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Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?

PURPOSE: We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. METHODS: From the total population of 299 patients in our NOTES registry...

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Autores principales: Thomaidis, Panagiotis, Weltermann, Niklas J., Seefeldt, Claudia S., Richards, Dana C., Sauerwald, Axel, Heiss, Markus M., Bulian, Dirk R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481136/
https://www.ncbi.nlm.nih.gov/pubmed/33788009
http://dx.doi.org/10.1007/s00423-021-02105-z
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author Thomaidis, Panagiotis
Weltermann, Niklas J.
Seefeldt, Claudia S.
Richards, Dana C.
Sauerwald, Axel
Heiss, Markus M.
Bulian, Dirk R.
author_facet Thomaidis, Panagiotis
Weltermann, Niklas J.
Seefeldt, Claudia S.
Richards, Dana C.
Sauerwald, Axel
Heiss, Markus M.
Bulian, Dirk R.
author_sort Thomaidis, Panagiotis
collection PubMed
description PURPOSE: We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. METHODS: From the total population of 299 patients in our NOTES registry, we tried to contact the 121 patients who were of reproductive age (≤ 45 years) at the time of a transvaginal NOTES procedure. They were interviewed by telephone regarding their desire for children, post NOTES-operation pregnancies, and type of delivery using a structured questionnaire. The collected data was analyzed and compared with current data. RESULTS: We were able to contact 76 patients (follow-up rate: 62.8%) with a median follow-up of 77 months after surgery (33–129 months). Twenty of 74 participating patients had a desire for children (27.0%). One of them and another's male partner were diagnosed as infertile. Regarding the remaining 18 patients, 14 became pregnant, and three of them became pregnant twice. Considering these 17 pregnancies, there was one miscarriage (5.9%) and one twin birth (5.9%). On average, childbirth occurred 44 months after the NOTES procedure. With regard to the type of delivery, 10 vaginal births (58.8%) and 7 caesarean sections (41.2%) occurred. Thus, the rate of fulfilled desire for children was 77.8%. Compared with the literature, no difference to the normal course could be detected. CONCLUSION: There is no sign that the transvaginal approach in Hybrid-NOTES, with removal of the specimen through the vagina, has a negative effect on conception, the course during pregnancy, or the type of delivery.
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spelling pubmed-84811362021-10-08 Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery? Thomaidis, Panagiotis Weltermann, Niklas J. Seefeldt, Claudia S. Richards, Dana C. Sauerwald, Axel Heiss, Markus M. Bulian, Dirk R. Langenbecks Arch Surg Original Article PURPOSE: We conducted a retrospective observational study in order to identify negative effects of NOTES procedures (Natural Orifice Transluminal Endoscopic Surgery) with transvaginal specimen removal on pregnancy and delivery. METHODS: From the total population of 299 patients in our NOTES registry, we tried to contact the 121 patients who were of reproductive age (≤ 45 years) at the time of a transvaginal NOTES procedure. They were interviewed by telephone regarding their desire for children, post NOTES-operation pregnancies, and type of delivery using a structured questionnaire. The collected data was analyzed and compared with current data. RESULTS: We were able to contact 76 patients (follow-up rate: 62.8%) with a median follow-up of 77 months after surgery (33–129 months). Twenty of 74 participating patients had a desire for children (27.0%). One of them and another's male partner were diagnosed as infertile. Regarding the remaining 18 patients, 14 became pregnant, and three of them became pregnant twice. Considering these 17 pregnancies, there was one miscarriage (5.9%) and one twin birth (5.9%). On average, childbirth occurred 44 months after the NOTES procedure. With regard to the type of delivery, 10 vaginal births (58.8%) and 7 caesarean sections (41.2%) occurred. Thus, the rate of fulfilled desire for children was 77.8%. Compared with the literature, no difference to the normal course could be detected. CONCLUSION: There is no sign that the transvaginal approach in Hybrid-NOTES, with removal of the specimen through the vagina, has a negative effect on conception, the course during pregnancy, or the type of delivery. Springer Berlin Heidelberg 2021-03-31 2021 /pmc/articles/PMC8481136/ /pubmed/33788009 http://dx.doi.org/10.1007/s00423-021-02105-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Thomaidis, Panagiotis
Weltermann, Niklas J.
Seefeldt, Claudia S.
Richards, Dana C.
Sauerwald, Axel
Heiss, Markus M.
Bulian, Dirk R.
Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title_full Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title_fullStr Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title_full_unstemmed Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title_short Transvaginal Hybrid-NOTES procedures—do they have a negative impact on pregnancy and delivery?
title_sort transvaginal hybrid-notes procedures—do they have a negative impact on pregnancy and delivery?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8481136/
https://www.ncbi.nlm.nih.gov/pubmed/33788009
http://dx.doi.org/10.1007/s00423-021-02105-z
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