French surgeons successfully removed a woman's gall bladder through her vagina, according to a report in the September issue of Archives of Surgery.
The history of surgery has moved toward less invasive procedures, according to background information in the article. “Whenever it was possible, patients would ask for a surgical procedure that left no outer scarring and resulted in no postoperative pain,” the authors write. “Patients, both male and female, independent of age and body shape, dislike scars, not only for cosmetic reasons but because scars indicate they have undergone treatment because of illness. This resulted in natural orifice transluminal endoscopic surgery (NOTES), with its general goal of minimizing the trauma of any interventional process by eliminating the incision through the abdominal wall and using natural orifices.”
Jacques Marescaux, M.D., F.R.C.S., and colleagues at University Louis Pasteur, Strasbourg, France, performed a cholecystectomy (gall bladder removal) through the vagina in a 30-year-old woman. The surgical team was multidisciplinary and included a gynecologist experienced in transvaginal procedures, who made and closed the small incision in the back of the vagina. The procedure was performed with instruments inserted through this opening and the gallbladder was removed through the vagina. No bleeding or leakage of liver fluids occurred during the three-hour procedure.