Transvaginal Cholecystectomy Periprocedural Care

Updated: Sep 06, 2016
  • Author: Kurt E Roberts, MD; Chief Editor: Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS  more...
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Periprocedural Care

Equipment

The following equipment is used for transvaginal cholecystectomy:

  • Port (5 mm) for the umbilical site
  • Port (12 mm)
  • Extracorporeal sutures
  • Maryland dissector
  • Scissors
  • Clip applier
  • Electrocautery
  • Gallbladder retrieval bag
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Patient Preparation

Anesthesia

General anesthesia is required because of the need to insufflate the abdominal cavity to ensure adequate visualization.

Positioning

The patient is placed in the low lithotomy position with stirrups (see the image below). After Veress needle insufflation of the abdominal cavity through the umbilical site, the patient is placed in a steep Trendelenburg position.

Transvaginal cholecystectomy. Position of patient. Transvaginal cholecystectomy. Position of patient.
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Monitoring and Follow-up

Patients are recommended to refrain from sexual intercourse for a period of 2 weeks, as recommended by the gynecologists in the authors’ institution.

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