hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (notes): feasibility of an innovative approach
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ID: 188752
2012
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Abstract
Objective: To evaluate the feasibility and safety of performing a hysterectomy using the transvaginal natural orifice transluminal endoscopic surgery (NOTES).
Materials and Methods: From May through December 2010, 16 patients with benign uterine diseases who were eligible for laparoscopic hysterectomy were recruited to undergo transvaginal NOTES at a tertiary referral medical center. Intraoperative and postoperative surgical outcomes were measured.
Results: All of the included hysterectomies were completed via transvaginal NOTES without conversion to conventional laparoscopy. The mean (± standard error of mean (SEM)) uterine weight was 538.8±102.9 g, the mean operative time was 122.7±17.6 minutes, and the mean blood loss was 379.4±95.4 mL. The mean postoperative hospital stay was 2.8±0.2 days. No intraoperative or postoperative complications were noted in this series.
Conclusion: Hysterectomy for the treatment of benign diseases can be feasibly carried out via transvaginal NOTES. However, prospective studies are needed to determine its full clinical applications.
| Reference Key |
su2012taiwanesehysterectomy
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|---|---|
| Authors | ;Hsuan Su;Chih-Feng Yen;Kai-Yun Wu;Chien-Min Han;Chyi-Long Lee |
| Journal | spermova |
| Year | 2012 |
| DOI |
10.1016/j.tjog.2012.04.009
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