaginal vault with the trocar of the diameter of 10 mm for laparoscopic transvaginal appendectomy. The vermicular appendix is mobilised by bipolar coagulation through an additional trocar from the umbilical approach. The appendix base is clipped with three 8-mm clips through the 10-mm trocar of the vaginal approach. The vermicular appendix is transacted between the distal clips. The appendix is removed through the 10-mm trocar of the vaginal approach. That is followed by a controlled inspection, lavage and drainage of the abdominal cavity. The trocar of the vaginal approach is removed under visual control. The posterior vaginal vault wound is not closed. A hydrogen peroxide tissue is inserted into the vagina. The umbilical approach wound is closed in layers.

EFFECT: method enables reducing the length of the operation, providing visual control through the umbilical approach, reducing the number of vaginal injuries and avoiding the instrumental conflict.

1 ex, 2 dwg