Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes
Aim The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single‐port lararoscopy for presumed benign gynecologic disorders). Methods We retrospectively review...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2021-09, Vol.47 (9), p.3288-3296 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Basol, Gulfem Cora, Ayfer Ozer Gundogdu, Elif Cansu Mat, Emre Yildiz, Gazi Kuru, Betul Uzun, Navdar Dogus Uzel, Kemine Usta, Taner Kale, Ahmet |
| description | Aim
The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single‐port lararoscopy for presumed benign gynecologic disorders).
Methods
We retrospectively reviewed 40 patients who underwent single‐port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18 h, average hospital stay, and clinical outcomes were analyzed.
Results
Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery was superior to single‐port hysterectomy concerning the length of hospitalization (p |
| doi_str_mv | 10.1111/jog.14874 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2547542313</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2547542313</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4204-3e3a575451db2a00db29edc25c7a5ef4063f1271d77e78dafed6b677ff19d9173</originalsourceid><addsrcrecordid>eNp10cFKxDAQANAiCq6rB_8g4EUPdZMmbVpvsuiuIuxFzyWmk5IlbWrSKr35AR78Rr_EuPUkmEMmYd4MDBNFpwRfknAWW1tfEpZzthfNCGM8xjzN9sObMhLnmGeH0ZH3W4wJL0g-iz7Wo-_BgextM6JXLVDvROtfRa1bYVAr-sGFaJ1WWsKUNEOzS0JbWS9tpyXyg6vBhQbg_OCR121t4Ov9s7OuR0Z0wu3keIWWtgk_7W2LrEIgnBmRHXppG_DH0YESxsPJb5xHT7c3j8t1_LBZ3S2vH2LJEsxiClSkPGUpqZ4TgXG4C6hkkkouUlAMZ1SRhJOKc-B5JRRU2XPGuVKkqArC6Tw6n_p2zr4M4Puy0V6CMaIFO_gySVlon1BCAz37Q7d2cGH6H5XltKBBBnUxKRnm9A5U2TndCDeWBJc_ewlVdbnbS7CLyb5pA-P_sLzfrKaKb7fKlFs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2568393754</pqid></control><display><type>article</type><title>Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Basol, Gulfem ; Cora, Ayfer Ozer ; Gundogdu, Elif Cansu ; Mat, Emre ; Yildiz, Gazi ; Kuru, Betul ; Uzun, Navdar Dogus ; Uzel, Kemine ; Usta, Taner ; Kale, Ahmet</creator><creatorcontrib>Basol, Gulfem ; Cora, Ayfer Ozer ; Gundogdu, Elif Cansu ; Mat, Emre ; Yildiz, Gazi ; Kuru, Betul ; Uzun, Navdar Dogus ; Uzel, Kemine ; Usta, Taner ; Kale, Ahmet</creatorcontrib><description>Aim
The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single‐port lararoscopy for presumed benign gynecologic disorders).
Methods
We retrospectively reviewed 40 patients who underwent single‐port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18 h, average hospital stay, and clinical outcomes were analyzed.
Results
Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery was superior to single‐port hysterectomy concerning the length of hospitalization (p < 0.001) and visual analog scale at 1 h (p = 0.024) and 18 h (p < 0.001). In transvaginal natural orifice transluminal endoscopic group, postoperative complications were lower than single‐port laparoscopy group (p = 0.023). In transvaginal natural orifice transluminal endoscopy, group conversion to a standard vaginal hysterectomy occurred in two cases (10%). Four patients in the single‐port laparoscopic hysterectomy group had umbilical herniation, three had port‐site infections, and two patients had vaginal cuff hematoma. These patients required rehospitalization.
