ArticleJournal of personalized medicine2022
Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery.
Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for hysterectomy strategic repositioning of the vaginal route through technological evolution and emerging surgical variants.Obstetrics & gynecology science · 2026Review
- Single Centre Review of Hysterectomy by Abdominal Laparoscopy and Vaginal Natural Orifice Transluminal Endoscopic Surgery.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Comparison of conventional laparoscopic hysterectomy and vNOTES hysterectomy in previous pelvic surgery: a retrospective study.Scientific reports · 2025Article
- Systematic review and meta-analysis of vaginal natural orifice transluminal endoscopic surgery vs laparoscopic hysterectomy.AJOG global reports · 2024Review
- Obvious advantage of vaginal natural orifice transluminal endoscopic surgery hysterectomy against total laparoscopic hysterectomy in small uterus patients and the future prospects at a regional core institution: A retrospective study.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Transvaginal natural orifice endoscopic surgery for ovarian cystectomy: a more suitable surgical approach for the day-care procedure.Frontiers in medicine · 2023Article
- Comparison of Surgical Outcomes of Adnexectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Versus Single-Port Access (SPA) Surgery.Journal of personalized medicine · 2022Article
- Laparoendoscopic Single-Site Surgery (LESS): A Shift in Gynecological Minimally Invasive Surgery.Cureus · 2022Review
- Interactive 3D Force/Torque Parameter Acquisition and Correlation Identification during Primary Trocar Insertion in Laparoscopic Abdominal Surgery: 5 Cases.Sensors (Basel, Switzerland) · 2022Article
- Transvaginal natural orifice endoscopic surgery for myomectomy: Can it be a conventional surgery?Frontiers in surgery · 2022Article
- Safety and Feasibility of Vaginal Natural Orifice Surgery Hysterectomy for Enlarged Uteri.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Single-port access (SPA) laparoscopic surgery and vaginal natural orifice transluminal endoscopic surgery (vNOTES) have many advantages. The objective of the present study is to compare patient characteristics, operative details, and postoperative outcomes between the two surgical methods. Patients who were planned to undergo vNOTES or SPA laparoscopic surgery between April 2020 and June 2021 were prospectively enrolled. The surgical method was determined by a single surgeon after imaging results evaluation and a physical exam. Those who had favorable pelvic conditions without any evidence of adhesion were scheduled for vNOTES. A total of 33 patients underwent a vNOTES hysterectomy while 40 patients received a SPA laparoscopic hysterectomy. All surgeries were performed by one surgeon. The proportion of the patients who had a history of vaginal delivery was significantly higher in the vNOTES group. The operative time for port installation was significantly longer in the vNOTES group, but the total operative time was shorter compared to the SPA group. The postoperative pain scores 12 h after the operations were also significantly lower in the vNOTES group. Other surgical outcomes were comparable between the two groups. The present study demonstrated that the early operative outcomes of vNOTES hysterectomy were comparable to those of SPA hysterectomy. It also highlights the importance of adequate patient selection when determining surgical methods based on imaging results and physical examinations.
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