2427 Hysterectomy and Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-Notes): Video Technical Report

Ferreira, Hélder; Smith, Andres Vigueras; Kulkarni, Namrata; Rosario, D Pinto; Sumak, R

doi:10.1016/j.jmig.2019.09.416

Cited by 2 publications

(1 citation statement)

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“…In addition, its postoperative pain score was lower than that of laparoscopic surgery in various periods, with a lower incidence rate of complications as well. Studies [17,18] have shown that laparoscopic surgery can cause damage to nerves, blood vessels, ligaments, and other tissues to varying degrees, which may lead to abnormal secretion of postoperative hormones, and ultimately adversely affect libido and sexual life quality. V-NOTES, however, has smaller damage to the body and plays a certain comforting role in pain reduction, wound beauty, and other aspects of patients, to improve patients' subjective feelings, avoid mood disorders, and ultimately improve the sexual life quality.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Qian¹,

Chen²,

Su³

et al. 2023

Preprint

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Objective To investigate the feasibility and safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) panhysterectomy. Method A retrospective analysis was conducted on the data of 75 patients who underwent panhysterectomy for hysteromyoma in the Department of Obstetrics and Gynecology of Tongxiang Maternal and Child Health Hospital; Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University and Department of Gynecology, The First Affiliated Hospital of USTC from June 2019 to June 2020. According to the operation mode, the patients were divided into two groups: the traditional Multi-Port Laparoscopic Surgery (MPLS) group (n = 45) and the Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) group (n = 30). The operation duration, intraoperative blood loss, postoperative exsufflation time, postoperative activity time, hospital stay, treatment cost, 6h activities of daily living (ADL) score after the operation, cosmetic score, visual analog score, and complications were observed in the two groups. Results Perioperative period related indicators: Compared with the MPLS group, the total treatment cost and cosmetic score of the V-NOTES group were significantly better than those of the MPLS group, but the operation duration was longer, and the HB decreased more significantly (P < 0.05). However, there was no significant difference in intraoperative blood loss, postoperative exsufflation time, postoperative activity time, 6h ADL score after the operation, and hospital stay between the two groups (P > 0.05). Postoperative pain: The VAS score 1h, 6h, 12h, and 24h after the operation was lower in the V-NOTES group than in the MPLS group (P < 0.05). Postoperative complications: The complication rate of the V-NOTES group was significantly lower than that of the MPLS group (P < 0.05). Conclusion In treating panhysterectomy patients, both V-NOTES and MPLS can achieve satisfactory efficacy and prognosis, and both have advantages and disadvantages. Specifically, the V-NOTES surgery has significant advantages such as a lower treatment cost, lower incidence of postoperative complications, less pain, and more beautiful wounds.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Qian¹,

Chen²,

Su³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Feasibility and safety of transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) panhysterectomy: a polycentric retrospective study

Qian,

Chen,

et al. 2024

Eur J Med Res

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Objectives To investigate the feasibility and safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) panhysterectomy. Methods A retrospective analysis was conducted on the data of 75 patients who underwent panhysterectomy for hysteromyoma in the Department of Obstetrics and Gynecology of Tongxiang Maternal and Child Health Hospital; Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University and Department of Gynecology, The First Affiliated Hospital of USTC from June 2019 to June 2020. According to the operation mode, the patients were divided into two groups: the traditional multi-port laparoscopic surgery (MPLS) group ( n = 45) and the Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) group ( n = 30). The operation duration, intraoperative blood loss, postoperative exsufflation time, postoperative activity time, hospital stay, treatment cost, 6 h activities of daily living (ADL) score after the operation, cosmetic score, visual analog score, and complications were observed in the two groups. Results Perioperative period related indicators: Compared with the MPLS group, the total treatment cost and cosmetic score of the V-NOTES group were significantly better than those of the MPLS group, but the operation duration was longer, and the HB decreased more significantly ( P < 0.05). However, there was no significant difference in intraoperative blood loss, postoperative exsufflation time, postoperative activity time, 6 h ADL score after the operation, and hospital stay between the two groups ( P > 0.05). Postoperative pain: The VAS score 1 h, 6 h, 12 h, and 24 h after the operation was lower in the V-NOTES group than in the MPLS group ( P < 0.05). Postoperative complications: The complication rate of the V-NOTES group was significantly lower than that of the MPLS group ( P < 0.05). Conclusions In treating panhysterectomy patients, both V-NOTES and MPLS can achieve satisfactory efficacy and prognosis, and both have advantages and disadvantages. Specifically, the V-NOTES surgery has significant advantages such as a lower treatment cost, lower incidence of postoperative complications, less pain, and more beautiful wounds.

show abstract

2427 Hysterectomy and Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-Notes): Video Technical Report

Cited by 2 publications

References 0 publications

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Feasibility and safety of transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) panhysterectomy: a polycentric retrospective study

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