Abstract
The apendicectomy is the most common surgical procedure practice. Laparoscopic apendicectomy it is the gold standard. Searching for less invasive procedure it is propose the transvaginal apendicectomy for selected cases. Method:The investigation decribes the technique of NOTES: hybrid transvaginal apendicectomy, using regular laparoscopics instruments. Conclusion:The transvaginal access it is feasible way to perform the apendicectomy. It is essential to be trained on advance laparoscopic technique. The triangulation trough transvaginal way is lost. It is
not necessary to use throcars to access trough transvaginal way.

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