S111Abstracts / Journal of Minimally Invasive Gynecology 15 (2008) S1eS159

Conclusion: The laparoscopic surgery of the omental cyst showedcomparable result to open exploration.

414

Transvaginal Cholecystectomy Using Magnetic Graspers

Tsin DA,1 Dominguez GM,2 Jesus R,3 Aguilar S,4 Davila F.5 1Minimally

Invasive Surgery, The Mount Sinai Hospital of Queens, Long Island City,

New York; 2General Surgery, Sanatorio Mitre, Buenos Aires, CF,

Argentina; 3Dean, Universidad Nacional Autonoma de Mexico, Poza Rica,

Veracruz, Mexico; 4Surgery, Hospital Regional de Poza Rica, Poza Rica,

Veracruz, Mexico; 5Surgery, Hospital Regional de Poza Rica, Poza Rica,

Veracruz, Mexico

Study Objective: To present a case of minilaparoscopy assistedtransvaginal cholecystectomy using magnets, performed by a generalsurgery - gynecology team.Design: A case of Minilaparoscopy Assisted Natural Orifice Surgery(MANOS) using neodymium magnets.Setting: Hospital Regional de Poza Rica, Veracruz. Mexico.Patients: A female with symptomatic gallbladder stones.Intervention: A transvaginal MANOS cholecystectomy was done usinga 5 mm umbilical port and a 12 mm vaginal port; A 11 mm laparoscopewith an operating channel was placed, a neodymium magnet (ImanlapTM) was introduced via the vaginal port. The magnet was placed at thefundus of the gallbladder for retraction and exposure.Measurements and Main Results: The patient tolerated the procedurewell, was discharged a day after surgery customary in this hospital forlaparoscopic cholecystectomy.Conclusion: Magnets preclude the use of additional abdominal portsreducing skin incisions. Natural orifice transvaginal endoscopic surgerybenefits with a multidisciplinary team including a gynecologists.

415

Study on Benign Lesions of Uteri and Cervix Treating by

Laparoscopic Supracervical Hysterectomy Combined with

Transcervical Resection Surgery

Xia E, Wang B. Hysteroscopy, Fuxing Hospital Affiliate of Capital Medical

University, Beijing, China

Study Objective: To investigate the effect and prognosis of Benign Lesionsof Uteri and Cervix Treating by Laparoscopic Supracervical Hysterectomyand Transcervical Resection of Cervix.Design: Retrospective analysis of 103 consecutive cases of laparoscopicsupracervical hysterectomy combined with transcervical resection of cervix.Setting: Teaching hospital and urban obstetric and gynecology grouppractice.Patients: One hundred three women (ages 34e48 yrs) with uterine myomaand/or adenomyosis.Intervention: Laparoscopic supracervical hysterectomy or 1aparoscopicintrafascial hysterectomy combined with transcervical resection ofcervical lesion.Measurements and Main Results: The operating time of 1aparoscopicintrafascial hysterectomy combined with transcervical resection of cervixwas 102.3� 13.16 min and laparoscopic supracervical hysterectomy was113.7� 20.32 min. P!0.05. Intraoperating bleeding was 73� 25.26 mlfor 1aparoscopic intrafascial hysterectomy combined with transcervicalresection of cervix and 95.8� 15.81 ml for laparoscopic supracervicalhysterectomy. P!0.01.Conclusion: Laparoscopic intrafascial hysterectomy associated withtranscervical resection of cervical lesion could completely cure uterineand cervical benign lesions than Laparoscopic supracervical hysterectomydid, and this kind of combined operation can be widely used for uterineand cervical benign lesions.

416

Successful VBAC after Laparoscopic Repair of Uterine Dehiscence

Yi J, Chaudhari A, Sharp HT. Department of Obstetrics and Gynecology,

University of Utah Obstetrics and Gynecology, Salt Lake City, Utah

Study Objective: To describe a laparoscopic repair of uterine dehiscencefollowing vaginal birth after cesarean section (VBAC), and to reporta subsequent successful VBAC 32 months later.