Transvaginal pure NOTES sigmoid resection using a single port device

M. D'Hondt, D. Devriendt, F. Van Rooy, F. Vansteenkiste, E. Dozois

Research output: Contribution to journalArticlepeer-review


Background: The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach. Methods: An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA). Results: Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed. Conclusion: Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.

Original languageEnglish (US)
Pages (from-to)77-80
Number of pages4
JournalTechniques in Coloproctology
Issue number1
StatePublished - Jan 1 2014


  • Sigmoidectomy
  • Transvaginal

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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