Transluminal endoscopy (vNOTES): total hysterectomy

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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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作者简介

Ilnur Musin

Bashkir State Medical University, Ministry of Health of Russia

编辑信件的主要联系方式.
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

俄罗斯联邦, Ufa

Alfiya 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

俄罗斯联邦, Ufa

Elena 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

俄罗斯联邦, Ufa

Svetlana 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

俄罗斯联邦, Ufa

Zulfiya 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

俄罗斯联邦, Ufa

Angela 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

俄罗斯联邦, Ufa

Albina 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

俄罗斯联邦, Ufa

参考

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2. Fig. 1. Crossing and ligation of the cardinal ligaments. Crossing and ligation of the uterosacral ligaments.

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3. Fig. 2. Ligation and intersection of the left round ligament, the isthmic part of the fallopian tube and the left proper ovarian ligament

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4. Fig. 3. Removal of the fallopian tube on the right

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