Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Sacrocolpopexy: A Pilot Study of 26 Cases

Journal of Minimally Invasive Gynecology
Juan LiuXiaoming Guan

Abstract

To describe the surgical technique and short-term outcomes for 26 cases of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy for the treatment of pelvic organ prolapse (POP). Retrospective case series study (Canadian Task Force classification II-2). Academic tertiary care university hospital in Guangdong, China. Women diagnosed with stages II to IV POP between May 2017 and May 2018. vNOTES sacrocolpopexy. A total of 26 patients were identified. vNOTES sacrocolpopexy was standardized after case 4, and 23 cases were completed successfully. Operative duration was a median of 184 minutes (interquartile range, 158.5-202.5), and mean estimated blood loss was 30.87 ± 20.8 mL. Mean pre- and postoperative POP Quantification System scores for the Aa point were, respectively, 1.4 ± 1.7 cm (range, -2 to 3) versus -1.85 ± .6 cm (p <.0001) and for the C point were 2.2 ± 1.9 cm (range, -1 to 5) versus -6.1± .7 cm (p <.0001). Mean pre- and postoperative Pelvic Floor Impact Questionnaire scores were 163.1 ± 46.2 versus 18.4 ± 29.3 (p <.0001). These suggest significant improvements in both physical prolapse and quality of life at 1 month after surgery. There were no complications of mesh exposure, pain, hematom...Continue Reading

Citations

Aug 2, 2020·International Urogynecology Journal·Junwei LiYisong Chen
Apr 22, 2020·Minerva ginecologica·Chunbo Li, Keqin Hua
Apr 11, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Saar AharoniLior Lowenstein
Jul 9, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S KapurubandaraJ Baekelandt
Nov 29, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·Zhiying LuChangdong Hu

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