NOTES Transvaginal Cholecystectomy and Appendectomy

Exclusion Criteria

• •1. Pregnant women
• •2. Morbidly obese patients (BMI \> 35)
• •3. Patients who are taking immunosuppressive medications and/or immunocompromised
• •4. Patients with severe medical comorbidities will be excluded.
• •5. Patients with a presumed gallbladder polyps, mass or tumor
• •6. Patients with a history of prior open abdominal or transvaginal surgery.
• •7. Patients with a prior history of peritoneal or vaginal trauma
• •8. Patients with a history of ectopic pregnancy, pelvic inflammatory disease, or severe endometriosis
• •9. Patients with known common bile duct stones
• •10. Patients on blood thinners or aspirin or abnormal blood coagulation tests
• •1. pregnant women
• •2. Morbidly obese patients (BMI \>35)
• •3. Patients who are taking immunosuppressive medications or are immunocompromised
• •4. Patients with evidence of an abdominal abscess or mass
• •5. Patients who present with a clinical diagnosis of sepsis or peritonitis
• •6. Patients who have a history of prior open abdominal surgery or prior transvaginal surgery.
• •7. Patients who endorse a history of ectopic pregnancy, pelvic inflammatory disease (PID), or severe endometriosis
• •8. Patients with diffuse peritonitis on clinical exam
• •9. Previous trauma to the perineal area
• •10. Patients on blood thinners or aspirin or abnormal blood coagulation tests