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Volume 12
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10.3390/jpm12060875
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Article

Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery

by
Joseph J. Noh
1,†,
Myeong-Seon Kim
2,†,
Jun-Hyeok Kang
3,
Ji-Hee Jung
1,
Chi-Son Chang
1,
Jungeun Jeon
1 and
Tae-Joong Kim
1,*
1
Gynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea
2
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03083, Korea
3
Uijeongbu Eulji Medical Center, Department of Obstetrics and Gynecology, Eulji University School of Medicine, Uijeongbu 11759, Korea
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Pers. Med. 2022, 12(6), 875; https://doi.org/10.3390/jpm12060875
Submission received: 22 April 2022 / Revised: 20 May 2022 / Accepted: 23 May 2022 / Published: 26 May 2022
(This article belongs to the Special Issue Advanced Minimally Invasive Surgery in Gynecology)
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Abstract

Single-port access (SPA) laparoscopic surgery and vaginal natural orifice transluminal endoscopic surgery (vNOTES) have many advantages. The objective of the present study is to compare patient characteristics, operative details, and postoperative outcomes between the two surgical methods. Patients who were planned to undergo vNOTES or SPA laparoscopic surgery between April 2020 and June 2021 were prospectively enrolled. The surgical method was determined by a single surgeon after imaging results evaluation and a physical exam. Those who had favorable pelvic conditions without any evidence of adhesion were scheduled for vNOTES. A total of 33 patients underwent a vNOTES hysterectomy while 40 patients received a SPA laparoscopic hysterectomy. All surgeries were performed by one surgeon. The proportion of the patients who had a history of vaginal delivery was significantly higher in the vNOTES group. The operative time for port installation was significantly longer in the vNOTES group, but the total operative time was shorter compared to the SPA group. The postoperative pain scores 12 h after the operations were also significantly lower in the vNOTES group. Other surgical outcomes were comparable between the two groups. The present study demonstrated that the early operative outcomes of vNOTES hysterectomy were comparable to those of SPA hysterectomy. It also highlights the importance of adequate patient selection when determining surgical methods based on imaging results and physical examinations.
Keywords: natural orifice transluminal endoscopic surgery; single-port access surgery; single-incision laparoscopic surgery; minimally invasive surgery; gynecology; hysterectomy natural orifice transluminal endoscopic surgery; single-port access surgery; single-incision laparoscopic surgery; minimally invasive surgery; gynecology; hysterectomy

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MDPI and ACS Style

Noh, J.J.; Kim, M.-S.; Kang, J.-H.; Jung, J.-H.; Chang, C.-S.; Jeon, J.; Kim, T.-J. Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery. J. Pers. Med. 2022, 12, 875. https://doi.org/10.3390/jpm12060875

AMA Style

Noh JJ, Kim M-S, Kang J-H, Jung J-H, Chang C-S, Jeon J, Kim T-J. Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery. Journal of Personalized Medicine. 2022; 12(6):875. https://doi.org/10.3390/jpm12060875

Chicago/Turabian Style

Noh, Joseph J., Myeong-Seon Kim, Jun-Hyeok Kang, Ji-Hee Jung, Chi-Son Chang, Jungeun Jeon, and Tae-Joong Kim. 2022. "Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery" Journal of Personalized Medicine 12, no. 6: 875. https://doi.org/10.3390/jpm12060875

APA Style

Noh, J. J., Kim, M.-S., Kang, J.-H., Jung, J.-H., Chang, C.-S., Jeon, J., & Kim, T.-J. (2022). Comparison of Surgical Outcomes of Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus Single-Port Access (SPA) Surgery. Journal of Personalized Medicine, 12(6), 875. https://doi.org/10.3390/jpm12060875

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