Simplified two-step technique for transvaginal natural orifice transluminal endoscopic surgery

Özçeltik, Gökay; Yeniel, Ahmet Özgür; Atay, Arif Onur; Mete, İsmail

doi:10.1016/j.fertnstert.2020.05.002

Cited by 7 publications

(6 citation statements)

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“…Apart from ectopic pregnancy, it can be used for conditions such as ovarian torsion. 9 However, due to the risk of visceral injury, evaluation of patients and direct trocar entry should be done with extra care. Even though we have not experienced any complications, the safety profile of the technique needs to be further assessed.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, it offers the surgeon a chance to evaluate the feasibility of the procedure via vNOTES. Apart from ectopic pregnancy, it can be used for conditions such as ovarian torsion 9 . However, due to the risk of visceral injury, evaluation of patients and direct trocar entry should be done with extra care.…”

Section: Discussionmentioning

confidence: 99%

“…If the decision is to treat the patient via vNOTES, the initial trocar stab wound facilitates the creation of a larger colpotomy in a safe manner. The utilization of the two‐step technique along with the self‐constructed pessary port was previously demonstrated in patients with ovarian torsion and ectopic pregnancy 9 …”

Section: Methodsmentioning

confidence: 99%

“…The utilization of the two-step technique along with the self-constructed pessary port was previously demonstrated in patients with ovarian torsion and ectopic pregnancy. 9…”

Section: Two-step Techniquementioning

confidence: 99%

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Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy

Özçeltik

Şimşek

Hortu

et al. 2022

J of Obstet and Gynaecol

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Aims: This study aims to describe our transvaginal natural orifice transluminal endoscopic surgery (vNOTES) technique for ectopic pregnancy that can be performed using conventional laparoscopic equipment with the addition of a self-constructed pessary port and to evaluate the safety, feasibility, and outcomes of the technique. Methods: This is a retrospective study evaluating outcomes of patients who underwent vNOTES for ectopic pregnancy (n = 21) between August 2019 and April 2021.Results: Twenty-one patients underwent vNOTES as intended without any intraoperative complications. Three patients (14.3%) were nulliparous, 16 patients (76.2%) had no history of vaginal delivery, and 13 patients (61.9%) had a history of at least one cesarean delivery. Eight patients (38.1%) had a history of previous abdominal surgery other than cesarean section. The mean duration of surgery was 43.4 AE 12.6 min. The mean visual analog scale scores for pain were 2.45 AE 1.13 at 2 h after surgery, 0.45 AE 0.83 at 12 h after surgery, and 0.18 AE 0.36 at 24 h after surgery. The median duration of postoperative hospital stay was 1 day (range, 1-2). There were no postoperative complications within 30 days after surgery. Conclusions: vNOTES can be performed in an existing laparoscopy setup with the addition of a selfconstructed pessary port. vNOTES is a safe and effective surgical treatment option for ectopic pregnancy, even in patients who have not had a vaginal delivery and have had multiple abdominal surgeries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…The utilization of the two-step technique along with the self-constructed pessary port was previously demonstrated in patients with ovarian torsion and ectopic pregnancy. 9…”

Section: Two-step Techniquementioning

confidence: 99%

See 2 more Smart Citations

Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy

Özçeltik

Şimşek

Hortu

et al. 2022

J of Obstet and Gynaecol

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“…The video presented in this issue of Fertility and Sterility,''Simplified Two-Step Technique for Transvaginal Natural Orifice Transluminal Endoscopic Surgery,'' depicts a simple and effective technique for performing a vNOTES procedure and can aid in getting this technique the exposure it needs to become more widespread and studied (5). For the first step, a 5-mm trocar is introduced through the posterior vagina, allowing achievement of pneumoperitoneum and access for a survey of the pelvis.…”

mentioning

confidence: 99%

Innovative techniques for scarless laparoscopy: the Holy Grail of minimally invasive surgery

Silverstein¹,

Goodman²

2020

Fertility and Sterility

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Management of advanced prolapse including a bowel obstruction: expanding the role of transvaginal surgery

2021

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Simplified two-step technique for transvaginal natural orifice transluminal endoscopic surgery

Cited by 7 publications

References 0 publications

Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy

Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy

Innovative techniques for scarless laparoscopy: the Holy Grail of minimally invasive surgery

Management of advanced prolapse including a bowel obstruction: expanding the role of transvaginal surgery

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