vNOTES,阴道和腹腔镜子宫切除术的临床结果:来自单中心研究的见解
Ahkam Göksel Kanmaz1, Emrah Töz1, Kübra Adsaz1
1Department of Obstetrics and Gynecology, İzmir City Hospital, İzmir, Türkiye.
概括
与传统的阴道切除术 (VH) 和腹腔镜切除术 (LH) 相比,通过阴道天然孔的透光内镜术 (vNOTES) 切除子宫可以减少术后的疼痛和更少的并发症,用于良性子宫状况.
科学领域:
- 最少侵入性的妇科手术.
- 手术方面的创新.
- 比较有效性研究比较有效性研究
背景情况:
- 良性子宫病理需要切除子宫,最小侵入性方法越来越突出.
- 阴道切除术 (VH),腹腔镜切除术 (LH) 和经阴道自然孔透光内镜手术 (vNOTES) 是关键的最小侵入性技术.
- 对这些对良性疾病的技术的比较数据对于手术决策至关重要.
研究的目的:
- 为了比较VH,LH和vNOTES的临床结果,可行性和安全性.
- 为了评估手术时间,血液流失,疼痛,并发症和住院时间,这三种子宫切除术方法.
- 评估vNOTES在患有良性子宫病理的患者中的疗效.
主要方法:
- 一个单一中心的回顾性横截面研究包括1,146名为良性指示而接受子宫切除术的患者.
- 患者被分为VH (298),LH (730) 和vNOTES (118) 组.
- 测量的主要结果包括手术时间,估计的血液损失,术后疼痛 (VAS),并发症率 (Clavien-Dindo) 和住院时间.
主要成果:
- vNOTES表现出比LH更快的手术时间和最低的早期术后疼痛.
- vNOTES组的整体并发症率最低 (2.5%).
- 阴道袖口并发症仅在VH和LH组中观察到.
结论:
- 在适当选择的患者中,切除子宫是一个安全有效的选择,与早期术后疼痛和并发症的减少有关.
- 这些发现支持vNOTES作为一个可行的最小侵入性的替代方案.
- 建议通过前性多中心研究进行进一步验证.
更多相关视频
03:30Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
2.3K
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
10.5K
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
503
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
503
01:26Endoscopic Studies II: Thoracocentesis
1.2K
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...
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...
1.2K