ArticleFrontiers in medicine2025
Impact of obesity on clinical outcomes of v-NOTES hysterectomy: a retrospective study.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Obesity is a global health challenge that complicates gynecological surgery. Vaginal natural orifice transluminal endoscopic surgery (v-NOTES) offers a minimally invasive approach to total hysterectomy (TH), but its safety and efficacy in obese patients remain underexplored. Objective: This study aimed to assess the impact of obesity on the perioperative and clinical outcomes of v-NOTES hysterectomy, accounting for potential confounders. Methods: This retrospective cohort study analyzed 211 patients who underwent v-NOTES TH between January 2021 and September 2024. Patients were categorized into two groups based on BMI: the control group (BMI < 28 kg/m Results: Obese patients had significantly longer operative times ( Conclusion: v-NOTES hysterectomy is a safe and effective option for obese patients, with comparable complication rates to non-obese patients. However, obesity independently contributes to longer operative times and delayed recovery. Targeted perioperative strategies, particularly for improving gastrointestinal recovery, could enhance outcomes in this population.
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