Comparison of hysterectomy cases performed <i>via</i> conventional laparoscopy or vaginally assisted natural orifice transluminal endoscopic surgery: a paired sample cross-sectional study

Kaya, Cihan; Alay, Ismail; Cengiz, Hüseyin; Yıldız, Güneş Özlem; Baghaki, Sema; Yaşar, Levent

doi:10.1080/01443615.2020.1741523

Cited by 23 publications

(37 citation statements)

References 12 publications

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“…The retrospective cross-sectional study was conducted by Kaya et al [19] in 2020 at the University of Health Sciences, Bakirkoy Dr. Sadi Konuk Training and Research Hospital in Istanbul, Turkey. During the time period reviewed, between January 2016 and 2019, the study group consisted of 30 patients that underwent vNOTES hysterectomy for various benign reasons.…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…The quality of the observational trials is limited due to the non-random allocation of patients. To reduce the risk for selection bias in the observational studies, two studies [16,19] used matched controls based on baseline characteristics, whereas two other studies [17,18] applied propensity score matching. Heterogeneity: Chi² = 67.81, df = 4 (P < 0.00001); I² = 94% Test for overall effect: Z = 8.48 (P < 0.00001)…”

Section: Limitationsmentioning

confidence: 99%

“…No conversions were reported. Neither did the studies by Y. S. Yang et al [17] and Kaya et al [19]. Kim et al [18] reported one conversion in the experimental group, but the reason for conversion is not mentioned.…”

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confidence: 91%

“…Length of stay. Four studies (Wang et al [16], Y. S. Yang et al [17], Baekelandt et al [13] and Kaya et al [19]) showed a significantly shorter length of hospital stay after vNOTES compared to their control. The other two studies did not report a significant difference.…”

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confidence: 99%

“…We requested and received the VAS scores on postoperative day 1 to use for this meta-analysis. Kaya et al [19] reported VAS scores at 6 and 24 h postoperative. VAS pain score at 6 h was 6 (range 4-7) for vNOTES and 6 (3-7) for TLH.…”

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confidence: 99%

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Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Housmans

Noori

Kapurubandara

et al. 2020

JCM

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(1) Objective: We aimed to report an update of the systematic review and meta-analysis by Baekelandt et al. (2016). (2) Method: We followed PRISMA guidelines to perform this systematic review. We searched MEDLINE, EMBASE, CENTRAL and additional sources and aimed to retrieve randomised controlled trials (RCTs), controlled clinical trials (CCTs) and prospective/retrospective cohort studies in human subjects that allowed direct comparison of vNOTES to laparoscopy. (3) Results: Our search yielded one RCT and five retrospective cohort trials. Pooled analysis of two subgroups showed that, compared to conventional laparoscopy, vNOTES is equally effective to successfully remove the uterus in individuals meeting the inclusion criteria. vNOTES had significantly lower values for operation time, length of stay and estimated blood loss. There was no significant difference in intra- and postoperative complications, readmission, pain scores at 24 h postoperative and change in hemoglobin (Hb) on day 1 postoperative.

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Section: Description Of the Studiesmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

mentioning

confidence: 91%

mentioning

confidence: 99%

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confidence: 99%

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Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Housmans

Noori

Kapurubandara

et al. 2020

JCM

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Perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery and transumbilical laparoendoscopic single‐site surgery in hysterectomy: A comparative study

Yuan,

Yang,

Zheng

2023

Intl J Gynecology & Obste

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ObjectiveThis study aimed to compare the perioperative outcomes of patients who underwent hysterectomy for benign gynecologic diseases using transvaginal natural orifice transluminal endoscopic surgery (vNOTES) or transumbilical laparoendoscopic single‐site surgery (TU‐LESS).MethodsA total of 314 patients who underwent hysterectomy for benign uterine disease at West China Second University Hospital between October 2018 and December 2021 were enrolled in this retrospective study. vNOTES (n = 157) and TU‐LESS (n = 157) recipients were matched 1:1 in terms of uterine volume. The operation time, blood loss, postoperative decrease in hemoglobin, uterus weight, postoperative hospital stay, postoperative pain score at 12 h, postoperative indwelling catheter time, and other clinical indicators were compared between the two groups.ResultsAll 314 patients successfully completed the surgery, and the two groups had similar baseline characteristics, with no statistical difference. Regarding intraoperative outcomes, the operation time was shorter in the vNOTES group than in the TU‐LESS group (80 vs 100 min, P = 0.04), and there were no significant differences in intraoperative blood loss, intraoperative blood transfusion rate, postoperative decrease in hemoglobin, or uterine weight. Concerning postoperative outcomes, vNOTES hysterectomy was significantly superior to TU‐LESS hysterectomy in terms of the length of hospital stay (3 vs 4 days, P < 0.001), visual analog scale score for pain at 12 h after surgery (P = 0.04), postoperative indwelling catheter time (39.5 vs 64.0 h, P < 0.001), and postoperative exhaust time (24.0 vs 42.0 h, P < 0.001). There were no significant differences in postoperative complications between the two groups.ConclusionvNOTES and TU‐LESS seem safe and feasible for hysterectomy, but vNOTES hysterectomy was more conducive to the postoperative rehabilitation of patients, with less trauma, less pain, and better cosmetic effects than TU‐LESS hysterectomy. As an emerging surgical approach, more studies, including large‐sample, multicenter, randomized controlled trials, are needed to validate our findings.

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Implementing the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) “first” strategy in benign gynecological surgeries

Tekin

Yassa

Kaya

et al. 2022

Arch Gynecol Obstet

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Comparison of hysterectomy cases performed via conventional laparoscopy or vaginally assisted natural orifice transluminal endoscopic surgery: a paired sample cross-sectional study

Cited by 23 publications

References 12 publications

Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery and transumbilical laparoendoscopic single‐site surgery in hysterectomy: A comparative study

Implementing the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) “first” strategy in benign gynecological surgeries

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