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This study aimed to compare the surgical outcomes of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and conventional vaginal hysterectomy (VH) for benign gynecological conditions.
A prospective analysis will conducted at a tertiary hospital from January 2025 to February 2025. Patients aged 40-80 who underwent hysterectomy for benign indications will included. Outcomes will assessed included surgical outcomes, Visual Analog Scale (VAS) pain scores, and complication rates.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vNOTES hysterectomy for benign indications | Experimental |
| |
| Vaginal hysterectomy for benign indications | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| vNOTES | Procedure | vNOTES for benign hysterectomy |
| |
| Measure | Description | Time Frame |
|---|---|---|
| the duration of surgery | İnterval from initial incision to the completion of vaginal cuff closure (minute) | The time from the beginning to the end of the operation |
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization time | Time from surgery to discharge (hours) | through study completion, an average of 1 month |
| VAS score | Visual Analog Score for pain at postoperative 6th and 24 th hour (0-10) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gazi Yıldız, Assoc Prof | Contact | +905535288666 | drgaziyildiz@gmail.com | |
| Mehmet Mete Kırlangıç, Assoc Prof | Contact | +905064641819 | metekirlangic@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kartal Dr Lütfi Kirdar City Hospital | Istanbul | 34865 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39084252 | Background | Yildiz P, Keles E, Yildiz G, Birol Ilter P, Temocin RB, Kaya C, Mat E. Health-related quality of life following hysterectomy by vNOTES versus conventional laparoscopy. Minim Invasive Ther Allied Technol. 2024 Aug;33(4):232-236. doi: 10.1080/13645706.2024.2323100. Epub 2024 Mar 4. | |
| 35074513 | Background | Merlier M, Collinet P, Pierache A, Vandendriessche D, Delporte V, Rubod C, Cosson M, Giraudet G. Is V-NOTES Hysterectomy as Safe and Feasible as Outpatient Surgery Compared with Vaginal Hysterectomy? J Minim Invasive Gynecol. 2022 May;29(5):665-672. doi: 10.1016/j.jmig.2022.01.007. Epub 2022 Jan 21. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D007045 | Hysterectomy, Vaginal |
| ID | Term |
|---|---|
| D007044 | Hysterectomy |
| D013509 | Gynecologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| vaginal hysterectomy |
| Procedure |
vaginal hysterectomy for benign hysterectomy |
|
| postoperative 6th and 24 th hour |
| Uterin volume | Uterine volume is quantified in milimeters based on measurement of pathological specimens, calculate using the formula (Uterine volume (ml)= (anterior-posterior diameter)* (sagital diameter) * (transverse diameter) * 0,0005236 | through study completion, an average of 1 month |
| Re-admission | Re-admission to hospital after discharge (yes/no) | within 1 month after discharge |
| 30325565 | Background | Baekelandt JF, De Mulder PA, Le Roy I, Mathieu C, Laenen A, Enzlin P, Weyers S, Mol B, Bosteels J. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: a randomised controlled trial. BJOG. 2019 Jan;126(1):105-113. doi: 10.1111/1471-0528.15504. |
| 37642285 | Background | Pickett CM, Seeratan DD, Mol BWJ, Nieboer TE, Johnson N, Bonestroo T, Aarts JW. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2023 Aug 29;8(8):CD003677. doi: 10.1002/14651858.CD003677.pub6. |