Commentary: Evolution of Vitrectomy as Day Care Procedure

Transvaginal natural orifice endoscopic surgery for ovarian cystectomy: a more suitable surgical approach for the day-care procedure

“…Meanwhile, enhanced recovery after surgery (ERAS) has developed rapidly, which optimizes the clinical path of perioperative treatment, reduces the stress response of surgical trauma, shortens hospital stay, and promotes rapid recovery of patients ( 14 – 16 ). Based on the ERAS concept, the day-care procedure further optimizes the disease diagnosis and treatment process, which allows patients to be admitted, operated, and discharged within 24 h ( 17 – 19 ). In the two approaches mentioned above, the incisions are hidden in the belly button with no postoperative scar in the vaginal area; thus, they are suitable for the day-care surgery because of their small trauma and quick recovery.…”

“…However, although previous studies have shown that vNOTES has the advantages of causing less pain, faster recovery, and better concealment of surgical incisions, this approach poses a greater risk of damaging adjacent organs (i.e., rectum and bladder) due to its anatomical specificity ( 20 – 22 ). Moreover, the day-care procedure may lead to relatively less preoperative evaluation and postoperative care ( 17 , 19 ). Hence, it is necessary to explore the safety and effectiveness of vNOTES for ovarian cystectomy in the day-care procedure.…”

In Vitro Comparison of Various High-Speed Vitrectomy Machines Using Dual Blade Cutters

“…The initial humble beginnings were by Robert Machemer in 1971 when he introduced a vitreous cutter driven through a small electric motor mounted on a syringe with a needle [ 1 ]. This multifunction (cut, infusion, aspiration) vitreous cutter was 17-gauge with a diameter of 1.42 mm and utilized a 2.3 mm scleral opening [ 2 ]. Soon after the inception of single port multipurpose vitrectomy, O’Malley introduced a three-port pars plana vitrectomy utilizing a 20-gauge guillotine cutter and instruments.…”