vNOTES: Is it the Panacea We Are All Hoping for?

Kho, Rosanne M.

doi:10.1016/j.jmig.2021.04.012

Cited by 7 publications

(7 citation statements)

References 11 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although vNOTES is associated with several desirable postoperative outcomes, including better cosmetic satisfaction, quicker recovery, and less postoperative pain, 16 clinical evidence proving its safety and feasibility is still lacking. 5 The majority of previous studies on vNOTES have failed to document a large enough sample size and detailed perioperative data, and have rarely focused on the aspects of surgical conversion either, 4,10,17,18 making their conclusions questionable. 5,6 The present study first reported the risk factors for the surgical conversion of vNOTES tubal surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…5 The majority of previous studies on vNOTES have failed to document a large enough sample size and detailed perioperative data, and have rarely focused on the aspects of surgical conversion either, 4,10,17,18 making their conclusions questionable. 5,6 The present study first reported the risk factors for the surgical conversion of vNOTES tubal surgeries. Our regression analysis revealed that patients with endometriosis and severe pelvic adhesions had a significantly higher chance of undergoing surgical conversion from vNOTES.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, none of the existing publications regarding these vNOTES tubal surgeries presents a sample size larger than 20 patients 4 . More solid clinical evidence is thus required for better surgical recommendation and consultation of vNOTES 5,6 . Considering that, understanding why vNOTES tubal surgeries were converted is important and could help gynecologists to make better preoperative decisions.…”

Section: Introductionmentioning

confidence: 99%

“…4 More solid clinical evidence is thus required for better surgical recommendation and consultation of vNOTES. 5,6 Considering that, understanding why vNOTES tubal surgeries were converted is important and could help gynecologists to make better preoperative decisions. Here we retrospectively reviewed 619 vNOTES tubal surgeries in our institute to investigate the perioperative outcomes, especially surgical conversions, and to identify predictors for conversion.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Perioperative outcomes of and predictors for conversion from transvaginal natural orifice transluminal endoscopic tubal surgeries: A retrospective cohort study of 619 patients

Feng

et al. 2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To assess the perioperative outcomes of vNOTES tubal surgeries and to identify predictors of surgical conversion. Methods A single‐center retrospective cohort study was performed on 619 patients who underwent vNOTES tubal surgeries in our institute from December 2018 to October 2021. Patients were categorized into “converted” or “non‐converted” groups based on whether conversion occurred. t‐test and χ2 test were performed on demographic and clinicopathologic data to compare their perioperative outcomes. Logistic regression was built to identify predictors for surgical conversions. Results The conversion and complication rates of the vNOTES tubal surgeries in the present study were 3.07% and 4.85%, respectively. The “converted group” has a significantly higher percentage of patients with severe pelvic adhesions (9/19 [47.4%]) and pelvic endometriosis (2/19 [10.5%]), which significantly predicates surgical conversion. The “converted group” also had a longer duration of surgery (140.94 ± 88.73 min, P = 0.002) and an increased proportion of “converted from vNOTES” patients experienced more than 50 ml of intraoperative blood loss (7/19 [36.9%]). Four patients had intraoperative rectal injuries, and no Clavien–Dindo III–V postoperative complications occurred. Conclusion vNOTES tubal surgeries are safe due to low conversion and complication rates. Severe pelvic adhesion and endometriosis are predictors for surgical conversions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Perioperative outcomes of and predictors for conversion from transvaginal natural orifice transluminal endoscopic tubal surgeries: A retrospective cohort study of 619 patients

Feng

et al. 2023

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…Since then, this minimally invasive surgical technique has been successfully performed for many gynecological pathologies, reportedly resulting in superior cosmetic outcomes and faster postoperative recovery compared to those obtained by TU-LESS, despite relatively restricted visualization and operative space [ [6] , [7] , [8] , [9] , [10] ]. However, because the literature regarding the outcomes of ovarian vNOTES is scant, and none of the existing studies have reported on sufficiently large cohorts [ 3 , 7 ], clinical evidence of its outcomes is lacking, and there are many concerns regarding the technical difficulty, safety, and feasibility of this procedure [ 11 ]. Additionally, ovarian cysts have various pathological types and sizes, and multiple cysts can be observed at once.…”

Section: Introductionmentioning

confidence: 99%