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

Yang, Chih-Yi; Shen, Te Chun; Lin, Cheng‐Li; Chang, Yin-Yi; Huang, Chen-Chu; Lin, Weigan

doi:10.1016/j.tjog.2020.05.016

Cited by 21 publications

(54 citation statements)

References 16 publications

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“…The study by Chih-Yi Yang et al [20] is a retrospective study conducted in 2020 at the China Medical University Hospital in Taiwan. The study group consisted of 20 patients that underwent vNOTES hysterectomy for benign, non-prolapse indications between January 2015 and December 2017.…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…The studies by Wang et al [16] and C-Y. Yang [20] do not explicitly mention conversions in their cohorts.…”

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confidence: 98%

“…C-Y. Yang et al [20] reported significantly lower postoperative pain scores comparing vNOTES to TLH.…”

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confidence: 98%

“…C-Y. Yang et al [20] reported three readmissions in the control group due to pelvic inflammatory disease (PID). None of these findings was significant in the individual reports.…”

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confidence: 99%

“…The randomised trial by Baekelandt et al [13] reports lower pain scores (VAS 0-10) at 24 h postoperative (not significant), which is comparable to the pooled results extracted for three studies (MD −0.09 (95% CI −0.49 to 0.32)). The data from Chin-Yi Yang et al [20] could not be used for the pooled analysis for this outcome as we were unable to retrieve information on the timepoint of this score after surgery. (Figure 6).…”

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confidence: 99%

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Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Housmans

Noori

Kapurubandara

et al. 2020

JCM

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(1) Objective: We aimed to report an update of the systematic review and meta-analysis by Baekelandt et al. (2016). (2) Method: We followed PRISMA guidelines to perform this systematic review. We searched MEDLINE, EMBASE, CENTRAL and additional sources and aimed to retrieve randomised controlled trials (RCTs), controlled clinical trials (CCTs) and prospective/retrospective cohort studies in human subjects that allowed direct comparison of vNOTES to laparoscopy. (3) Results: Our search yielded one RCT and five retrospective cohort trials. Pooled analysis of two subgroups showed that, compared to conventional laparoscopy, vNOTES is equally effective to successfully remove the uterus in individuals meeting the inclusion criteria. vNOTES had significantly lower values for operation time, length of stay and estimated blood loss. There was no significant difference in intra- and postoperative complications, readmission, pain scores at 24 h postoperative and change in hemoglobin (Hb) on day 1 postoperative.

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Section: Description Of the Studiesmentioning

confidence: 99%

“…The studies by Wang et al [16] and C-Y. Yang [20] do not explicitly mention conversions in their cohorts.…”

mentioning

confidence: 98%

“…C-Y. Yang et al [20] reported significantly lower postoperative pain scores comparing vNOTES to TLH.…”

mentioning

confidence: 98%

“…C-Y. Yang et al [20] reported three readmissions in the control group due to pelvic inflammatory disease (PID). None of these findings was significant in the individual reports.…”

mentioning

confidence: 99%

mentioning

confidence: 99%

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Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Housmans

Noori

Kapurubandara

et al. 2020

JCM

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Comparison of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and Laparoendoscopic Single-Site (LESS) Hysterectomy on Postoperative Pain Reduction: A Randomized Pilot Study

2021

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Introduction: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy has shown benefit in postoperative pain and operation time compared to laparoscopic hysterectomy in recent studies. However, no prospective studies comparing laparoendoscopic single-site (LESS) and vNOTES hysterectomy have been performed. This study aims to evaluate postoperative pain and safety of vNOTES hysterectomy compared to LESS hysterectomy for benign uterine disease. Methods: This study is a prospective, investigator-initiated randomized controlled pilot trial. A total of 26 patients were randomized and allocated to vNOTES group (n = 13) and LESS group (n = 13). The primary outcome was postoperative abdominal and vaginal pain evaluated 24 h after surgery. Secondary outcomes included the number of additional analgesics administered and the maintenance rate of patient-controlled analgesia (PCA). Results: No differences were shown in baseline characteristics between the two groups. Operation time was longer in the LESS group (median, 55 vs. 75 min; P = 0.027), and there were no differences in estimated blood loss, postoperative hemoglobin level, surgical indications, and hospitalization days. Postoperative abdominal pain intensity did not differ between the two groups, while the vNOTES group showed higher postoperative vaginal pain than the LESS group at 16 and 24 h after surgery (median, 3 vs. 1 and 2 vs. 0, P = 0.007 and P = 0.010, at 16 and 24 h respectively). No differences were shown in the number of additional analgesics and PCA use between the two groups. Conclusions: vNOTES hysterectomy can be safely performed for benign uterine disease requiring hysterectomy. However, vNOTES hysterectomy might be associated with higher postoperative vaginal pain intensity compared to LESS hysterectomy. TrialRegistration: CRIS identifier KCT0004605.

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Comparison of quality of life after robotic-transvaginal natural orifice transluminal endoscopic surgery and robot-assisted laparoscopic hysterectomy

Imai¹,

Suzuki²,

Hiiragi³

et al. 2023

European Journal of Obstetrics & Gynecology and Reproductiv

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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

Cited by 21 publications

References 16 publications

Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications

Comparison of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and Laparoendoscopic Single-Site (LESS) Hysterectomy on Postoperative Pain Reduction: A Randomized Pilot Study

Comparison of quality of life after robotic-transvaginal natural orifice transluminal endoscopic surgery and robot-assisted laparoscopic hysterectomy

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