VNOTES Hysterectomy Comparing with Total Laparoscopic Hysterectomy

Authors

  • Noppamart Whangteeranon M.D., Bangsaphan Hospital

Keywords:

natural orifice transluminal endoscopic surgery, laparoscopic hysterectomy, vNOTES hysterectomy

Abstract

Objective: The purpose was to compare the operative results of vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy with total laparoscopic hysterectomy (TLH) performed by the same surgeon.

Methods: A retrospective cohort study from the medical records of patients who underwent laparoscopic hysterectomies was performed from January 2018 to December 2022. A vNOTES hysterectomy group and a TLH group were compared including patients’ profiles, details of operations, surgical outcomes, hospital stays, and surgical complications by analytic statistics.

Results: A total of laparoscopic hysterectomies of 129 patients were enrolled during the period. After exclusion; of these 112 patients, 26 patients underwent vNOTES hysterectomies whereas 86 patients underwent TLH. The mean age was 44.9 ± 5.9 years. In the vNOTES hysterectomy group, the mean hospital stay was 1.6 ± 0.6 days, and the mean operative time was 137.2 ± 30.4 minutes which was significantly less than the TLH group. No difference was observed between both groups regarding uterine weight, blood loss, and complications.

Conclusion: VNOTES hysterectomy can shorten the length of hospital stay and surgical time comparing with TLH. Whereas other surgical outcomes and complications are not different.

 

References

Su H, Yen CF, Wu KY, et al. Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): feasibility of an innovative approach. Taiwan J Obstet Gynecol. 2012;51(2):217–21. doi: 10.1016/j.tjog.2012.04.009.

Housmans S, Noori N, Kapurubandara S, Bosteels JJA, et al. Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications. J Clin Med. 2020;9(12): 3959. doi: 10.3390/jcm9123959.

Li CB, Hua KQ. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecologic surgeries: A systematic review. Asian J Surg. 2020;43(1):44–51. doi: 10.1016/j.asjsur.2019.07.014.

Baekelandt JF, De Mulder PA, Le Roy I , et al. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: a randomised controlled trial. BJOG : an international journal of obstetrics and gynaecology. 2019;126(1):105–13. doi: 10.1111/1471-0528.15504.

Merlier M, Collinet P, Pierache A, et al. Is V-NOTES Hysterectomy as Safe and Feasible as Outpatient Surgery Compared with Vaginal Hysterectomy? J Minim Invasive Gynecol. 2022;29(5):665–72. doi: 10.1016/j.jmig.2022.01.007.

Puisungnoen N, Yantapant A, Yanaranop M. Natural Orifice Transluminal Endoscopic Surgery-assisted Vaginal Hysterectomy versus Total Laparoscopic Hysterectomy: A Single-center Retrospective Study Using Propensity Score Analysis. Gynecol Minim Invasive Ther. 2020;9(4):227–30. doi: 10.4103/GMIT.GMIT_130_19.

Uckara W, Soimongkol K, Chanasabaeng S, et al. Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Hysterectomy in Women with Posterior Cul-de- sac Obliteration: A series of seven cases. Thai Journal of Obstetrics and Gynaecology. 2022;28(1):1–10. doi: 10.1016/j.jmig.2014.03.011.

Nulens K, Bosteels J, De Rop C, et al. vNOTES Hysterectomy for Large Uteri: A Retrospective Cohort Study of 114 Patients. J Minim Invasive Gynecol. 2021;28(7):1351–6. doi: 10.1016/j.jmig.2020.10.003.

Wang X, Li J, Hua K, et al. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy for uterus weighing >/=1 kg. BMC Surg. 2020;20(1):234. doi: 10.1186/s12893-020-00897-3.

Temtanakitpaisan T, Wu KY, Huang CY, et al. The outcomes of transvaginal NOTES hysterectomy in various uterine sizes. Taiwan J Obstet Gynecol. 2018;57(6):842–5. doi: 10.1016/j.tjog.2018.10.013.

Yang CY, Shen TC, Lin CL, et al. 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. Taiwan J Obstet Gynecol. 2020;59(4):565–9. doi: 10.1016/j.tjog.2020.05.016.

.Baekelandt J, Kapurubandara S. Benign Gynaecological procedures by vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES): Complication data from a series of 1000 patients. Eur J Obstet Gynecol Reprod Biol. 2021;256:221–4. doi: 10.1016/j.ejogrb.2020.10.059.

Lauterbach R, Matanes E, Amit A, et al. Transvaginal Natural Orifice Transluminal Endoscopic (vNOTES) Hysterectomy Learning Curve: Feasibility in the Hands of Skilled Gynecologists. Isr Med Assoc J. 2020;22(1):13–6.

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Published

2023-03-30

How to Cite

1.
Whangteeranon N. VNOTES Hysterectomy Comparing with Total Laparoscopic Hysterectomy. Reg 4-5 Med J [internet]. 2023 Mar. 30 [cited 2025 Dec. 28];42(1):79-8. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/262136

Issue

Vol. 42 No. 1 (2023): Region 4-5 Medical Journal Vol.42 No.1 January-March 2023

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Original Article

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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์