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

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

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