ArticleGynecologic and obstetric investigation2026
Comparative Study of the Flipping Technique and Conventional Vaginal Natural Orifice Transluminal Endoscopic Surgery Myomectomy.
Article in Gynecologic and obstetric investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of the study was to evaluate the clinical application value of the flipping technique in vaginal natural orifice transluminal endoscopic surgery (vNOTES) for myomectomy in cases involving numerous, large, and difficult-to-expose uterine fibroids, particularly those located at the fundus.
methodsA retrospective analysis was conducted on the clinical data of 42 patients without fertility requirements but desiring uterine preservation who underwent flipping technique vNOTES myomectomy (case group) and 46 patients who underwent conventional vNOTES myomectomy (control group) at two hospitals between January 2024 and May 2025. Preoperative, intraoperative, and postoperative clinical data were compared between the two groups.
resultsAll surgeries were successfully completed in both groups. Compared with the control group, the flipping technique group had greater uterine volumes, a greater number of fibroids removed intraoperatively, and the ability to remove fibroids at higher positions (e.g., fundus). However, the flipping technique group also experienced longer operative times, greater intraoperative blood loss, and a longer durations before postoperative urinary catheter removal. These differences were statistically significant (p < 0.05).
conclusionThe flipping technique in vNOTES offers advantages similar to conventional vNOTES, such as the absence of abdominal scarring and lower postoperative pain levels. Additionally, it offers the advantages of removing a greater number of fibroids and various types of fibroids, particularly those located at challenging positions such as the uterine fundus. This technique expands the indications for vNOTES myomectomy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.