ArticleArchives of gynecology and obstetrics2023
Implementing the transvaginal natural orifice transluminal endoscopic surgery (vNOTES) "first" strategy in benign gynecological surgeries.
Article in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 28 citations in OpenAlex.
- Gasless vNOTES vs. traditional vNOTES for benign gynecological disease: a randomized controlled clinical trial.BMC anesthesiology · 2025Trial
- Comparison of vaginal natural orifice transluminal endoscopic surgery and vaginal hysterectomy for benign indications: a prospective randomized controlled study.Revista da Associacao Medica Brasileira (1992) · 2025Trial
- National implementation of vaginal Natural Orifice Transluminal Endoscopic Surgery for benign hysterectomies: A historical cohort study of Swedish data 2021-2023.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Prioritizing vaginal hysterectomy: a stepped algorithm with vNOTES support for benign indications.Frontiers in medicine · 2026Article
- Vaginal natural orifice transluminal endoscopic surgery (vNOTES) in myomectomy: a novel minimally invasive technique review.Archives of gynecology and obstetrics · 2025Review
- Transvaginal natural orifice transluminal endoscopic surgery for tubal ectopic pregnancy(vNOTESTEP): a protocol for a randomized controlled trial.BMC pregnancy and childbirth · 2025Article
- A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery.BMC women's health · 2025Article
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- Early surgical outcomes of 550 consecutive patients treated for benign gynecological conditions by transvaginal natural orifice transluminal endoscopic surgery.Acta obstetricia et gynecologica Scandinavica · 2024Observational
- vNOTES versus Laparoscopic Uterosacral Ligament Suspension for Apical Pelvic Organ Prolapse: Perioperative and Short-Term Outcomes.International urogynecology journal · 2024Article
- Retrospective analysis between total laparoscopic and vNOTES hysterectomy in obese patients: single-center study.Archives of gynecology and obstetrics · 2024Article
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- Transvaginal natural Orifical transluminal Endoscopy for sacrocolpopexy: A case series report.Heliyon · 2024Article
- Pain in High-Dose-Rate Brachytherapy for Cervical Cancer: A Retrospective Cohort Study.Journal of personalized medicine · 2023Article
- 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
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe use of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) as the first choice of surgical route for patients scheduled to undergo conventional laparoscopy is still being debated. We aimed to evaluate and compare the outcomes of the "vNOTES first" strategy in benign gynecological cases.
methodsAll benign gynecological surgeries were initiated using vNOTES during the study period, regardless of the difficulty. Surgical outcomes, short-term patient satisfaction and sexual pain were compared between hysterectomies, adnexal and diagnostic procedures. Visual Analog Score (VAS), Patients Global Impressions of Improvements scale (PGI-I) and Female Sexual Function Index (FSFI) were used to assess the postoperative pain, satisfaction and sexual pain, respectively.
resultsA total of 105 vNOTES procedures were performed during the study period: 63 (60.58%) adnexal procedures, 36 (34.62%) hysterectomies, 5 (4.81%) diagnostic procedures and one (0.96%) myomectomy. The median 24th hour VAS scores for adnexal, hysterectomy, and diagnostic procedures were 1.29 ± 1.41, 2.06 ± 2.08, and 2.6 ± 2.41, respectively. The satisfaction rate was 96.19% at the 1st postoperative week and 97.14% at the first month. There was either no change or a slight improvement in the patients' total score on the FSFI/pain domain before and after surgery. There were two conversions (1.9%) from vNOTES to laparoscopy and laparotomy, and two (5.56%) bladder injuries in hysterectomy cases.
conclusionImplementing the vNOTES technique as an initial approach for all benign gynecological surgeries seems feasible, safe and satisfactory, even in those with a non-prolapsed or enlarged uterus and those that have previously undergone abdominal surgery. The pain scores were found to be low and patients stated a high satisfaction with no or better change in their sexual life.
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