Women’s Perception of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Gerntke, Carina Isabel; Kersten, Jan Felix; Schön, Gerhard; Mann, Oliver; Stark, Michael; Benhidjeb, Tahar

doi:10.1177/1553350615598621

Cited by 15 publications

(11 citation statements)

References 49 publications

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“…There is a need for further prospective data collection to continuously evaluate the safety and effectiveness of vNOTES. Patients’ perceptions, apprehensions, and prejudices regarding these surgical techniques that are still prevalent in many regions must be evaluated [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery

Noh

Kim

Kang

et al. 2022

JPM

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Single-port access (SPA) laparoscopic surgery and vaginal natural orifice transluminal endoscopic surgery (vNOTES) have many advantages. The objective of the present study is to compare patient characteristics, operative details, and postoperative outcomes between the two surgical methods. Patients who were planned to undergo vNOTES or SPA laparoscopic surgery between April 2020 and June 2021 were prospectively enrolled. The surgical method was determined by a single surgeon after imaging results evaluation and a physical exam. Those who had favorable pelvic conditions without any evidence of adhesion were scheduled for vNOTES. A total of 33 patients underwent a vNOTES hysterectomy while 40 patients received a SPA laparoscopic hysterectomy. All surgeries were performed by one surgeon. The proportion of the patients who had a history of vaginal delivery was significantly higher in the vNOTES group. The operative time for port installation was significantly longer in the vNOTES group, but the total operative time was shorter compared to the SPA group. The postoperative pain scores 12 h after the operations were also significantly lower in the vNOTES group. Other surgical outcomes were comparable between the two groups. The present study demonstrated that the early operative outcomes of vNOTES hysterectomy were comparable to those of SPA hysterectomy. It also highlights the importance of adequate patient selection when determining surgical methods based on imaging results and physical examinations.

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Section: Discussionmentioning

confidence: 99%

Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery

Noh

Kim

Kang

et al. 2022

JPM

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“…However, different types and extents of questions as well as variable survey populations visibly impede a valid comparison. 7 …”

Section: Discussionmentioning

confidence: 99%

“…Moreover, Muslim females expressed significantly less ‘ethical doubts’ than 671 surveyed Christian females in our previous German studies. 7 , 13…”

Section: Discussionmentioning

confidence: 99%

“…The need for proper information on transvaginal NOTES for the public as well as for health professionals has been highlighted before. 7 Results from an online survey with 154 surgeons in Portugal demonstrates the importance of this aspect; the familiarity with transvaginal surgery was shown to be the strongest predictor of the option for the transvaginal approach in natural orifices specimen extraction. The results revealed a preference for the transvaginal access on the part of female surgeons who were familiar with this access.…”

Section: Discussionmentioning

confidence: 99%

“…Different target groups have been surveyed, ranging from broad populations, outpatients, inpatients and obese patients to surgeons and gynecologists. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] To date, the total number of respondents has reached 2704 in China and Korea, 2510 in Europe, 1787 in the USA and Canada and 524 in Australia, reaching more than 7500 subjects polled (Table 1). 7 However, the overall number of respondents alone does not reflect the broad scope of cross-cultural differences and similarities.…”

Section: Introductionmentioning

confidence: 99%

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Women’s Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) – Impact of Medical Education, Stage of Life and Cross-Cultural Aspects

Benhidjeb

Stark

et al. 2022

IJWH

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Introduction Despite that NOTES produces at least matchable clinical long-term results when compared to laparoscopy, still a restraint within the medical community and among patients is evident. Consequently, it might be meaningful to evaluate factors of patient’s NOTES perception to promote its acceptance. NOTES is still quite novel and questionnaires regarding its perception by the public is still lacking even so in the Middle East. Aim of our survey is to investigate the viewpoint of female healthcare staff on NOTES. Materials and Methods A total of 350 questionnaires along with written information about Minimally Invasive Surgery and NOTES were distributed among the female staff in a Tertiary-care Hospital in Abu Dhabi, 257 were returned completely anonymously and voluntarily and entered into a database with a response rate of 73%. We surveyed factors like religion, medical background, age as well as history of previous laparoscopy, endoscopy, birth and other aspects that may impact a woman’s perception of both transgastric and transvaginal NOTES for cholecystectomy and ovariectomy, respectively. Results Univariate analyses revealed the majority of Muslim women to be more receptive to NOTES as a choice of surgical technique for cholecystectomy and for ovariectomy, respectively, when compared to Christians and Hindus. However, when compared to Muslims, Christian and Hindu groups had a larger share of medical professions. Women with a medical background would opt significantly less for NOTES. Among younger women, NOTES cholecystectomy was refused due to anxiety concerning future pregnancies and sexual dysfunction. Multinomial logistic regression analysis determined medical background and with independent predictive value for the overall choice of interventional technique (p<0.001). Marital status played a significant role only in the comparison of laparoscopy vs transgastric NOTES when performing cholecystectomy and ovariectomy (p<0.01). Conclusion In this first study emanating from the Middle East, medical education and partly life stage rather than cross-cultural differences seem to influence NOTES perception in women.

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Sexual quality of life and postoperative deep dyspareunia after vNOTES benign adnexal procedures

Berisha,

Hurni,

Simonson

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThis study aimed to investigate the impact of vNOTES on postoperative sexual dysfunction in patients undergoing adnexal procedures.MethodsWe analyzed data from patients who underwent vNOTES adnexal surgeries for benign conditions between May 2020 and May 2023. The primary outcome was the presence of new postoperative deep dyspareunia (DD) or other sexual dysfunctions, which were assessed through a phone survey conducted 6 to 24 months after surgery. Secondary outcomes included surgical feasibility, operative times, complications rate, and postoperative pain evaluation.ResultsWe included 103 patients for primary and secondary outcomes and 111 patients for secondary outcomes analysis only. Newly postoperative DD was reported by three patients (2.9%), remained present at 12 postoperative months in one case (1.0%), and spontaneously disappeared in two cases (1.9%) after four and 10 postoperative months, respectively. In the remaining 100 patients (97.1%), no new DD or other sexual function disorders were reported after surgery. vNOTES procedures were successfully performed in all cases, with a mean operative time of 38.2 ± 19.6 min and a conversion rate to conventional laparoscopy of 0.9%. No significant complication was observed.ConclusionThis study suggests a very limited risk of developing postoperative sexual dysfunction after vNOTES benign adnexal procedures.

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Women’s Perception of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Cited by 15 publications

References 49 publications

Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery

Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery

Women’s Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) – Impact of Medical Education, Stage of Life and Cross-Cultural Aspects

Sexual quality of life and postoperative deep dyspareunia after vNOTES benign adnexal procedures

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