Navigation Links
Hospital Clínic conducts the first kidney extraction through the vagina in Europe
Date:3/31/2008

This is the first time this intervention has been conducted in Europe, and the second in the world. Thanks to the work of the expert group of Hospital Clnic de Barcelona, the extirpation of a kidney ‒affected by a malignant tumour‒ through the vagina has been achieved. This fact sets a milestone in the framework of minimally invasive surgery. The operation, presented this morning in a press conference, uses several cutting edge technology instruments of advanced surgery.

The medical group of Hospital Clnic which has made possible the first European extraction of a kidney through the vagina has been led by Dr. Antonio Alcaraz, head of the Urology Unit; Dr. M Jos Ribal, specialist in Urology and Dr. Alejandro Molina, resident physician of Urology. This intervention had also the collaboration of Dra. Concepcion Monsalve, anaesthesiologist, Mrs. Ana Palacio, instrumentist, and Dr. Francesc Carmona, Head of Gynaecology of the same centre.

Transvaginal nephrectomy is a technique permitting kidney extraction with only two small incisions in the abdomen of approximately 1 cm each. Furthermore, another non visible incision is done in the internal part of the vagina, where the kidney is extracted. This innovation makes possible that the operated patient has a short and less painful post-operatory and minimises the aesthetic impact of the operation, since it does not cause visible abdominal scars.

Until now, urology specialists of Hospital Clnic have put their hopes in nephrectomy assisted by laparoscopy as the technique used for the surgical treatment of these pathologies; a revolutionary and strong technique which has achieved notable results during the last six years and that has permitted to improve patient care regarding post-operation pain and hospital stay. Nevertheless, apart from the explained advantages, laparoscopy still requires, as occurs in traditional surgery, an abdominal incision for the kidney, leaving a scar of approximately 6 centimetres.

Contrarily to laparoscopy, transvaginal nephrectomy uses the vaginal orifice and the delivery channel to extract the tumour, a mass which in this case measured 13 cm height, 8 cm width and 5 cm depth. From flexible optics of great precision, supplied by Olympus ‒is introduced in the vagina‒, and two small ways of entry to the abdomen ‒where the instrumental to separate the kidney is inserted‒, the extirpation of the organ is achieved without large incisions.

Thus, this technique has achieved to avoid external scars and improved patient care, with a decrease of post-operatory pain and a hospital stay of less than 48 hours. This success has been possible thanks to an intensive programme of experimental research conducted by the Urology Unit of the Hospital Clnic and which has culminated with the conduction of this procedure. This minimally invasive technique has its basis in the NOTES programme (Natural Orifice Transluminal Endoscopy Surgery) a point of view which aims to conduct surgery through the natural orifices of the body, widely supported by the Hospital Clnic.

More precisely, the centre has two clear precedents of interventions following the guidelines of the NOTES programme. Recently, the Service of Gastrointestinal Surgery of Hospital Clnic conducted successfully two pioneer interventions in Spain, where surgery was developed through the natural pathways of the body. One of them was the extraction of the bile vesicle through the mouth, and the other was an intervention for the treatment of gastroesophageal reflux. None of these cases required incisions and, as occurs in transvaginal nephrectomy, both hospital stay and complications were considerably reduced.

With this achievement, Hospital Clnic de Barcelona is consolidated as a reference centre in the development of new strategies to make progress in image-guided surgery. The NOTES programme is a real revolution, with an only aim: to benefit the patient with a reduction of pain and of time of recovery and the absence of external scars.


'/>"/>

Contact: Marc de Semir
mdesemir@clinic.ub.es
34-932-275-700
IDIBAPS - Institut d'Investigacions Biomdiques August Pi i Sunyer
Source:Eurekalert

Related medicine news :

1. New research explores newborn in-hospital weight loss
2. NYC-area 1st: Morgan Stanley Childrens Hospital performs transcatheter pulmonary valve replacement
3. Norwalk virus: Cruise ship illness challenging and costly to hospitals, too
4. Glades General Hospital First in Palm Beach County to Provide On-Site Electronic Birth Registration
5. Billy Graham Home After Hospitalization:
6. Alvarado Hospital Files Countersuit Against Blue Shield
7. UHW Announces: Antelope Valley Hospital Caregivers and Board Vote to Ratify First Union Contract With SEIU UHW-West
8. Texas Supreme Court Rules Against Medicare HMOs in Hospital Reimbursement Fight
9. Annual flu shot cuts need for doctors visits, hospitalization among children
10. REACH Registry Highlights That Patients With Peripheral Arterial Disease (PAD) Suffer High Rates of Heart Attack, Stroke, Hospitalization, and Death
11. R. P. Simmons Family Foundation Pledges $2 Million for New Childrens Hospital of Pittsburgh of UPMC Campus
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... , ... June 27, 2016 ... ... the patient payment industry today announced its strategic partnership with Connance, a ... workflows. , The two companies’ proven, proprietary technology combine to provide health ...
(Date:6/27/2016)... ... , ... TopConsumerReviews.com recently awarded their highest five-star rating to Best Buy Eyeglasses, ... the United States and Canada wear eyeglasses. Once considered to be a purely functional ... a fashion statement. Even celebrities use glasses as a way of creating an iconic ...
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet ... product that was developed to enhance the health of felines. The formula is all-natural ... two main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews ...
(Date:6/26/2016)... Clarkston, Michigan (PRWEB) , ... June 26, 2016 ... ... respect to fertility once they have been diagnosed with endometriosis. These women need ... but they also require a comprehensive approach that can help for preservation of ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the addition ... 2022" report to their offering. ... with kidney failure, it replaces the function of kidneys by ... and thus the treatment helps to keep the patient body,s ... Increasing number of ESRD patients & substantial healthcare ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 Roche ... received 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) ... severe sepsis or septic shock. With this clearance, Roche ... provide a fully integrated solution for sepsis risk assessment ... associated with bacterial infection and PCT levels in blood ...
(Date:6/23/2016)... 2016 Bracket , a leading clinical trial ... clinical outcomes platform, Bracket eCOA (SM) 6.0, at the ... – 30, 2016 in Philadelphia , Pennsylvania.  ... Assessment product of its kind to fully integrate with RTSM, ... eCOA 6.0 is a flexible platform for electronic clinical outcomes ...
Breaking Medicine Technology: