Biliary Colic Clinical Trial
Official title:
Transvaginal Cholecystectomy
A safe and effective transvaginal approach accessing the abdominal cavity through the vagina
rather than the abdominal wall is today considered a routine approach for many gynecologic
surgeries.
First described by Dr. Ott in Germany in 1901, it is used routinely for transvaginal surgery,
for example, transvaginal hysterectomies. This transvaginal technique has been shown to
compare favorably to a laparoscopic abdominal approach because of less postoperative pain,
the total elimination of abdominal wall hernias and wound infections, earlier recovery and
better cosmesis.
Although routinely used in gynecological surgery, the advantages of the vaginal approach have
not been utilized for general surgery applications such as cholecystectomies. Open or
laparoscopic cholecystectomy accessing the abdominal cavity through abdominal wall incisions
is currently still considered the standard of care in general surgery for patients with
symptomatic gallbladder disease.
The investigators intend to access the abdominal cavity through the posterior vaginal fornix
instead of the transabdominal approach that is now performed routinely. So far, this method
of accessing the abdominal cavity through the transvaginal approach for the purpose of
performing intraabdominal general surgery.
The investigators' transvaginal approach has the strong potential to further decrease
invasiveness and take minimally invasive surgery to the next level in order to benefit the
patient even more by minimizing postoperative pain, eliminating the risk of abdominal hernias
and wound infections, improving cosmetic appearance and enabling the patient to return to
routine activity and work earlier. First preliminary studies show these advantages but
further research needs to be done to confirm these early positive results.
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