{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:16Z","timestamp":1787169736467,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Laparoscopic splenectomy has become an established standard of care in managing surgical diseases of the normal-sized spleen. Natural orifice transluminal endoscopic surgery (NOTES) is a step forward in making laparoscopic surgery even less invasive. In addition, the spleen can be accessed easily with the hybrid transvaginal approach. We present the case of a 38-year-old woman with medical refractory immune thrombocytopenic purpura. Hybrid notes splenectomy was performed using three working 5-mm abdominal trocars and a 10-mm camera port through the posterior fornix of the vagina. The organ was retrieved intact transvaginally. The patient had minimal post-operative pain and was discharged on the 1\n                      <jats:sup>st<\/jats:sup>\n                      post-operative day. Transvaginal hybrid NOTES approach is feasible for operative visualisation, dissection, clipping and specimen extraction in patients requiring splenectomy. It may offer better cosmesis and faster recovery. Comparative studies with conventional laparoscopic approach are desirable.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_245_21","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T08:31:58Z","timestamp":1635755518000},"page":"466-468","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Hybrid natural orifice transluminal endoscopic surgery splenectomy"],"prefix":"10.4103","volume":"18","author":[{"given":"Rohit","family":"Bansal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanwarjit Singh","family":"Dhillon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gourav","family":"Kaushal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-23-20240828","first-page":"2263","article-title":"Splenectomy by the laparoscopic approach.Report of a case","volume":"20","author":"Delaitre","year":"1991","journal-title":"Presse Med"},{"key":"R2-23-20240828","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/S0002-9610(96)00241-3","article-title":"Comparative analysis of laparoscopic versus open splenectomy","volume":"172","author":"Brunt","year":"1996","journal-title":"Am J Surg"},{"key":"R3-23-20240828","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1001\/archsurg.134.11.1263","article-title":"Laparoscopic vs open splenectomy","volume":"134","author":"Park","year":"1999","journal-title":"Arch Surg"},{"key":"R4-23-20240828","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1177\/1553350609345488","article-title":"NOTES-assisted transvaginal splenectomy: The next step in the minimally invasive approach to the spleen","volume":"16","author":"Targarona","year":"2009","journal-title":"Surg Innov"},{"key":"R5-23-20240828","doi-asserted-by":"crossref","first-page":"176","DOI":"10.4103\/0972-9941.207838","article-title":"Natural orifice transluminal endoscopic surgery (hybrid) cholecystectomy: The Dhillon technique","volume":"13","author":"Dhillon","year":"2017","journal-title":"J Minim Access Surg"},{"key":"R6-23-20240828","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s00464-005-3006-0","article-title":"ASGE\/SAGES working group on natural orifice transluminal endoscopic surgery.October 2005","volume":"20","author":"Rattner","year":"2006","journal-title":"Surg Endosc"},{"key":"R7-23-20240828","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/1553350613497269","article-title":"Pure transvaginal ventral hernia repair in humans","volume":"21","author":"Wood","year":"2014","journal-title":"Surg Innov"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_245_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:22Z","timestamp":1787166682000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_245_21"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_245_21","relation":{},"ISSN":["0972-9941"],"issn-type":[{"value":"0972-9941","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}