Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): Feasibility of an innovative approach

Hsuan Su, Chih Feng Yen, Kai Yun Wu, Chien Min Han, Chyi Long Lee*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

114 Scopus citations

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 languageEnglish
Pages (from-to)217-221
Number of pages5
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume51
Issue number2
DOIs
StatePublished - 06 2012

Keywords

  • Hysterectomy
  • Innovation surgery
  • NOTES
  • Natural orifice transluminal endoscopic surgery

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