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

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
Cihan KayaLevent Yaşar

Abstract

Hysterectomy is one of the most frequent gynaecological procedures performed for various uterine pathologies. There are several approaches for conducting hysterectomies, including abdominal, vaginal, laparoscopic and robotic. Recently, natural orifices transluminal endoscopic surgery (NOTES) has emerged as an alternative approach for conducting hysterectomies. In this study, we aimed to compare the results of total laparoscopic hysterectomy (TLH) and vaginally assisted-NOTES (vNOTES) hysterectomy procedures for the treatment of benign gynaecological diseases. Ninety-nine patients, who underwent conventional TLH or vNOTES hysterectomies, were included in this study. The operation time, presence of per/postoperative complications, visual analogue scale (VAS) scores at postoperative sixth and 24th hours, and the duration of hospital stays were all analysed. The duration of surgery was significantly shorter in the vNOTES hysterectomy group (79.56 ± 32.54 min) compared to the TLH group (120.67 ± 38.35 min) (p: < .001). Also, postoperative hospital stays were significantly shorter in favour of the vNOTES hysterectomy group (44 ± 16.47 h) compared to the TLH group (57.86 ± 21.31 h) (p: .002). These results indicate that vNOTES hystere...Continue Reading

References

Jul 6, 2010·The Journal of Obstetrics and Gynaecology Research·Hong-Bae KimKeun-Young Lee
Aug 27, 2010·Current Opinion in Obstetrics & Gynecology·Catharina Forsgren, Daniel Altman
Apr 1, 2014·Journal of Minimally Invasive Gynecology·Chyi-Long LeeChih-Feng Yen
May 27, 2015·Journal of Minimally Invasive Gynecology·Jan Baekelandt
Feb 11, 2018·Journal of Minimally Invasive Gynecology·Xiaoming GuanRosanne Kho
Oct 17, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·J F BaekelandtJja Bosteels
Dec 14, 2018·Taiwanese Journal of Obstetrics & Gynecology·Teerayut TemtanakitpaisanChyi-Long Lee

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