Conclusions
Despite hysterectomy via transvaginal natural orifice transluminal surgery has not yet found its place in routine practice in gynecology departments, it could be a prominent alternative approach to other minimally invasive surgical procedures in selected patients with many advantages including lesser pain and lower complication rates compared with single‐port laparoscopic hysterectomy.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.14874</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Body mass index ; Endoscopy ; Gynecology ; Hematoma ; Hemoglobin ; Hysterectomy ; Laparoscopy ; minimally invasive ; natural orifice transluminal endoscopic surgery ; Pain ; Patients ; single‐port surgery ; Surgery ; Vagina</subject><ispartof>The journal of obstetrics and gynaecology research, 2021-09, Vol.47 (9), p.3288-3296</ispartof><rights>2021 Japan Society of Obstetrics and Gynecology.</rights><rights>2021 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4204-3e3a575451db2a00db29edc25c7a5ef4063f1271d77e78dafed6b677ff19d9173</citedby><cites>FETCH-LOGICAL-c4204-3e3a575451db2a00db29edc25c7a5ef4063f1271d77e78dafed6b677ff19d9173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.14874$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.14874$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids></links><search><creatorcontrib>Basol, Gulfem</creatorcontrib><creatorcontrib>Cora, Ayfer Ozer</creatorcontrib><creatorcontrib>Gundogdu, Elif Cansu</creatorcontrib><creatorcontrib>Mat, Emre</creatorcontrib><creatorcontrib>Yildiz, Gazi</creatorcontrib><creatorcontrib>Kuru, Betul</creatorcontrib><creatorcontrib>Uzun, Navdar Dogus</creatorcontrib><creatorcontrib>Uzel, Kemine</creatorcontrib><creatorcontrib>Usta, Taner</creatorcontrib><creatorcontrib>Kale, Ahmet</creatorcontrib><title>Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes</title><title>The journal of obstetrics and gynaecology research</title><description>Aim
The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single‐port lararoscopy for presumed benign gynecologic disorders).
Methods
We retrospectively reviewed 40 patients who underwent single‐port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18 h, average hospital stay, and clinical outcomes were analyzed.
Results
Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery was superior to single‐port hysterectomy concerning the length of hospitalization (p < 0.001) and visual analog scale at 1 h (p = 0.024) and 18 h (p < 0.001). In transvaginal natural orifice transluminal endoscopic group, postoperative complications were lower than single‐port laparoscopy group (p = 0.023). In transvaginal natural orifice transluminal endoscopy, group conversion to a standard vaginal hysterectomy occurred in two cases (10%). Four patients in the single‐port laparoscopic hysterectomy group had umbilical herniation, three had port‐site infections, and two patients had vaginal cuff hematoma. These patients required rehospitalization.
Conclusions
Despite hysterectomy via transvaginal natural orifice transluminal surgery has not yet found its place in routine practice in gynecology departments, it could be a prominent alternative approach to other minimally invasive surgical procedures in selected patients with many advantages including lesser pain and lower complication rates compared with single‐port laparoscopic hysterectomy.</description><subject>Body mass index</subject><subject>Endoscopy</subject><subject>Gynecology</subject><subject>Hematoma</subject><subject>Hemoglobin</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>minimally invasive</subject><subject>natural orifice transluminal endoscopic surgery</subject><subject>Pain</subject><subject>Patients</subject><subject>single‐port surgery</subject><subject>Surgery</subject><subject>Vagina</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10cFKxDAQANAiCq6rB_8g4EUPdZMmbVpvsuiuIuxFzyWmk5IlbWrSKr35AR78Rr_EuPUkmEMmYd4MDBNFpwRfknAWW1tfEpZzthfNCGM8xjzN9sObMhLnmGeH0ZH3W4wJL0g-iz7Wo-_BgextM6JXLVDvROtfRa1bYVAr-sGFaJ1WWsKUNEOzS0JbWS9tpyXyg6vBhQbg_OCR121t4Ov9s7OuR0Z0wu3keIWWtgk_7W2LrEIgnBmRHXppG_DH0YESxsPJb5xHT7c3j8t1_LBZ3S2vH2LJEsxiClSkPGUpqZ4TgXG4C6hkkkouUlAMZ1SRhJOKc-B5JRRU2XPGuVKkqArC6Tw6n_p2zr4M4Puy0V6CMaIFO_gySVlon1BCAz37Q7d2cGH6H5XltKBBBnUxKRnm9A5U2TndCDeWBJc_ewlVdbnbS7CLyb5pA-P_sLzfrKaKb7fKlFs</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Basol, Gulfem</creator><creator>Cora, Ayfer