Evaluation of the mid-term surgical outcomes of vNOTES sacrocolpopexy and vNOTES high uterosacral ligament suspension in pelvic organ prolapse.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-05-03 DOI:10.1080/13645706.2025.2500095

Pınar Birol Ilter, Esra Keles, Mehmet Mete Kirlangic, Gazi Yildiz, Arzu Bilge Tekin, Doguş Budak, Soner Gok, Levent Dereli, Niyazi Tug, Murat Yassa, Emre Mat

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引用次数: 0

Abstract

Background: This multicenter retrospective study aimed to assess the surgical outcomes of vNOTES-HUSLS and sacrocolpopexy after vNOTES hysterectomy for apical pelvic organ prolapse (POP).

Methods: A total of 101 patients were included. Pre and postoperative modified POP-Q scores, postoperative Visual Analog Scale (VAS) scores and complications were among the information gathered. POP-Q-C score of less than -1 cm was considered an apical recurrence. 'Overall success' was defined as the absence of each of the following factors: ≥ Stage 2 POP (in any compartment), retreatment for prolapse.

Results: vNOTES-HUSLS (n = 78) achieved an overall success rate of 92.2%, accompanied by a low intraoperative complication rate of 2.6% (n = 2) at the 23-month median follow-up. vNOTES-sacrocolpopexy (n = 23) achieved an anatomical success rate of 78.3% and exhibited a low intraoperative complication rate of 4.3% (n = 1) at the 21-month median follow-up. The apical prolapse recurrence rate was 2.6% and 8.7% in the HUSLS and sacrocolpopexy groups, respectively (p = 0.185). Total duration of surgery and VAS scores were significantly lower in the vNOTES-HUSLS group than in the vNOTES-sacrocolpopexy group.

Conclusions: In POP surgery, HUSLS and sacrocolpopexy may be performed using the vNOTES technique depending on the patient's preference for natural tissue repair or mesh use.

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vNOTES骶骶固定术和vNOTES高位子宫骶韧带悬吊术治疗盆腔器官脱垂的中期手术效果评价。

背景：本多中心回顾性研究旨在评估vNOTES- husls和骶结肠固定术在vNOTES子宫切除术后根尖盆腔器官脱垂（POP）的手术效果。方法：共纳入101例患者。收集术前和术后改良的POP-Q评分、术后视觉模拟评分（VAS）评分和并发症等信息。POP-Q-C评分小于-1 cm视为根尖复发。“总体成功”定义为不存在以下任何因素：≥2期POP（任何隔室），脱垂的再治疗。结果：在中位随访23个月时，vNOTES-HUSLS （n = 78）的总成功率为92.2%，术中并发症发生率为2.6% （n = 2）。在21个月的中位随访中，vnotes -骶colpopexy （n = 23）的解剖成功率为78.3%，术中并发症发生率为4.3% （n = 1）。骶colpopexy组和HUSLS组的根尖脱垂复发率分别为2.6%和8.7% （p = 0.185）。vNOTES-HUSLS组的总手术时间和VAS评分明显低于vnotes -骶colpopexy组。结论：在POP手术中，根据患者对自然组织修复或使用补片的偏好，可以使用vNOTES技术进行HUSLS和骶colpop固定术。

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

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.