Systematic review and meta-analysis of vaginal natural orifice transluminal endoscopic surgery vs laparoscopic hysterectomy

Marchand, Greg J.; Masoud, Ahmed Taher; Ulibarri, Hollie; Arroyo, Amanda; Moir, Carmen; Blanco, Madison; Herrera, Daniela Gonzalez; Hamilton, Brooke; Ruffley, Kate; Petersen, Mary; Fernandez, Sarena; Azadi, Ali

doi:10.1016/j.xagr.2024.100320

AJOG Global Reports

2024

DOI: 10.1016/j.xagr.2024.100320

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Systematic review and meta-analysis of vaginal natural orifice transluminal endoscopic surgery vs laparoscopic hysterectomy

Greg J. Marchand,

Ahmed Taher Masoud,

Hollie Ulibarri

et al.

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2024

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Cited by 3 publications

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Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Benign Gynaecology: A Systematic Review of Adnexal, Myomectomy and Prolapse Procedures

Benton-Bryant,

Pour,

Baekelandt

et al. 2024

Journal of Minimally Invasive Gynecology

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Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Benign Gynaecology: A Systematic Review of Adnexal, Myomectomy and Prolapse Procedures

Benton-Bryant,

Pour,

Baekelandt

et al. 2024

Journal of Minimally Invasive Gynecology

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Early surgical outcomes of 550 consecutive patients treated for benign gynecological conditions by transvaginal natural orifice transluminal endoscopic surgery

Hurni,

Simonson,

Di Serio

et al. 2024

Acta Obstet Gynecol Scand

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IntroductionEvidence about intra‐ and postoperative complication rates related to transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for benign gynecological conditions is still limited. We report and analyze data from a large cohort of patients operated in a single institution during 3.5 years.Material and MethodsTo evaluate the safety and feasibility of vNOTES for benign gynecological indications, we performed a single‐center observational study reporting and analyzing perioperative outcomes of 550 consecutive patients operated between 2020 and 2024.ResultsOf the 550 included patients, 365 (66.4%) underwent a vNOTES hysterectomy, 167 (30.4%) a procedure limited to the adnexa, and 18 (3.3%) other interventions, including myomectomy, pelvic adhesiolysis, post‐hysterectomy pelvic hematoma drainage, pelvic organ prolapse repair, and appendectomy. The mean age was 49.4 ± 12.2 years, and the mean BMI was 26.2 ± 5.8 kg/m2. The total complication rate was 6.5% (36 cases), of which 2.7% (15 cases) were intraoperative complications and 4.0% (22 cases) were postoperative complications. Patients presented postoperative complications classified as Clavien–Dindo (CD) grade I in 4 cases (0.7%), grade II in 10 cases (1.8%), and grade III in 8 cases (1.5%). We observed no CD grade IV and V complications. Three patients (0.5%) were rehospitalized for postoperative complications management. The conversion rate was 1.6%, with nine cases of conversion to conventional laparoscopy and none to laparotomy.ConclusionsThe application of vNOTES appears safe and feasible for most benign gynecological surgeries. Our study focused on surgical complications and demonstrated a profile similar to those reported in previous studies.

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Enhanced recovery revisited: what day case hysterectomies can learn from Team GB elite athletes

Sekar,

Thiyagalingam,

Swann

et al. 2024

The Obstetric & Gynaecologis

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Systematic review and meta-analysis of vaginal natural orifice transluminal endoscopic surgery vs laparoscopic hysterectomy

Cited by 3 publications

References 42 publications

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Benign Gynaecology: A Systematic Review of Adnexal, Myomectomy and Prolapse Procedures

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Benign Gynaecology: A Systematic Review of Adnexal, Myomectomy and Prolapse Procedures

Early surgical outcomes of 550 consecutive patients treated for benign gynecological conditions by transvaginal natural orifice transluminal endoscopic surgery

Enhanced recovery revisited: what day case hysterectomies can learn from Team GB elite athletes

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