Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital

Objectives: The objective of this study is to report our initial experience with patients undergoing transvaginal natural orifice transluminal endoscopic surgery (NOTES). Materials and Methods: From September 2016 to December 2016, patients who were not virgins and did not have pelvic inflammation o...

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Main Authors: Dah-Ching Ding, Tang-Yuan Chu, Mun-Kun Hong
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=4;spage=208;epage=212;aulast=Ding
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author Dah-Ching Ding
Tang-Yuan Chu
Mun-Kun Hong
author_facet Dah-Ching Ding
Tang-Yuan Chu
Mun-Kun Hong
author_sort Dah-Ching Ding
collection DOAJ
description Objectives: The objective of this study is to report our initial experience with patients undergoing transvaginal natural orifice transluminal endoscopic surgery (NOTES). Materials and Methods: From September 2016 to December 2016, patients who were not virgins and did not have pelvic inflammation or obliteration of the cul-de-sac who underwent NOTES hysterectomy or ovarian cystectomy (OC) were included in the study. Results: Transvaginal NOTES was performed smoothly in six patients, two patients (mean age 35 years, mean body mass index [BMI] 25) received an OC and four patients (mean age 49 years, mean BMI 27) underwent a hysterectomy. One patient with a hysterectomy received concurrent adhesiolysis. The mean surgical times were 74 and 75 min and blood loss was 50 and 87.5 ml in the OC and hysterectomy groups, respectively. One patient with a hysterectomy had a postoperative fever with 38°C last for 2 days. Pain scores were 0 at 48 h postoperatively in both groups. Conclusion: Transvaginal NOTES is a feasible and safe technique for hysterectomy and OC in our patients and those in previous reports. This procedure was minimally invasive with no scars on the abdomen as well as little pain.
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spelling doaj-art-db44df79af4141009d32d950c63e441c2025-08-20T02:21:17ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-0129420821210.4103/tcmj.tcmj_127_17Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General HospitalDah-Ching DingTang-Yuan ChuMun-Kun HongObjectives: The objective of this study is to report our initial experience with patients undergoing transvaginal natural orifice transluminal endoscopic surgery (NOTES). Materials and Methods: From September 2016 to December 2016, patients who were not virgins and did not have pelvic inflammation or obliteration of the cul-de-sac who underwent NOTES hysterectomy or ovarian cystectomy (OC) were included in the study. Results: Transvaginal NOTES was performed smoothly in six patients, two patients (mean age 35 years, mean body mass index [BMI] 25) received an OC and four patients (mean age 49 years, mean BMI 27) underwent a hysterectomy. One patient with a hysterectomy received concurrent adhesiolysis. The mean surgical times were 74 and 75 min and blood loss was 50 and 87.5 ml in the OC and hysterectomy groups, respectively. One patient with a hysterectomy had a postoperative fever with 38°C last for 2 days. Pain scores were 0 at 48 h postoperatively in both groups. Conclusion: Transvaginal NOTES is a feasible and safe technique for hysterectomy and OC in our patients and those in previous reports. This procedure was minimally invasive with no scars on the abdomen as well as little pain.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=4;spage=208;epage=212;aulast=DingHysterectomyLaparoscopyNatural orifice transluminal endoscopic surgeryOvarian cystectomySingle port
spellingShingle Dah-Ching Ding
Tang-Yuan Chu
Mun-Kun Hong
Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
Tzu Chi Medical Journal
Hysterectomy
Laparoscopy
Natural orifice transluminal endoscopic surgery
Ovarian cystectomy
Single port
title Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
title_full Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
title_fullStr Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
title_full_unstemmed Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
title_short Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital
title_sort hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery an initial experience at tzu chi general hospital
topic Hysterectomy
Laparoscopy
Natural orifice transluminal endoscopic surgery
Ovarian cystectomy
Single port
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=4;spage=208;epage=212;aulast=Ding
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AT tangyuanchu hysterectomyandovariancystectomyusingnaturalorificetransluminalendoscopicsurgeryaninitialexperienceattzuchigeneralhospital
AT munkunhong hysterectomyandovariancystectomyusingnaturalorificetransluminalendoscopicsurgeryaninitialexperienceattzuchigeneralhospital