Abstract
Objective: To evaluate the feasibility and safety of performing a hysterectomy using the transvaginal natural orifice transluminal endoscopic surgery (NOTES). Materials and Methods: From May through December 2010, 16 patients with benign uterine diseases who were eligible for laparoscopic hysterectomy were recruited to undergo transvaginal NOTES at a tertiary referral medical center. Intraoperative and postoperative surgical outcomes were measured. Results: All of the included hysterectomies were completed via transvaginal NOTES without conversion to conventional laparoscopy. The mean (± standard error of mean (SEM)) uterine weight was 538.8 ± 102.9. g, the mean operative time was 122.7 ± 17.6 minutes, and the mean blood loss was 379.4 ± 95.4. mL. The mean postoperative hospital stay was 2.8 ± 0.2 days. No intraoperative or postoperative complications were noted in this series. Conclusion: Hysterectomy for the treatment of benign diseases can be feasibly carried out via transvaginal NOTES. However, prospective studies are needed to determine its full clinical applications.
Original language | English |
---|---|
Pages (from-to) | 217-221 |
Number of pages | 5 |
Journal | Taiwanese Journal of Obstetrics and Gynecology |
Volume | 51 |
Issue number | 2 |
DOIs | |
State | Published - 06 2012 |
Keywords
- Hysterectomy
- Innovation surgery
- NOTES
- Natural orifice transluminal endoscopic surgery