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

NA: not available, BMI: body mass index, ASA: American Society of Anesthesiology, and PID: pelvic inflammatory disease.