Subtotal hysterectomy by natural orifice transluminal endoscopic surgery

Chyi Long Lee*, Kai Yun Wu, Chen Ying Huang, Chuan Cheng, Chien Min Han, Chih Feng Yen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

8 Scopus citations

Abstract

Study objective To introduce the innovative surgical procedure of treating benign uterine pathology with subtotal hysterectomy by natural orifice transluminal endoscopic surgery (NOTES). Design Prospective observational study. Setting Tertiary referral medical center. Methods From June 2014 to May 2016, three patients with benign uterine diseases who were eligible for laparoscopic subtotal hysterectomy were recruited to undergo transvaginal NOTES at a tertiary referral medical center. Intraoperative and postoperative surgical outcomes were measured. Results Subtotal hysterectomy by transvaginal NOTES was successfully completed in all patients without any conversion to conventional laparoscopy. The operative time was 144 ± 4.5 (138–149) minutes with an average estimated blood loss of 133 ± 62 (50–200) mL. None of the patients required an intraoperative blood transfusion. The mean specimen weight was 140 ± 59 (56–188) g. The final histology reports were uterine leiomyoma and adenomyosis in these three cases. There were no intraoperative or postoperative complications. No case required intraoperative or postoperative blood transfusion. No cases were converted to traditional laparoscopy or laparotomy. Conclusion Our preliminary results showed the safety and feasibility of subtotal hysterectomy by transvaginal NOTES in selected patients. It is one of the most minimally invasive surgeries and results in invisible scars.

Original languageEnglish
Pages (from-to)195-198
Number of pages4
JournalGynecology and Minimally Invasive Therapy
Volume6
Issue number4
DOIs
StatePublished - 11 2017

Bibliographical note

Publisher Copyright:
© 2017

Keywords

  • laparoscopic hysterectomy
  • laparoscopy
  • myoma uteri
  • natural orifice transvaginal endoscopic surgery (NOTES)
  • subtotal hysterectomy

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