ELCE Clinic Sets World Record with Transvaginal Endoscopic Appendectomy

March 21, 2025Elce-Clinic-Admin treatment

Introduction

Minimally invasive surgery has revolutionized modern medicine, offering faster recovery, minimal pain, and scar-free outcomes. One of the most groundbreaking achievements in this field was the world’s first transvaginal endoscopic appendectomy, a pioneering procedure performed at ELCE Clinic, Coimbatore.

This historic surgery, led by Dr. Chinnusamy Palanivelu, along with his expert team, set a world record and paved the way for advancements in Natural Orifice Transluminal Endoscopic Surgery (NOTES)—a revolutionary technique that eliminates external incisions, enhancing patient safety and comfort.

Let’s explore this record-breaking procedure and its impact on scarless surgery.

1. ELCE Clinic’s World-First Transvaginal Endoscopic Appendectomy

Materials and Methods

In 2008, Dr. Chinnusamy Palanivelu, along with Dr. Pidigu Seshiyer Rajan and Dr. Muthukumaran Rangarajan, performed a transvaginal endoscopic appendectomy using a flexible endoscope, which was inserted through the vaginal canal. The surgical tools used were specifically designed to assist in the detachment and removal of the appendix without external incisions. The procedure was a NOTES (Natural Orifice Transluminal Endoscopic Surgery) technique that focused on achieving a scar-free outcome.

Results

🔹 Six patients underwent the procedure.
🔹 One patient had a completely endoscopic transvaginal appendectomy.
🔹 Five patients needed minor laparoscopic assistance.
🔹 Hospital stay: 1-2 days, a significant improvement over traditional methods.
🔹 No post-surgical complications were reported.

Impact of This Innovation

This world-record surgery at ELCE Clinic proved that transvaginal appendectomy is a safe and viable alternative to traditional laparoscopic procedures, paving the way for the future of scarless surgeries.

🔹 World’s First Scar-Free Appendectomy! – Learn how ELCE Clinic achieved a historic milestone with transvaginal endoscopic appendectomy for a painless, incision-free experience.

📖 Explore the Innovation: Click Here

What is Transvaginal Endoscopic Appendectomy?

Transvaginal endoscopic appendectomy is a minimally invasive surgical technique where the appendix is removed through the vaginal canal, eliminating the need for external incisions.

This procedure is part of the NOTES (Natural Orifice Transluminal Endoscopic Surgery) approach, which allows surgeons to perform surgeries through natural body openings like the mouth, rectum, and vagina for better cosmetic and clinical outcomes.

Advantages of NOTES Surgery:(Natural Orifice Transluminal Endoscopic Surgery)

✅ No Visible Scars – Eliminates the need for abdominal incisions.
✅ Minimal Pain – Less post-operative discomfort compared to traditional surgeries.
✅ Lower Infection Risk – Reduces the chances of external wound infections.
✅ Faster Recovery – Shorter hospital stays and quicker return to daily activities.

2. Endoscopic Stents & Selective Minimal Access Drainage for Esophageal Leaks

Materials and Methods

The study led by Dr. Rajan Pidigu and Dr. Saurabh Bansal at ELCE Clinic explored the use of endoscopic stents to seal esophageal leaks. The stents were inserted endoscopically, with minimal access drainage techniques employed to remove any infected fluid. This approach avoids the need for major surgery while ensuring effective management of esophageal leaks.

Results

✅ Higher success rate in managing esophageal leaks.
✅ Reduced mortality compared to conventional methods.
✅ Faster recovery with shorter hospital stays.
✅ Fewer post-surgical complications, leading to safer patient outcomes.

Why This Matters?

This minimally invasive approach eliminates the need for major surgery, offering a safer, quicker, and more effective treatment for patients suffering from esophageal leaks.

🔹 Breakthrough in Esophageal Leak Treatment! – Discover how endoscopic stents and minimal access drainage provide a safer, faster recovery for esophageal leaks.

📖 Read More: Click Here

What Are Endoscopic Stents & Selective Minimal Access Drainage for Esophageal Leaks?

Endoscopic stents and selective minimal access drainage are advanced, minimally invasive techniques used to treat esophageal leaks. In this procedure, endoscopic stents are placed to seal the leak, and minimal access drainage is employed to remove infected fluid, helping avoid major surgery.

