Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive Gynecologic Surgeons' Toolbox.

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2024-04-01 Epub Date: 2024-04-12 DOI:10.1089/gyn.2023.0098

Veronica Lerner, Andrea E Stuart, Jan Baekalandt

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Abstract

Background: The introduction of vaginal natural orifice transluminal endoscopic surgery (vNOTES) to the toolbox of gynecologic surgeons has the potential to reverse the trend of vaginal hysterectomy declines.

Methods: This review discusses nuances of the vNOTES technique applied to hysterectomy; describes vNOTES hysterectomy, step-by-step (including tips and tricks for low- and high-complexity cases for surgeons who may want to incorporate vNOTES hysterectomy into their surgical repertoires); and examines evidence and research trends in this field.

Results: The descriptions in the text, figures, tables, and videos all contribute to giving readers a clear understanding of vNOTES, its advantages, limitations, and research potentials.

Conclusions: vNOTES hysterectomy is a unique blend of vaginal, laparoscopic, and laparoendoscopic single-site surgery (LESS) techniques and is not a new procedure, but rather another tool to use in minimally invasive gynecologic surgery. (J GYNECOL SURG 40:78).

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阴道自然腔道经内镜手术子宫切除术解构：扩大微创妇科外科医生的工具箱。

背景：将阴道自然孔腔内镜手术（vNOTES）引入妇科外科医生的工具箱，有可能扭转阴道子宫切除术下降的趋势：本综述讨论了将vNOTES技术应用于子宫切除术的细微差别；逐步描述了vNOTES子宫切除术（包括针对低复杂度和高复杂度病例的技巧和窍门，供希望将vNOTES子宫切除术纳入其手术范围的外科医生参考）；并研究了该领域的证据和研究趋势：结论：vNOTES子宫切除术是阴道、腹腔镜和腹腔内镜单部位手术（LESS）技术的独特融合，不是一种新的手术，而是微创妇科手术的另一种工具。(J gynecol surg 40:78）。

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来源期刊

JOURNAL OF GYNECOLOGIC SURGERY OBSTETRICS & GYNECOLOGY-

CiteScore

0.50

自引率

33.30%

发文量

期刊介绍： The central forum for clinical articles dealing with all aspects of operative and office gynecology, including colposcopy, hysteroscopy, laparoscopy, laser surgery, conventional surgery, female urology, microsurgery, in vitro fertilization, and infectious diseases. The Official Journal of the Gynecologic Surgery Society, the International Society for Gynecologic Endoscopy, and the British Society for Cervical Pathology.