%0 Journal Article
%T Transvaginal Natural Orifice Translumenal Endoscopic Surgery (TVNOTES): Concerns of Gynaecology  Outpatients in a Tertiary Care Centre
%A Renita Lobo
%A Kannavi Jayashree
%A Annamma Thomas
%A Santosh A. Olakkengil
%J Open Journal of Organ Transplant Surgery
%P 42-45
%@ 2163-9493
%D 2013
%I Scientific Research Publishing
%R 10.4236/ojots.2013.32008
%X <p class=\"MsoNormal\">
	<b><span lang=\"EN-AU\">Objective:</span></b><b><span lang=\"EN-AU\"> </span></b><span lang=\"EN-AU\">(TVNOTES)</span><span lang=\"EN-AU\"> [1]</span><span lang=\"EN-AU\">, currently the most popular of the NOTES procedures being performed, offers the safest access point while</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">avoiding a breach in the gastrointestinal tract to gain intraperitoneal access. But are women ready to embrace</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">TVNOTES? Although similar studies have been conducted in developed nations, the authors aimed to seek the opinions</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">of Indian women towards TVNOTES.</span><span lang=\"EN-AU\"> </span><b><span lang=\"EN-AU\">Design: </span></b><span lang=\"EN-AU\">This study presents the results of a survey on attitudes of In</span><span lang=\"EN-AU\">dian women towards TVNOTES. 300 women attending a gynaecology out patients¡¯ clinic were administered a ques</span><span lang=\"EN-AU\">tionnaire which sought out the</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">percentage of Indian women concerned with surgical scars, their preference between TVNOTES and conventional</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">laparoscopic surgery and apprehensions towards the vagina being used as an entry site for surgery.</span><span lang=\"EN-AU\"> </span><b><span lang=\"EN-AU\">Results: </span></b><span lang=\"EN-AU\">85.67% of the participants opted for scarless intra-abdominal surgery. Upon revealing that the surgery would be performed</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">transvaginally (TV), reservations were unveiled, with 67.33% of all respondents being either unhappy or unsure about</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">undergoing TV surgery. Results were initially equivocal when asked to choose between TVNOTES and conventional</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">laparoscopic surgery</span><span lang=\"EN-AU\">,</span><span lang=\"EN-AU\"> but when informed that TVNOTES may be as safe and efficacious as conventional laparoscopic</span><span lang=\"EN-AU\"> </span><span lang=\"EN-AU\">surgery, the scales tipped in favour of TVNOTES, with three-fourths of the respondents opting for the latter.</span><span lang=\"EN-AU\"> </span><b><span lang=\"EN-AU\">Conclusions:</span></b><b><span lang=\"EN-AU\"> </span></b><span lang=\"EN-AU\">Although TVNOTES has captured the imagination and attention of surgeons, existing data suggest that the
%K Giant Hemangioma
%K Liver Transplant
%K Case Report
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=31872