Surgical outcomes of hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES) compared with laparoscopic total hysterectomy (LTH) in women with non-prolapsed and benign uterine diseases
| Autor: | Te Chun Shen, Chen-Chu Huang, Yin-Yi Chang, Chih-Yi Yang, Cheng-Li Lin, Wu Chou Lin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) Laparoscopic total hysterectomy medicine.medical_treatment Uterus Reproductive age Hysterectomy lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Blood loss Minimal invasive surgery medicine Humans lcsh:RG1-991 Retrospective Studies Uterine Diseases Pain Postoperative 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Pain scale Natural orifice transluminal endoscopic surgery Middle Aged Surgery medicine.anatomical_structure Laparoscopic total hysterectomy (LTH) Vagina Operative time Female Laparoscopy business |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 59, Iss 4, Pp 565-569 (2020) |
| ISSN: | 1028-4559 |
| DOI: | 10.1016/j.tjog.2020.05.016 |
| Popis: | Objective We aimed to compare the surgical outcomes between hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and laparoscopic total hysterectomy (LTH). Materials and methods This study is a retrospective chart analysis. From January 1, 2015, to December 31, 2017, a total of 183 patients of reproductive age with an indication for hysterectomy due to non-prolapsed and benign uterine diseases were enrolled. After exclusion, 20 patients were included in the vNOTES group, and 66 patients were included in the LTH group. Various post-operative surgical outcomes such as operative time, blood loss, uterus weight, a decrease in hemoglobin level on post-operative day one, post-operative pain scale, complications, length of hospitalization, and re-admission rate were measured. Results No difference was observed between both groups regarding operative time, blood loss, uterine weight, a decrease in hemoglobin level on post-operative day one, complications, hospital stay, and re-admission rate. Patients in the vNOTES group had significantly less post-operative pain compared with those in the LTH group (p = 0.03). Conclusions The surgical outcomes of hysterectomy by vNOTES could be similar to those of LTH. Patients undergoing hysterectomy by vNOTES may have less post-operative pain compared with those undergoing LTH. However, the sample size was small, and the results need more evidence to confirm these findings. |
| Databáze: | OpenAIRE |
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