Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

19
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
19
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

384
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
384
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

223
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
223
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

13
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
13
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

180
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
180
Obesity01:24

Obesity

559
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
559

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Patient-reported health and quality of life after midurethral sling: a comparative analysis from VIGI-MESH registry.

The French journal of urology·2026
Same author

Normothermic Regional Perfusion in Controlled Donation After Circulatory Death and its Impact on Postreperfusion Syndrome in Liver Transplantation Compared With Brain-dead Donors: A Retrospective Comparative Study.

Transplantation direct·2026
Same author

Laparoscopic and robotic ventral rectopexy for posterior compartment disorders: a multicentric study in a gynecological setting.

Techniques in coloproctology·2026
Same author

Impact of postpartum on patients with rheumatoid arthritis and spondyloarthritis: an ancillary analysis of the GR2 prospective cohort.

RMD open·2026
Same author

Major Postoperative Complications After Endometriosis Surgery: Incidence and Outcomes From a Multicenter French Cohort.

Journal of minimally invasive gynecology·2026
Same author

Surgery for Colorectal Peritoneal Metastases in non-expert centers is strongly associated with tumor persistence or early recurrence: a bicentric study of 106 patients.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2026

Related Experiment Video

Updated: Aug 5, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

529

vNOTES Hysterectomy: What about Obese Patients?

Marie-Charlotte Bouchez1, Victoire Delporte1, Sophie Delplanque1

  • 1Department of Gynecologic Surgery, Jeanne de Flandre Hospital (Drs. Bouchez, Delporte, Delplanque, Vandendriessche, Rubod, Cosson, and Giraudet), CHU Lille, Lille, France.

Journal of Minimally Invasive Gynecology
|March 26, 2023
PubMed
Summary
This summary is machine-generated.

Vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomies are feasible for obese patients, showing similar intraoperative conversion rates and complication profiles compared to non-obese patients. Operative times were longer for obese individuals, but same-day surgery management was comparable.

Keywords:
HysterectomyObeseSurgical outcomesvNOTES

More Related Videos

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.6K
Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
08:50

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

Published on: June 25, 2013

13.3K

Related Experiment Videos

Last Updated: Aug 5, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

529
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

1.6K
Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
08:50

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

Published on: June 25, 2013

13.3K

Area of Science:

  • Minimally invasive gynecologic surgery
  • Surgical innovation
  • Bariatric surgery outcomes

Background:

  • Vaginal natural orifice transluminal endoscopic surgery (vNOTES) offers a minimally invasive approach to hysterectomy.
  • Obesity is a growing concern in gynecologic surgery, potentially impacting surgical outcomes.
  • Comparing vNOTES hysterectomy outcomes in obese versus non-obese patients is crucial for surgical planning.

Purpose of the Study:

  • To compare surgical and hospitalization outcomes of vNOTES hysterectomy in patients with body mass index (BMI) <30 versus BMI ≥30.
  • To evaluate the feasibility and safety of vNOTES hysterectomy in obese patients.

Main Methods:

  • Retrospective cohort study including 200 patients undergoing vNOTES hysterectomy.
  • Patients were categorized into two groups: BMI <30 kg/m² (n=146) and BMI ≥30 kg/m² (n=54).
  • Comparison of intraoperative conversion rates, operative time, blood loss, complications, and same-day surgery management.

Main Results:

  • No significant difference in intraoperative conversion rates between obese (7.41%) and non-obese (2.74%) patients (p=0.150).
  • Obese patients had longer operative times (115.93 min vs 79.78 min, p<0.001).
  • No significant differences observed in blood loss, perioperative/postoperative complications, or same-day surgery feasibility.

Conclusions:

  • vNOTES hysterectomy appears feasible and safe for obese patients, with comparable outcomes to non-obese patients regarding conversion and complications.
  • Obesity does not preclude successful same-day surgery management with vNOTES hysterectomy.
  • Further research is warranted to validate these findings in larger cohorts.