Transvaginal Hybrid NOTES Cholecystectomy: A Single‐Centre Long‐Term Experience on Sexual Function

Pohlen, U.; Feller, Anita; Holmer, Christoph

doi:10.1007/s00268-017-4412-x

Cited by 6 publications

(8 citation statements)

References 41 publications

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“…On the other hand, data has been published about postoperative sexual function after transvaginal surgery. In a median follow-up of 40 months after TVC, Pohlen et al did not find any impairment of the female sexual function [12]. Our previous studies support these results with a follow-up of 6 as well as 24 months postoperatively [13,14].…”

Section: Discussionsupporting

confidence: 84%

Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

Thomaidis

Weltermann

Seefeldt

et al. 2021

Langenbecks Arch Surg

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Purpose We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. Methods From the total population of 299 patients in our NOTES registry, we tried to contact the 121 patients who were of reproductive age (≤ 45 years) at the time of a transvaginal NOTES procedure. They were interviewed by telephone regarding their desire for children, post NOTES-operation pregnancies, and type of delivery using a structured questionnaire. The collected data was analyzed and compared with current data. Results We were able to contact 76 patients (follow-up rate: 62.8%) with a median follow-up of 77 months after surgery (33–129 months). Twenty of 74 participating patients had a desire for children (27.0%). One of them and another's male partner were diagnosed as infertile. Regarding the remaining 18 patients, 14 became pregnant, and three of them became pregnant twice. Considering these 17 pregnancies, there was one miscarriage (5.9%) and one twin birth (5.9%). On average, childbirth occurred 44 months after the NOTES procedure. With regard to the type of delivery, 10 vaginal births (58.8%) and 7 caesarean sections (41.2%) occurred. Thus, the rate of fulfilled desire for children was 77.8%. Compared with the literature, no difference to the normal course could be detected. Conclusion There is no sign that the transvaginal approach in Hybrid-NOTES, with removal of the specimen through the vagina, has a negative effect on conception, the course during pregnancy, or the type of delivery.

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Section: Discussionsupporting

confidence: 84%

Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

Thomaidis

Weltermann

Seefeldt

et al. 2021

Langenbecks Arch Surg

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“…Some scholars declare that [25,26] traditional vaginal hysterectomy does not affect female sexual function. A self-control study on pre-and post-vNOTES cholecystectomy also shows that vNOTES has no effect on female sexual function [7]. On the contrary, Sener et al [10] believe that sexual function can decline after vNOTES nephrectomy and suggest that postoperative nursing should include some methods for restoring sexual function.…”

Section: Discussionmentioning

confidence: 99%

Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery Affect Female Sexual Function?: a Prospective Cohort Study

Lin

et al. 2023

Preprint

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Background To evaluate the effect of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) on female sexual function. Methods: The trial was registered at the Chinese Clinical Trial Registry (ChiCTR2100050887, 07/09/2021). In this prospective cohort study, we prospectively analyzed the data of the female sexual function index (FSFI) questionnaire of 130 patients who underwent laparoscopy in Chengdu Women's and Children's Central Hospital due to gynecological benign diseases. The patients were assigned to the vNOTES group and the control group (underwent traditional laparoscopic surgery or transumbilical laparoendoscopic single-site surgery). Results: There were 4 cases dropout in the vNOTES group and 2 cases dropout in the control group. There was no difference in FSFI scores between the vNOTES group and the control group before and after surgery. There was no difference in postoperative FSFI scores between the vNOTES group and the control group. The time to start sexual life after surgery in the vNOTES group was later than that in the control group (39.34 ± 0.71 d versus 37.86 ± 0.69 d, P < 0.05). Conclusions: vNOTES has no significant adverse effect on female sexual function, however, the time to start sexual life after vNOTES is later than that after trans-abdominal laparoscopy.

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“…14 In addition, studies showed no significant difference in safety of NOTES compared to standard laparoscopic cholecystectomy. 9,15-17…”

Section: Introductionmentioning

confidence: 99%

“…14 In addition, studies showed no significant difference in safety of NOTES compared to standard laparoscopic cholecystectomy. 9,[15][16][17] Even though feasibility and safety of hybrid NOTES transvaginal cholecystectomy (TVC) are proven, expert opinions differed widely on NOTES, and its implementation was controversially discussed over the last years. Critics were encouraged by the fact that the use was limited to a few highly specialized centers, concerning restrictions in training, higher costs, and extended operation time.…”

Section: Introductionmentioning

confidence: 99%

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Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies

et al. 2020

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Objective. To assess outcome and safety of 571 hybrid natural orifice transluminal endoscopic surgery (NOTES) cholecystectomies. Methods. We retrospectively analyzed all consecutive NOTES cholecystectomies performed at our center between June 2009 and January 2018. All procedures were performed using a hybrid transvaginal technique, including an umbilical small-size trocar. End points, calculated at discharge, 30 and up to 90 days postoperatively, included intra- and postoperative morbidity assessed by the validated Clavien–Dindo classification and the Comprehensive Complication Index (CCI). Special focus was held on outcome and necessity of pre- and postoperative gynecological examinations. Results. We performed 571 hybrid NOTES cholecystectomies within 9 years. The vast majority were elective, 9.6% were emergency cholecystectomies. 6.7% of patients developed at least one complication until discharge, most of them minor (≤grade II). 30- and 90-day complication rates were 10.7% and 11%, respectively. Mean CCI at discharge and postoperative days 30 and 90 was 1.45 (±6.4), 2.3 (±7.7), and 2.4 (±7.8), respectively. Major complications (≥grade IIIa) occurred in 1.6% of patients, and 4 patients required emergency reoperation. No mortality was observed. In 9.8%, an additional abdominal trocar was placed. All patients underwent routine gynecological examination, whereof only 5 were rejected for transvaginal access preoperatively. In no case transvaginal access was discontinued intraoperatively due to gynecological disease. Conclusion. Hybrid NOTES transvaginal cholecystectomy represents a safe and feasible alternative to standard laparoscopic cholecystectomy. Preoperative gynecological examination is no longer routinely necessary, as intraoperative assessment is adequate.

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Transvaginal Hybrid NOTES Cholecystectomy: A Single‐Centre Long‐Term Experience on Sexual Function

Abstract: The findings show that transvaginal hybrid NOTES cholecystectomy is a safe procedure for female patients, particularly with regard to sexual function.

Cited by 6 publications

References 41 publications

Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

Does Transvaginal Natural Orifice Transluminal Endoscopic Surgery Affect Female Sexual Function?: a Prospective Cohort Study

Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies

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