Transvaginal Appendectomy Periprocedural Care

Updated: Nov 30, 2020
  • Author: Kurt E Roberts, MD; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Periprocedural Care


Equipment used for transvaginal appendectomy is as follows:

  • Electrocautery
  • Single-incision laparoscopic surgery (SILS) port (Covidien, North Haven, CT)
  • Endoscope (30°, 5 mm)
  • Flexible endoscopic grasper
  • Maryland dissector
  • Endoscopic stapler

Patient Preparation


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


The patient is placed in the low lithotomy position with the lower extremities in stirrups. After the patient is prepared and draped and just before vaginal access is attempted, the patient is placed in a steep Trendelenburg position (see the image below).

Transvaginal appendectomy. Position of patient. Transvaginal appendectomy. Position of patient.

Monitoring and Follow-up

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