This approach allows for a less invasive solution to a serious problem, leading to faster recovery and safer outcomes.

Advantages of Endoscopic Stents & Minimal Access Drainage

✅ Higher Success Rate – More effective in managing esophageal leaks than traditional surgery.
✅ Reduced Mortality – Lower risk of complications compared to conventional methods.
✅ Faster Recovery – Shorter hospital stays and quicker return to normal activities.
✅ Fewer Post-Surgical Complications – Less chance of infection or other complications.

World Record-Breaking Surgery at ELCE Clinic

In 2008, a team of renowned surgeons at ELCE Clinic, Coimbatore, performed the world’s first transvaginal endoscopic appendectomy, setting a global milestone in surgical innovation.

Meet the Pioneering Surgeons and Their Roles:

👨‍⚕️ Dr. Chinnusamy Palanivelu – Founder & Chairman, ELCE Clinic

Lead surgeon of the historic procedure.
A pioneer in laparoscopic and minimally invasive surgery.
One of the world’s leading experts in NOTES surgery.

👨‍⚕️ Dr. Pidigu Seshiyer Rajan – Senior Consultant, ELCE Clinic

Assisted in endoscopic instrument handling.
Specialized in gastrointestinal and general surgery.

👨‍⚕️Dr. Muthukumaran Rangarajan– Consultant Surgeon, ELCE Clinic

Focused on surgical precision and safety measures.
Expert in advanced laparoscopic procedures.

👨‍⚕️Dr. Ramakrishnan Parthasarathi– Gastrointestinal Surgeon, ELCE Clinic

Played a key role in post-surgical evaluation and patient recovery.
Specialist in minimally invasive gastrointestinal surgeries.

👨‍⚕️ Dr. Palanisamy Senthilnathan – Laparoscopic and Bariatric Surgeon, ELCE Clinic

Managed intraoperative laparoscopic assistance.
Expert in weight-loss and scar-free surgical techniques.

👨‍⚕️ Dr. Mohan Prasad – Endoscopic and General Surgeon, ELCE Clinic

Assisted in instrument navigation and closure techniques.
Specialist in therapeutic endoscopy.

Their research findings were published in ResearchGate, highlighting the safety, feasibility, and success of this technique.

Safer Esophageal Leak Treatment! – Endoscopic stents and minimal access drainage offer a minimally invasive solution with faster recovery and fewer complications. Read the study.

How Does It Compare to Laparoscopic Appendectomy?

Feature	Laparoscopic Appendectomy	Transvaginal Endoscopic Appendectomy (NOTES)
Incisions	2-3 small abdominal cuts	No external incisions
Pain Level	Moderate	Minimal
Infection Risk	Low	Even lower
Recovery Time	7-10 days	3-5 days
Cosmetic Outcome	Small scars	No scars

The world record-breaking surgery at ELCE Clinic demonstrated that transvaginal appendectomy is a safe, feasible, and superior alternative to conventional laparoscopic methods.

Challenges and Future of NOTES Surgery

While transvaginal endoscopic appendectomy offers remarkable benefits, it also presents a few challenges:

🔹 Specialized Training Required – Surgeons must develop expertise in advanced endoscopic techniques.
🔹 Patient Selection Criteria – Not all patients may qualify for this approach.
🔹 Cultural & Ethical Considerations – Some patients may have concerns regarding transvaginal surgery.

Despite these challenges, ELCE Clinic’s pioneering work proves that NOTES techniques have the potential to revolutionize modern surgery, making procedures less invasive, more patient-friendly, and highly effective.

World’s First Scar-Free Appendectomy! – ELCE Clinic achieved a historic milestone with transvaginal endoscopic appendectomy, redefining minimally invasive surgery. Learn more.

Conclusion: The Future of Surgery is Here

The world-record transvaginal endoscopic appendectomy and groundbreaking esophageal leak treatment at ELCE Clinic highlight the power of surgical innovation.

With Dr. Chinnusamy Palanivelu and his expert team leading the way, ELCE Clinic continues to set new global standards in scarless, minimally invasive, and patient-friendly surgeries.

🔗 Visit ELCE Clinic for world-class surgical care and research-based treatments.