SCIENTIFIC LETTERS 153 Total

colectomy with transvaginal specimen extraction due to colonic inertia Colectomía total con extracción transvaginal del espécimen por inercia colónica We present the case of a 65-year-old woman with chronic constipation for 10 years that did not improve through dietary or drug treatment, and so she underwent total colectomy with intracorporeal ileorectal anastomosis with transvaginal specimen extraction. The procedure is called Natural Orifice Specimen Extraction (NOSE) and is used in both benign and oncologic resections with excellent results. The case presented herein is the first surgery for treating colonic inertia utilizing this technique that has been per