在妇科紧急情况中,通过阴道自然孔的透光内镜手术 (vNOTES)
Rafael Ferro1, Yannick Hurni1, Stéphanie Seidler1
1Department of Gynecology and Obstetrics, Valais Hospital, Av. du Grand-Champsec 80, 1951 Sion, Switzerland.
European journal of obstetrics & gynecology and reproductive biology: X
|November 30, 2023
概括
经阴道自然孔透光内镜手术 (vNOTES) 是可行的妇科紧急情况,显示减少并发症和住院. 这种最少的侵入性方法在紧急情况下比传统的腹腔镜术具有潜在的好处.
科学领域:
- 最少侵入性的妇科手术
- 手术创新 在外科创新.
- 紧急妇科急救服务
背景情况:
- 经阴道自然孔透光内镜手术 (vNOTES) 是妇科医学的新兴技术,有越来越多的选择性手术证据.
- 关于vNOTES在紧急妇科环境中的可行性和安全性的数据有限.
- 传统的腹腔镜是紧急妇科干预的标准.
研究的目的:
- 评估vNOTES的可行性和安全性,以应对妇科紧急情况.
- 将紧急情况中的vNOTES结果与传统腹腔镜现有文献进行比较.
- 评估术后结果,包括手术时间,血液损失和术后疼痛.
主要方法:
- 从2021年11月到2023年6月的前性数据收集.
- 包括接受妇科紧急情况的患者.
- 对人口统计学,外科外科特征和并发症的分析.
主要成果:
- 17名患者接受了vNOTES,用于异位妊娠,附扭曲,血或子宫出血.
- 这些手术包括切除术,囊切除术,扭曲术和排水术,平均手术时间为38分钟,血液损失最小.
- 没有发生手术内并发症或需要转换为腹腔镜/腹腔切除术,手术后疼痛较低,住院时间短.
结论:
- vNOTES是一种可行的方法,用于妇科紧急情况,如异胎妊娠和尾扭伤.
- 这项研究表明vNOTES在紧急妇科护理中比腹腔镜有潜在的优势.
- 需要进行更大规模的研究来确认益处,并将vNOTES作为标准的紧急程序.
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