Comparison of Outcomes following Vaginal Natural Orifice Transluminal Endoscopic Surgery and Laparoendoscopic Single-site Surgery in Benign Hysterectomy: A Systematic Review and Meta-analysis.

Autor:	Sarkar A; Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India., Sivaranjani P; Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Kalyani, West Bengal, India., Zangmo R; Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India., Roy KK; Division of Minimally Invasive Surgery, Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India., Ghotra MK; Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India., Seelam RR; Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India., Pandey S; Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Jazyk:	angličtina
Zdroj:	Gynecology and minimally invasive therapy [Gynecol Minim Invasive Ther] 2023 Sep 07; Vol. 12 (4), pp. 195-202. Date of Electronic Publication: 2023 Sep 07 (Print Publication: 2023).
DOI:	10.4103/gmit.gmit_88_22
Abstrakt:	Gradually increasing interest in laparoscopic surgeries has led to the advent of various lesser invasive techniques in the form of vaginal natural orifice transluminal endoscopic surgery (vNOTES) and laparoendoscopic single-site (LESS) surgery. Very few studies have analyzed the advantages and disadvantages of vNOTES over LESS surgeries in hysterectomy. After a comprehensive search, full texts of relevant manuscripts were obtained to assess eligibility for recruitment. A comprehensive meta-analysis was subsequently performed to compare the outcomes of vNOTES and LESS in hysterectomy, and forest plots were constructed. Four articles were rendered for review (three retrospective cohort studies and one randomized controlled trial). Three studies showed lesser postoperative pain in vNOTES compared to LESS. In one study, postoperative vaginal pain was higher in vNOTES due to additional suture between uterine artery and vaginal wall. The meta-analysis concluded that vNOTES could be better alternative to LESS hysterectomies. However, further large multicentric randomized trials are required for the standardization of the surgical method. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Gynecology and Minimally Invasive Therapy.)
Databáze:	MEDLINE
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