A comparative study of prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

BMC Women's Health Pub Date : 2025-04-12 DOI:10.1186/s12905-025-03709-z

Yayu Zhou, Yonghong Lin, Dingyu Xu, Li He, Lu Huang

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Abstract

Background: To assess and compare the efficiency and outcomes between prone split-leg position and lithotomy position in posterior uterine myomectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES).

Methods: 33 patients with posterior uterine myomectomy by vNOTES in the prone split-leg position and 15 patients in the lithotomy position were retrospectively recruited. Important baseline characteristics and outcome parameters such as age, body mass index, volume of myoma, delivery mode, hospital length, intraoperative blood loss, hemoglobin values before and 72 h after operation, VAS score, operation time and operation preparation time were compared between two patient groups.

Results: The operation time of the prone split-leg position group was significantly shorter than that of the lithotomy position group (P < 0.05), but the operation preparation time of the prone split-leg position group was longer than that of the lithotomy position group (P < 0.05). No significant difference was found in other indicators between the two patient groups.

Conclusions: Our study suggests the potential application of the prone split-leg position in posterior uterine myomectomy by vNOTES.

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经阴道自然腔镜下子宫肌瘤切除术中俯卧劈腿位与取石位的比较研究。

背景：评价和比较经阴道自然腔镜手术（vNOTES）后宫肌瘤切除术中俯卧劈腿位和取石位的疗效和结果。方法：回顾性分析33例采用俯卧劈腿体位vNOTES切除子宫肌瘤的患者和15例采用取石体位的患者。比较两组患者的年龄、体重指数、肌瘤体积、分娩方式、住院时间、术中出血量、术前及术后72 h血红蛋白值、VAS评分、手术时间及手术准备时间等重要基线特征及结局参数。结果：俯卧劈腿体位组的手术时间明显短于取石体位组(P)。结论：本研究提示俯卧劈腿体位在vNOTES子宫肌瘤切除术中的潜在应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.40

自引率

4.00%

发文量

444

审稿时长

>12 weeks

期刊介绍： BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.