Ozer</creator><creator>Gundogdu, Elif Cansu</creator><creator>Mat, Emre</creator><creator>Yildiz, Gazi</creator><creator>Kuru, Betul</creator><creator>Uzun, Navdar Dogus</creator><creator>Uzel, Kemine</creator><creator>Usta, Taner</creator><creator>Kale, Ahmet</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202109</creationdate><title>Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes</title><author>Basol, Gulfem ; Cora, Ayfer Ozer ; Gundogdu, Elif Cansu ; Mat, Emre ; Yildiz, Gazi ; Kuru, Betul ; Uzun, Navdar Dogus ; Uzel, Kemine ; Usta, Taner ; Kale, Ahmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4204-3e3a575451db2a00db29edc25c7a5ef4063f1271d77e78dafed6b677ff19d9173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Body mass index</topic><topic>Endoscopy</topic><topic>Gynecology</topic><topic>Hematoma</topic><topic>Hemoglobin</topic><topic>Hysterectomy</topic><topic>Laparoscopy</topic><topic>minimally invasive</topic><topic>natural orifice transluminal endoscopic surgery</topic><topic>Pain</topic><topic>Patients</topic><topic>single‐port surgery</topic><topic>Surgery</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basol, Gulfem</creatorcontrib><creatorcontrib>Cora, Ayfer Ozer</creatorcontrib><creatorcontrib>Gundogdu, Elif Cansu</creatorcontrib><creatorcontrib>Mat, Emre</creatorcontrib><creatorcontrib>Yildiz, Gazi</creatorcontrib><creatorcontrib>Kuru, Betul</creatorcontrib><creatorcontrib>Uzun, Navdar Dogus</creatorcontrib><creatorcontrib>Uzel, Kemine</creatorcontrib><creatorcontrib>Usta, Taner</creatorcontrib><creatorcontrib>Kale, Ahmet</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basol, Gulfem</au><au>Cora, Ayfer Ozer</au><au>Gundogdu, Elif Cansu</au><au>Mat, Emre</au><au>Yildiz, Gazi</au><au>Kuru, Betul</au><au>Uzun, Navdar Dogus</au><au>Uzel, Kemine</au><au>Usta, Taner</au><au>Kale, Ahmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><date>2021-09</date><risdate>2021</risdate><volume>47</volume><issue>9</issue><spage>3288</spage><epage>3296</epage><pages>3288-3296</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim
The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single‐port lararoscopy for presumed benign gynecologic disorders).
Methods
We retrospectively reviewed 40 patients who underwent single‐port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18 h, average hospital stay, and clinical outcomes were analyzed.
Results
Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery was superior to single‐port hysterectomy concerning the length of hospitalization (p < 0.001) and visual analog scale at 1 h (p = 0.024) and 18 h (p < 0.001). In transvaginal natural orifice transluminal endoscopic group, postoperative complications were lower than single‐port laparoscopy group (p = 0.023). In transvaginal natural orifice transluminal endoscopy, group conversion to a standard vaginal hysterectomy occurred in two cases (10%). Four patients in the single‐port laparoscopic hysterectomy group had umbilical herniation, three had port‐site infections, and two patients had vaginal cuff hematoma. These patients required rehospitalization.
Conclusions
Despite hysterectomy via transvaginal natural orifice transluminal surgery has not yet found its place in routine practice in gynecology departments, it could be a prominent alternative approach to other minimally invasive surgical procedures in selected patients with many advantages including lesser pain and lower complication rates compared with single‐port laparoscopic hysterectomy.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><doi>10.1111/jog.14874</doi><tpages>9</tpages></addata></record> |
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| subjects | Body mass index Endoscopy Gynecology Hematoma Hemoglobin Hysterectomy Laparoscopy minimally invasive natural orifice transluminal endoscopic surgery Pain Patients single‐port surgery Surgery Vagina |
| title | Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single‐port laparoscopy: Comparison of early outcomes |
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