Advancing apical POP treatment: a comparative analysis of vNOTES lateral suspension and laparoscopic lateral suspension.

IF 2 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI:10.1080/13645706.2025.2532108

Gizem Berfin Uluutku Bulutlar, Eralp Bulutlar, Ayşe Betül Albayrak Denizli, Çetin Kılıççı

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引用次数: 0

Abstract

Background: Apical pelvic organ prolapse (POP) significantly impacts quality of life. The vaginal natural orifice transluminal endoscopic surgery lateral suspension (vNOTES LS) combines the benefits of vNOTES and mesh-based suspension. This study compares clinical outcomes of vNOTES LS and laparoscopic lateral suspension (LLS) in patients with ≥ Stage 3 apical POP.

Methods: In this retrospective cohort study, 80 patients with ≥ Stage 3 apical and/or anterior wall defects underwent hysterectomy with vNOTES LS (n = 40) or LLS (n = 40) between January 2022 and January 2024. Perioperative parameters, postoperative outcomes, and POP-Q measurements (Ba and C) were analyzed.

Results: Preoperative characteristics, including BMI and prolapse stage, were comparable. Postoperative POP-Q measurements (Ba and C) significantly improved in the vNOTES LS group at day 1, month 6, and year 1 (p < 0.05). Operative time and hematocrit changes were similar (p > 0.05). Hospital stay was shorter with vNOTES LS (1.05 ± 0.22 vs. 2.2 ± 0.75 days, p < 0.05), and fewer complications were noted. No urinary injury, mesh erosion, or recurrence occurred in the vNOTES LS group.

Conclusions: vNOTES LS demonstrated comparable success to LLS with shorter hospital stays and fewer complications. Its minimally invasive nature highlights its potential as a promising alternative for selected patients.

查看原文本刊更多论文

推进根尖POP治疗：vNOTES外侧悬吊与腹腔镜外侧悬吊的比较分析。

背景：根尖盆腔器官脱垂（POP）显著影响患者的生活质量。阴道自然孔腔内窥镜手术侧悬架（vNOTES LS）结合了vNOTES和基于网格的悬架的优点。本研究比较了vNOTES LS和腹腔镜侧悬挂（LLS）治疗≥3期根尖POP患者的临床结果。方法：在这项回顾性队列研究中，80例≥3期根尖和/或前壁缺陷患者在2022年1月至2024年1月期间采用vNOTES LS （n = 40）或LLS （n = 40）进行子宫切除术。分析围手术期参数、术后结果和POP-Q测量值（Ba和C）。结果：术前特征，包括BMI和脱垂阶段，具有可比性。vNOTES LS组术后第1天、第6个月和第1年的POP-Q测量值（Ba和C）显著改善（p < 0.05）。vNOTES LS的住院时间较短（1.05±0.22天和2.2±0.75天，p）。结论：vNOTES LS与LLS相比，住院时间较短，并发症较少。它的微创性突出了它作为一种有希望的替代选择的潜力。

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.