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Optimizing V-NOTES hysterectomy: a comparative analysis of GelPoint and Glove techniques
Eralp Bulutlar1, Gizem Berfin Uluutku Bulutlar2, Sadık Şahin3
1Zeynep Kamil Women's and Children's Diseases Training and Research Hospital, Istanbul, Türkiye, Türkiye. eralpbulutlar@hotmail.com.
Ginekologia Polska
|May 26, 2025
Summary
The GelPoint technique for Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) hysterectomy offers shorter operative times and fewer complications. The Glove technique is more cost-effective, though associated with higher complication rates.
Area of Science:
- Minimally invasive gynecological surgery
- Surgical technology and innovation
- Patient outcomes in gynecologic procedures
Background:
- Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) is an advanced minimally invasive technique for hysterectomy.
- Established V-NOTES procedures utilize various methods, including the GelPoint and Glove techniques.
- Comparative analysis of these techniques is crucial for optimizing surgical practice.
Purpose of the Study:
- To compare the efficacy of GelPoint and Glove techniques in V-NOTES hysterectomy.
- To evaluate differences in surgical outcomes, complication rates, operative time, patient satisfaction, aesthetics, and costs.
- To provide evidence-based insights for selecting the optimal V-NOTES approach.
Main Methods:
- Retrospective analysis of 60 patients undergoing V-NOTES hysterectomy (2022-2024).
- Patients divided into two groups: GelPoint (n=30) and Glove (n=30).
- Data collected on operative time, complications, hospital stay, satisfaction, and costs.
Main Results:
- GelPoint technique demonstrated significantly shorter operative times (85±12 min vs. 102±15 min, p<0.01).
- Lower postoperative complication rates observed with GelPoint (7% vs. 15%, p<0.05).
- Material costs differed: Glove ($200 USD) vs. GelPoint ($500 USD).
Conclusions:
- Both GelPoint and Glove techniques are safe and effective for V-NOTES hysterectomy.
- GelPoint technique offers advantages in reduced operative time and complication rates.
- Glove technique presents a more economical option, albeit with a higher complication profile.
