Transluminal endoscopy (vNOTES): total hysterectomy
- Authors: Musin I.I.1, Yashchuk A.G.1, Kolodyazhnaya E.A.1, Nasyrova S.F.1, Galanova Z.M.1, Molokanova A.R.1, Imelbaeva A.G.1
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Affiliations:
- Bashkir State Medical University, Ministry of Health of Russia
- Issue: No 4 (2024)
- Pages: 126-131
- Section: Exchange of Experience
- URL: https://journals.eco-vector.com/0300-9092/article/view/632142
- DOI: https://doi.org/10.18565/aig.2023.305
- ID: 632142
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Abstract
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.
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About the authors
Ilnur I. Musin
Bashkir State Medical University, Ministry of Health of Russia
Author for correspondence.
Email: ilnur-musin@yandex.ru
ORCID iD: 0000-0001-5520-5845
Dr. Med. Sci., Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaAlfiya G. Yashchuk
Bashkir State Medical University, Ministry of Health of Russia
Email: alfiya_galimovna@mail.ru
ORCID iD: 0000-0003-2645-1662
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaElena A. Kolodyazhnaya
Bashkir State Medical University, Ministry of Health of Russia
Email: elena_l_a@list.ru
ORCID iD: 0000-0001-5133-7293
clinical resident of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaSvetlana F. Nasyrova
Bashkir State Medical University, Ministry of Health of Russia
Email: ufa863@mail.ru
ORCID iD: 0000-0002-2313-7232
PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaZulfiya M. Galanova
Bashkir State Medical University, Ministry of Health of Russia
Email: kafedraagidpo2@mail.ru
PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaAngela R. Molokanova
Bashkir State Medical University, Ministry of Health of Russia
Email: angella1210@mail.ru
ORCID iD: 0000-0003-1115-6775
postgraduate student of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaAlbina G. Imelbaeva
Bashkir State Medical University, Ministry of Health of Russia
Email: kafedraagidpo2@mail.ru
PhD, Associate Professor of the Department of Obstetrics and Gynecology with the course of IDPO
Russian Federation, UfaReferences
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