ArticleGynecology and minimally invasive therapy
Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Hysterectomy in Overweight and Obese Patients: Pearls and Pitfalls.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- Intraoperative optic nerve sheath diameter changes in vNOTES versus total laparoscopic hysterectomy: a prospective randomized study.Surgical endoscopy · 2026Trial
- Surgical outcomes and postoperative sexual function after vNOTES versus TU-LESS ovarian cystectomy: a randomized controlled trial.Surgical endoscopy · 2026Article
- Vaginal natural orifice transluminal endoscopic surgery versus conventional multiport laparoscopy for hemorrhagic ovarian cyst rupture with hemoperitoneum: a multicenter retrospective cohort study.BMC women's health · 2026Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objectives: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel surgical approach that confers on surgeons the dual advantages of vaginal and laparoscopic surgeries. There is a lack of literature comparing the vNOTES hysterectomy in obese and nonobese patients, especially in the Asian population. We aim to compare the surgical outcomes of vNOTES in patients with body mass index (BMI) <25 kg/m Materials and Methods: This study involved a retrospective comparative study of 159 overweight and nonoverweight women who underwent vNOTES hysterectomy in a single tertiary care center between April 2021 and January 2024. Patients were stratified based on their BMI (<25 kg/m Results: Ninety-four women had normal BMI and 65 were overweight. No conversion to laparoscopic surgery or open surgery was needed. The mean age and parity were 52.3 (±10.1) and 1.9 (±1.1), respectively. Operative time was significantly shorter in the nonoverweight group compared to the overweight group (99.1 ± 37.8 min vs. 115.2 ± 46.8 min, Conclusion: This study contributes valuable insights into the outcomes of vNOTES in Asian patients and demonstrates that vNOTES is a safe and effective surgical technique for overweight or obese patients. Overweight or obese patients scheduled for vNOTES procedures must be informed about the increased risk of blood loss and expected longer postoperative hospitalization as compared to nonobese patients.
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