Total vNOTES hysterectomy versus conventional total laparoscopic hysterectomy in virgin transgender men.

IF 1.7 4区医学 Q2 SURGERY Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-06-01 Epub Date: 2024-02-14 DOI:10.1080/13645706.2024.2309960

Emin Erhan Donmez, Erkan Elci, Gulhan Elci

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Abstract

Background and aim: Comparison of the applicability, safety, and surgical outcomes of total vaginal NOTES hysterectomy (TVNH) using natural orifice transluminal endoscopic surgery, which is considered a natural orifice surgery for hysterectomy with bilateral salpingo-oophorectomy (HBSO) in virgin transgender men, with conventional total laparoscopic hysterectomy (TLH).

Material and methods: A retrospective cohort study was conducted between 2019 and 2021. The results of transgender male individuals who underwent HBSO operations using TVNH (n = 21) were compared with those who underwent operations using TLH (n = 62).

Results: TVNH was performed in 21 individuals, while TLH was performed in 62 individuals. Patients in the TVNH approach group had a longer operation duration than those in the TLH group (p = .001). Patients in the TVNH group experienced less pain at two hours (5 ± 1.56), six hours (4 ± 1.57), 12 h (2 ± 0.91), and 24 h (1 ± 0.62) postoperatively (p = .001). The postoperative hospitalization duration was shorter in the TVNH group (1.6 ± 1.01) than in the TLH group (2.9 ± 0.5) (p = .001).

Conclusions: For the HBSO operation of female-to-male transgender individuals, TVNH, which is completely endoscopically performed, can be preferred and safely conducted as an alternative surgical method to conventional laparoscopy.

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变性处女全子宫切除术与传统全腹腔镜子宫切除术的比较。

背景和目的：使用自然腔道内镜手术进行全阴道NOTES子宫切除术（TVNH）与传统的全腹腔镜子宫切除术（TLH）的适用性、安全性和手术效果比较，前者被认为是一种自然腔道手术，适用于处女变性男性的子宫切除和双侧输卵管切除术（HBSO）。材料与方法在 2019 年至 2021 年期间进行了一项回顾性队列研究。使用 TVNH 进行 HBSO 手术的变性男性（n = 21）与使用 TLH 进行手术的变性男性（n = 62）的结果进行了比较。结果：21 人接受了 TVNH 手术，62 人接受了 TLH 手术。TVNH 组患者的手术时间长于 TLH 组（P = .001）。TVNH 组患者在术后 2 小时（5±1.56）、6 小时（4±1.57）、12 小时（2±0.91）和 24 小时（1±0.62）疼痛较轻（p = .001）。TVNH 组的术后住院时间（1.6 ± 1.01）短于 TLH 组（2.9 ± 0.5）（p = .001）。结论对于女男变性者的 HBSO 手术，完全在内窥镜下进行的 TVNH 可作为传统腹腔镜手术的替代手术方法，是一种可取且安全的手术方法。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.