This is the first report of Natural Orifice Trnasvaginal Endoscopic Appendectomy .D A Tsin, L T Colombero, D Mahmood, J Padouvas, P Manolas. Operative culdolaparoscopy: a new approach combining operative culdoscopy and minilaparoscopy. The Journal of the American Association of Gynecologic Laparoscopists. 2001 Aug;8(3): 438-41