A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery
Abstract Background To assess and compare the efficiency and outcomes between prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Methods 33 patients with posterior uterine myomectomy by vNOTES in t...
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BMC
2025-04-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-025-03709-z |
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| author | Yayu Zhou Yonghong Lin Dingyu Xu Li He Lu Huang |
| author_facet | Yayu Zhou Yonghong Lin Dingyu Xu Li He Lu Huang |
| author_sort | Yayu Zhou |
| collection | DOAJ |
| description | Abstract Background To assess and compare the efficiency and outcomes between prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Methods 33 patients with posterior uterine myomectomy by vNOTES in the prone split-leg position and 15 patients in the lithotomy position were retrospectively recruited. Important baseline characteristics and outcome parameters such as age, body mass index, volume of myoma, delivery mode, hospital length, intraoperative blood loss, hemoglobin values before and 72 h after operation, VAS score, operation time and operation preparation time were compared between two patient groups. Results The operation time of the prone split-leg position group was significantly shorter than that of the lithotomy position group (P < 0.05), but the operation preparation time of the prone split-leg position group was longer than that of the lithotomy position group (P < 0.05). No significant difference was found in other indicators between the two patient groups. Conclusions Our study suggests the potential application of the prone split-leg position in posterior uterine myomectomy by vNOTES. |
| format | Article |
| id | doaj-art-b7a308f9ed67435d8749c71dace0cfed |
| institution | OA Journals |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj-art-b7a308f9ed67435d8749c71dace0cfed2025-08-20T02:11:42ZengBMCBMC Women's Health1472-68742025-04-012511810.1186/s12905-025-03709-zA comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgeryYayu Zhou0Yonghong Lin1Dingyu Xu2Li He3Lu Huang4Department of Gynecology, School of Medicine, Chengdu Women’s and Children’s Central Hospital, University of Electronic Science and Technology of ChinaDepartment of Gynecology, School of Medicine, Chengdu Women’s and Children’s Central Hospital, University of Electronic Science and Technology of ChinaDepartment of Gynecology, School of Medicine, Chengdu Women’s and Children’s Central Hospital, University of Electronic Science and Technology of ChinaDepartment of Gynecology, School of Medicine, Chengdu Women’s and Children’s Central Hospital, University of Electronic Science and Technology of ChinaDepartment of Gynecology, School of Medicine, Chengdu Women’s and Children’s Central Hospital, University of Electronic Science and Technology of ChinaAbstract Background To assess and compare the efficiency and outcomes between prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Methods 33 patients with posterior uterine myomectomy by vNOTES in the prone split-leg position and 15 patients in the lithotomy position were retrospectively recruited. Important baseline characteristics and outcome parameters such as age, body mass index, volume of myoma, delivery mode, hospital length, intraoperative blood loss, hemoglobin values before and 72 h after operation, VAS score, operation time and operation preparation time were compared between two patient groups. Results The operation time of the prone split-leg position group was significantly shorter than that of the lithotomy position group (P < 0.05), but the operation preparation time of the prone split-leg position group was longer than that of the lithotomy position group (P < 0.05). No significant difference was found in other indicators between the two patient groups. Conclusions Our study suggests the potential application of the prone split-leg position in posterior uterine myomectomy by vNOTES.https://doi.org/10.1186/s12905-025-03709-zTransvaginal natural orifice transluminal endoscopic surgeryMyomectomyProne split-leg positionLithotomy positionComparative study |
| spellingShingle | Yayu Zhou Yonghong Lin Dingyu Xu Li He Lu Huang A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery BMC Women's Health Transvaginal natural orifice transluminal endoscopic surgery Myomectomy Prone split-leg position Lithotomy position Comparative study |
| title | A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| title_full | A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| title_fullStr | A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| title_full_unstemmed | A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| title_short | A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| title_sort | comparative study of prone split leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery |
| topic | Transvaginal natural orifice transluminal endoscopic surgery Myomectomy Prone split-leg position Lithotomy position Comparative study |
| url | https://doi.org/10.1186/s12905-025-03709-z |
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