scholarly journals Surgical outcomes of hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES) compared with laparoscopic total hysterectomy (LTH) in women with non-prolapsed and benign uterine diseases

2020 ◽  
Vol 59 (4) ◽  
pp. 565-569
Author(s):  
Chih-Yi Yang ◽  
Te-Chun Shen ◽  
Cheng-Li Lin ◽  
Yin-Yi Chang ◽  
Chen-Chu Huang ◽  
...  
Keyword(s):  
Endoscopic Surgery ◽  
Surgical Outcomes ◽  
Natural Orifice ◽  
Total Hysterectomy ◽  
Uterine Diseases ◽  
Laparoscopic Total Hysterectomy

Comparison of Surgical Outcomes between Natural Orifice Transluminal Endoscopic Surgery for Hysterectomy and Conventional Total Laparoscopic Hysterectomy

2021 ◽  
Vol 104 (8) ◽  
pp. 1255-1262
Keyword(s):  
Blood Loss ◽  
Endoscopic Surgery ◽  
Surgical Outcomes ◽  
Operative Time ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Natural Orifice ◽  
Operative Complication ◽  
Post Operative Pain ◽  
Uterine Diseases

Objective: To compare surgical outcomes between transvaginal natural orifice transluminal endoscopic surgery for hysterectomy (vNOTESH) and total laparoscopic hysterectomy (TLH) for the benign uterine diseases. Materials and Methods: A retrospective review of electronic medical records of women that underwent vNOTESH between January 2019 and June 2020 (n=33) and TLH between June 2017 and August 2019 (n=33) in Bangkok Hospital Udon, Udonthani Province, Thailand was carried out. Measurement outcomes included operative time, estimated blood loss, intra- and post- operative complications, and post-operative pain assessment. Results: One woman of the TLH group was excluded from the study because of severe adhesion. The mean age and BMI were not significantly different between the groups. There was no intra-operative complication in both groups. A median operative time was significantly shorter in the vNOTESH at 73 minutes (30 to 260 minutes than in the TLH at 140 minutes (75 to 296minutes), p<0.0001]. Post-operative pain scores were significantly less in the vNOTESH than in the TLH. In addition, the number of women who needed the added analgesics were significantly less in the vNOTESH than the TLH groups at 6.1% versus 46.9% (p=0.001), respectively. However, the amount of blood loss and post-operative complication were not significantly different between the two groups. Conclusion: The present retrospective study demonstrated that the vNOTES is a feasible and safe procedure for hysterectomy in experienced hands and well-selected cases. This new technique is superior not only in taking less operative time and in achieving less postoperative pain, but also from the cosmetic aspect. Hence, it may be an alternative method for hysterectomy of the benign uterine diseases in the future. Keywords: Hysterectomy; Natural orifice transluminal endoscopic surgery (NOTES); Surgical outcomes; Total laparoscopic hysterectomy

Laparoscopic Subtotal Hysterectomy Versus Laparoscopic Total Hysterectomy: A Decade of Experience

2010 ◽  
Vol 65 (5) ◽  
pp. 308-309
Author(s):  
J. S. van Evert ◽  
J. M. J. Smeenk ◽  
F. P. H. L. J. Dijkhuizen ◽  
J. H. de Kruif ◽  
K. B. Kluivers
Keyword(s):  
Total Hysterectomy ◽  
Subtotal Hysterectomy ◽  
Laparoscopic Subtotal Hysterectomy ◽  
Laparoscopic Total Hysterectomy

scholarly journals Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Priscilla Magno ◽  
Mouen A. Khashab ◽  
Manuel Mas ◽  
Samuel A. Giday ◽  
Jonathan M. Buscaglia ◽  
...  
Keyword(s):  
Thoracic Spine ◽  
Endoscopic Surgery ◽  
Vertebral Column ◽  
Bone Biopsy ◽  
Posterior Mediastinum ◽  
Direct Access ◽  
Thoracic Vertebrae ◽  
Natural Orifice ◽  
Vertebral Bone ◽  
Vertebral Bodies

Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae.Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique.Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples.Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques.

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