Transluminal endoscopy (vNOTES): total hysterectomy
Musin I.I., Yashchuk A.G., Kolodyazhnaya E.A., Nasyrova S.F., Galanova Z.M., Molokanova A.R., Imelbaeva A.G.
Natural orifice transluminal endoscopic surgery (NOTES) is a new approach used in various surgical disciplines. In this article we describe our experience of performing transvaginal surgeries vNOTES.
Objective: To describe and illustrate a standardized approach to vNOTES hysterectomy.
Materials and methods: A total of 31 patients aged 48 to 59 years old underwent vNOTES surgery. The study was carried out on the basis of the Department of Obstetrics and Gynecology.
Results: Hysterectomy with tubal removal was performed in 21 cases, hysterectomy with unilateral salpingoophorectomy was done in 7 cases, hysterectomy and bilateral salpingoophorectomy were performed in 3 cases. All the patients had less severe pain syndrome in the postoperative period: the average value of pain intensity according to the VAS scale after 24 hours was 2.4; the average duration of vNOTES surgery was 96 minutes (ranging from 70 to 130 minutes). The advantages of vNOTES compared to traditional laparoscopic approaches are reduction of postoperative pain, early activation, faster recovery of patients after surgery, shorter hospital stay, improved cosmetic effect and reduced risk of intraoperative injuries to internal organs.
Conclusion: Transluminal endoscopic surgery vNOTES combines good access and visualization provided by endoscopy, maximum cosmetic effect, and can be considered as an alternative to other minimally invasive procedures. This method is preferable for obese patients, as well as for patients who refuse traditional laparoscopy wishing to obtain aesthetic and cosmetic results.
Authors’ contributions: Yashchuk A.G., Musin I.I. – developing the concept and design of the study, collecting and processing the material, writing the text; Molokanova A.R. – developing the concept and design of the study; Kolodyazhnaya E.A. – collecting and processing the material; Nasyrova S.F. – writing the text, editing the article; Galanova Z.M., Imelbaeva A.G. – statistical data processing.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the Bashkir State Medical University, Ministry of Health of Russia.
Patient Consent for Publication: The patients provided an informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Musin I.I., Yashchuk A.G., Kolodyazhnaya E.A., Nasyrova S.F., Galanova Z.M., Molokanova A.R., Imelbaeva A.G. Transluminal endoscopy (vNOTES): total hysterectomy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (4): 126-131 (in Russian)
https://dx.doi.org/10.18565/aig.2023.305
Keywords
hysterectomy
vNOTES
laparoscopy
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Received 28.12.2023
Accepted 09.04.2024
About the Authors
Ilnur I. Musin, Dr. Med. Sci., Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,Ministry of Health of Russia, 450008, Russia, Ufa, Lenin str., 3, +73472649650, ilnur-musin@yandex.ru, https://orcid.org/0000-0001-5520-5845
Alfiya G. Yashchuk, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +73472649650, alfiya_galimovna@mail.ru, https://orcid.org/0000-0003-2645-1662
Elena A. Kolodyazhnaya, clinical resident of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +7(917)421-87-84, elena_l_a@list.ru, https://orcid.org/0000-0001-5133-7293
Angela R. Molokanova, postgraduate student of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +73472649650, angella1210@mail.ru, https://orcid.org/0000-0003-1115-6775
Svetlana F. Nasyrova, PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +73472649650, ufa863@mail.ru, https://orcid.org/0000-0002-2313-7232
Zulfiya M. Galanova, PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +73472649650, kafedraagidpo2@mail.ru
Albina G. Imelbaeva, PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO, Bashkir State Medical University,
Ministry of Health of Russia, 450008, Russia, Ufa, Lenina str., 3, +73472649650, kafedraagidpo2@mail.ru
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