Review Article
Transvaginal Appendectomy: A Systematic Review
Table 1
Inclusion criteria for transvaginal appendectomies.
| Parameters |
Zorron et al. [6] |
Pérez et al. [7] | Roberts et al. [10] | Jacobsen et al. [12] | Noguera et al. [8] | Albrecht et al. [9] | Mofid et al. [15] |
| Age | NA | 18–65 | 18–65 | 18–75 | 18–65 | 18–78 | NA |
| ASA score | I-II | I-II | I-II | I-II | I-II | NA | NA |
| Disease severity | Mild symptoms and short duration of disease | No palpable mass No appendicular abscess | Not perforated at clinical and radiological evaluation | <48 hours of the onset No abdominal abscess No abdominal mass No sepsis No diffuse peritonitis | NA | Unclear abdominal discomfort in the sense of appendicitis | NA |
| Previous surgery | No history of hysterectomy Some centers avoided prior other abdominal surgeries | NA | No abdominal or pelvic surgery | NA | NA | Previous abdominal or pelvic surgery was not a contraindication | Previous abdominal or pelvic surgery was not a contraindication |
| Virginity or pregnancy | Not virgin Not pregnant | Not virgin Not pregnant | Not pregnant | Not pregnant | NA | NA | NA |
| BMI | NA | <35 | <35 | <35 | NA | NA | <35 |
| Gynecological pathologies | No vaginal infection No endometriosis No obliterating adhesions in the pouch of Douglas | No gynecological infection | NA | No history of ectopic pregnancy, PID, severe endometriosis, or perineal trauma | NA | NA | No known adhesions in the pelvis |
| Others | NA | NA | Not retrocecal at preoperative radiological evaluation | No immunosuppressive drug Not immunocompromised No blood thinner medication No platelet inhibitor drugs Normal coagulation tests | Previous delivery of at least one child | NA | No malignancy No previous pelvic radiotherapy |
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NA: not available, BMI: body mass index, ASA: American Society of Anesthesiology, and PID: pelvic inflammatory disease.
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