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What about vaginal extraction of the kidney? results of an online survey.
- Source :
-
International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2016 Jan-Feb; Vol. 42 (1), pp. 78-82. - Publication Year :
- 2016
-
Abstract
- Purpose: We aimed to characterize surgeons opinion about the vaginal extraction of the kidney after transperitoneal laparoscopic nephrectomy. Matherial and Methods: A 9-item questionnaire was published online (Survey Monkey TM) and publicized via email to a multidisciplinary pool of surgeons in Portugal. Data was collected and statistical analysis was performed using IBM SPSS Statistics, Version 21.0.<br />Results: Three hundred and fifty nine inquiries were sent, 154 surgeons completed the questionnaires (response rate of 43.0%). Fifty five point eight percent of the participants would choose the transvaginal approach for themselves or for a close relative. The most stated arguments were a better cosmesis (29.0%) expectancy of lower post operative pain (26.0%) and lower rate of incisional hernias (23.0%). Defenders of the transabdominal procedure justified with an expectancy of lower complication rate (39%), namely impairment of sexual function and fertility (22%). The female gender and the familiarity with transvaginal surgery were the stronger predictors of the option for this approach (70.6% vs 48.5%; p=0,016 and 85.3% vs 46.6%; p <0.001 respectively).<br />Conclusions: Contrasting with similar surveys published on transvaginal NOTES, the vaginal specimen extraction after conventional laparoscopic nephrectomy was fairly accepted by the inquired surgeons.
- Subjects :
- Adult
Female
Humans
Laparoscopy methods
Male
Middle Aged
Postoperative Complications
Practice Patterns, Physicians' statistics & numerical data
Reproducibility of Results
Sex Factors
Surgeons statistics & numerical data
Surveys and Questionnaires
Treatment Outcome
Natural Orifice Endoscopic Surgery methods
Nephrectomy methods
Vagina
Subjects
Details
- Language :
- English
- ISSN :
- 1677-6119
- Volume :
- 42
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International braz j urol : official journal of the Brazilian Society of Urology
- Publication Type :
- Academic Journal
- Accession number :
- 27136470
- Full Text :
- https://doi.org/10.1590/S1677-5538.IBJU.2015.0170