ArticleGynecology and minimally invasive therapy
Bladder Safety during Natural Orifice Transluminal Endoscopic Surgery Hysterectomy in the Patients with Extensive Vesicouterine Adhesion.
Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Transvaginal Natural orifice transluminal endoscopic hysterectomy vs. abdominal laparoscopic approach in real-life practices: a retrospective cohort study.Archives of gynecology and obstetrics · 2025Article
- Redefining Bladder Dissection in Robotic Hysterectomy with Previous Cesarean Section: A "Head-On Approach".Cureus · 2025Article
- MR imaging for preoperative characterization of pelvic adhesions: role in diagnosis and surgical planning.Abdominal radiology (New York) · 2025Review
- Transvaginal natural Orifical transluminal Endoscopy for sacrocolpopexy: A case series report.Heliyon · 2024Article
- Natural Orifice Transluminal Endoscopic Surgery-assisted Vaginal Hysterectomy versus Total Laparoscopic Hysterectomy: A Single-center Retrospective Study Using Propensity Score Analysis.Gynecology and minimally invasive therapyArticle
- Myomectomy: Choosing the Surgical Approach - A Systematic Review.Gynecology and minimally invasive therapyReview
- Management of Urinary Tract Injuries by Laparoscopy: Our Experience.Gynecology and minimally invasive therapyArticle
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adhesion at the vesicouterine fold presents a great challenge when performing hysterectomy through transvaginal natural orifice transluminal endoscopy surgery (NOTES) in women with a history of cesarean section. An attempt to lyse adhesions often prolongs the procedure and may inadvertently result in cystostomy. The purpose of this report is to demonstrate a safe technique for the lysis of vesicouterine adhesions during NOTES hysterectomy. We present the cases of two patients with a history of cesarean section. Severe adhesions at the vesicouterine peritoneum were encountered in both cases, and one patient had an extensive adhesion involving lower half of the uterus. Although the lateral approach is sufficient in most cases, it does not allow a surgeon to approach the peritoneal cavity if there is extensive adhesion. In cases such as these, direct dissection of the adhesion on the uterus is required.
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