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Transvaginal Cholecystectomy: Effect on Quality of Life and Female Sexual Function
*Stephanie G Wood, *Lucian Panait, Robert L Bell, Andrew J Duffy, Kurt E Roberts
Yale School of Medicine, New Haven, CT

Objectives: Transvaginal NOTES (natural orifice transluminal endoscopic surgery) cholecystectomy (TVC) has potential to offer improved cosmesis, less pain and shorter recovery times for female patients. We investigated quality of life and female sexual function in our first 45 TVC patients. Design: A prospective cohort study from January 2010 to March 2012 of TVC’s performed at our institution to date. We report preoperative, 1 and 3 months postoperative results. Setting: Tertiary academic referral center. Patients: The first 45 consecutive female patients (18 to 65 years old) who received an elective TVC by a single surgeon were included. Interventions: A hybrid TVC was attempted by a 5-mm umbilical trocar and a 12-mm transvaginal trocar with standard laparoscopic instruments. Main Outcome Measures: Quality of life index (SF-36) and Female sexual function index (FSFI). Results: A total of 45 TVC were performed with a mean age of 39, mean BMI of 31kg/m2, and a mean operative time of 65 min. No significant difference was noted in overall female sexual function index (FSFI) preoperatively to 1 and 3 month postoperatively. When comparing preoperative to 1 month postoperative QOL, there was a significant improvement in energy/fatigue, social functioning, pain, and general health, and no difference in physical functioning, and emotional wellbeing. The QOL results were similar at 3 months, except there was a significant improvement in emotional wellbeing and no significant difference in general health. (p<0.05) Conclusions: In our experience to date, FSFI is unchanged, and QOL is either unchanged or improved following TVC at 1 and 3 months. TVC NOTES does not affect FSFI and QOL in short term follow up.

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Abstract Submission Deadline:
May 5, 2014

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August 13, 2014

Early Bird Registration Deadline:
August 11, 2014
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