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Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery

INTRODUCTION: Natural orifice transluminal endoscopic surgery (NOTES) is a new concept of minimally invasive surgery. It could prevent complications related to the trocar in laparoscopic surgery, and help achieve ideal cosmetic outcomes. AIM: To describe the safety and feasibility of the prone posit...

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Autores principales: Huang, Lu, He, Li, Zhang, Ling, Gan, Xiaoqin, Jia, Jigang, Yang, Yue, Lin, Yonghong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991957/
https://www.ncbi.nlm.nih.gov/pubmed/33786139
http://dx.doi.org/10.5114/wiitm.2020.95397
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author Huang, Lu
He, Li
Zhang, Ling
Gan, Xiaoqin
Jia, Jigang
Yang, Yue
Lin, Yonghong
author_facet Huang, Lu
He, Li
Zhang, Ling
Gan, Xiaoqin
Jia, Jigang
Yang, Yue
Lin, Yonghong
author_sort Huang, Lu
collection PubMed
description INTRODUCTION: Natural orifice transluminal endoscopic surgery (NOTES) is a new concept of minimally invasive surgery. It could prevent complications related to the trocar in laparoscopic surgery, and help achieve ideal cosmetic outcomes. AIM: To describe the safety and feasibility of the prone position in transvaginal NOTES (V-NOTES) resection of posterior uterine myoma. MATERIAL AND METHODS: Seventeen patients were included in the study from February to December 2019. All the patients were diagnosed with solitary posterior uterine myoma and underwent V-NOTES myomectomy in the prone position. We measured the characteristics and the surgical outcomes of these patients, to evaluate the safety and feasibility of the prone position in V-NOTES myomectomy. RESULTS: The mean age of the patients was 38.71 ±7.68 years and the mean body mass index was 22 ±2.02 kg/m(2). Five patients had a cesarean section once, and 1 patient had a history of two operations (cesarean section and laparoscopic cholecystectomy). The remaining patients had no history of surgery. The mean myoma volume in the ultrasound report was 121.99 ±125.24 cm(3). The mean operation time was 107.48 ±34.16 min. The mean hemoglobin decrease 48 h after the operation was 1.37 ±0.66 g/dl. The mean weight of the myoma was 183.88 ±144.29 g. The mean VAS score 12 h and 24 h after surgery was 2 ±0.87 and 1.18 ±0.73, respectively. The mean postoperative hospital stay was 3.18 ±0.39 days. One patient was converted to TU-LESS. No other complications such as massive hemorrhage, infection or injury occurred. CONCLUSIONS: The prone position in V-NOTES myomectomy is safe and feasible. It expands the operative space and reduces the difficulty of surgery. Perhaps it can be used as a standard position for posterior uterine myomectomy by V-NOTES.
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spelling pubmed-79919572021-03-29 Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery Huang, Lu He, Li Zhang, Ling Gan, Xiaoqin Jia, Jigang Yang, Yue Lin, Yonghong Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Natural orifice transluminal endoscopic surgery (NOTES) is a new concept of minimally invasive surgery. It could prevent complications related to the trocar in laparoscopic surgery, and help achieve ideal cosmetic outcomes. AIM: To describe the safety and feasibility of the prone position in transvaginal NOTES (V-NOTES) resection of posterior uterine myoma. MATERIAL AND METHODS: Seventeen patients were included in the study from February to December 2019. All the patients were diagnosed with solitary posterior uterine myoma and underwent V-NOTES myomectomy in the prone position. We measured the characteristics and the surgical outcomes of these patients, to evaluate the safety and feasibility of the prone position in V-NOTES myomectomy. RESULTS: The mean age of the patients was 38.71 ±7.68 years and the mean body mass index was 22 ±2.02 kg/m(2). Five patients had a cesarean section once, and 1 patient had a history of two operations (cesarean section and laparoscopic cholecystectomy). The remaining patients had no history of surgery. The mean myoma volume in the ultrasound report was 121.99 ±125.24 cm(3). The mean operation time was 107.48 ±34.16 min. The mean hemoglobin decrease 48 h after the operation was 1.37 ±0.66 g/dl. The mean weight of the myoma was 183.88 ±144.29 g. The mean VAS score 12 h and 24 h after surgery was 2 ±0.87 and 1.18 ±0.73, respectively. The mean postoperative hospital stay was 3.18 ±0.39 days. One patient was converted to TU-LESS. No other complications such as massive hemorrhage, infection or injury occurred. CONCLUSIONS: The prone position in V-NOTES myomectomy is safe and feasible. It expands the operative space and reduces the difficulty of surgery. Perhaps it can be used as a standard position for posterior uterine myomectomy by V-NOTES. Termedia Publishing House 2020-05-15 2021-03 /pmc/articles/PMC7991957/ /pubmed/33786139 http://dx.doi.org/10.5114/wiitm.2020.95397 Text en Copyright: © 2020 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Huang, Lu
He, Li
Zhang, Ling
Gan, Xiaoqin
Jia, Jigang
Yang, Yue
Lin, Yonghong
Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title_full Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title_fullStr Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title_full_unstemmed Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title_short Application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
title_sort application of the prone position in myomectomy by transvaginal natural orifice transluminal endoscopic surgery
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991957/
https://www.ncbi.nlm.nih.gov/pubmed/33786139
http://dx.doi.org/10.5114/wiitm.2020.95397
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