Transvaginal hybrid NOTES cholecystectomy—results of a randomized clinical trial after 6 months
| Autor: | Jurgen Knuth, Dirk R. Bulian, Nicola Cerasani, Markus M. Heiss, Jonas Lange, Axel Sauerwald, Michael A. Ströhlein |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty Abdominal pain Time Factors Sexual Behavior medicine.medical_treatment Gallbladder Diseases law.invention Randomized controlled trial law medicine Humans Prospective Studies Laparoscopy Pain Postoperative Umbilicus medicine.diagnostic_test business.industry Incidence General surgery Vascular surgery Hernia Ventral Surgery Treatment Outcome Cholecystectomy Laparoscopic Patient Satisfaction Cardiothoracic surgery Vagina Female Cholecystectomy medicine.symptom Sexual function business Follow-Up Studies Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 399:717-724 |
| ISSN: | 1435-2451 1435-2443 |
| Popis: | For cholecystectomy (CHE), both the needlescopic three-trocar technique with 2–3-mm instruments (needlescopic cholecystectomy (NC)) and the umbilically assisted transvaginal technique with rigid instruments (transvaginal cholecystectomy (TVC)) have been established for further reduction of the trauma remaining from laparoscopy. To compare the further outcome of both techniques for elective CHE in female patients, we analyzed the secondary end points of a prospective randomized single-center trial (needlescopic versus transvaginal cholecystectomy (NATCH) trial; ClinicalTrials.gov Identifier: NCT0168577), in particular, satisfaction with aesthetics, overall satisfaction, abdominal pain, and incidence of trocar hernias postoperatively at both 3 and 6 months. After 3 months, the domains “satisfaction” and “pain” of the German version of the Female Sexual Function Index (FSFI-d) were additionally evaluated to detect respective complications. A gynecological control examination was conducted in all TVC patients after 6 months. Forty patients were equally randomized into the therapy and the control groups between February 2010 and June 2012. No significant differences were found for overall satisfaction with the surgical result, abdominal pain, sexual function, and the rate of trocar hernias. However, aesthetics were rated significantly better by TVC patients both after 3 and after 6 months (P = 0.004 and P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink