Minimally Invasive Therapy & Allied Technologies最新文献_第2页

Is colonic J-pouch superior to other reconstructive techniques after total mesorectal excision? A systematic review with meta-analysis. 直肠全系膜切除术后结肠j -袋是否优于其他重建技术？荟萃分析的系统综述。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2025-02-17 DOI: 10.1080/13645706.2025.2467040

Alberto Arezzo, Antonella Nicotera, Roberto Passera, Salvatore Pucciarelli, Edoardo Forcignanò, Steven Brown, Mario Morino

{"title":"Is colonic J-pouch superior to other reconstructive techniques after total mesorectal excision? A systematic review with meta-analysis.","authors":"Alberto Arezzo, Antonella Nicotera, Roberto Passera, Salvatore Pucciarelli, Edoardo Forcignanò, Steven Brown, Mario Morino","doi":"10.1080/13645706.2025.2467040","DOIUrl":"10.1080/13645706.2025.2467040","url":null,"abstract":"Background: Different reconstruction techniques after total mesorectal excision have been described, such as straight coloanal anastomosis, colonic J-pouch, side-to-end anastomosis and transverse coloplasty pouch. Establishing which technique is the best in functional terms is essential to improving a patient's quality of life.Methods: We compared benefits and harms of different reconstructive techniques. The primary outcome was to compare functional results at 18 months after surgery (long-term). Secondary outcomes were the same as primary but at different time intervals (short-term and medium-term) and perioperative morbidity and mortality.Results: Forty-one reports of 36 trials were included in the analysis. According to primary outcome, no significant difference was observed in terms of bowel frequency, while colonic J-pouch resulted in a lower incidence of faecal urgency only compared to side-to-end. Only up to 18 months after bowel restoration bowel frequency, fecal urgency and the number of individuals using anti-diarrheal medications were reduced in the colonic J-pouch group. No difference in mortality/morbidity could be assessed among the techniques, but a lower rate of anastomotic leak after side-to-end compared to straight coloanal anastomosis was observed.Conclusions: Evidence suggests that reconstruction with colonic J-pouch offers similar long-term benefits to straight coloanal anastomosis and Transverse coloplasty pouch, while superior to side-to-end.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"153-165"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of liposomal as compared to standard bupivacaine for intercostal nerve blocks in patients undergoing minimally invasive thoracic surgery: a systematic review and meta-analysis. 与标准布比卡因相比，脂质体对微创胸外科患者肋间神经阻滞的疗效：一项系统评价和荟萃分析。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2024-12-24 DOI: 10.1080/13645706.2024.2440910

Ruliang Chen, Zhibo Wang

{"title":"Efficacy of liposomal as compared to standard bupivacaine for intercostal nerve blocks in patients undergoing minimally invasive thoracic surgery: a systematic review and meta-analysis.","authors":"Ruliang Chen, Zhibo Wang","doi":"10.1080/13645706.2024.2440910","DOIUrl":"10.1080/13645706.2024.2440910","url":null,"abstract":"Background: This review aimed to provide evidence on the efficacy of liposomal bupivacaine as compared to standard bupivacaine for intercostal nerve blocks (ICB) in patients undergoing minimally invasive thoracic surgery.Methods: Randomized controlled trials (RCTs) and comparative observational studies published on the databases of PubMed, CENTRAL, Web of Science, and Embase up to June 20, 2024, were included. Total opioid consumption in morphine equivalents, pain scores, and length of hospital stay (LOS) were compared.Results: Two RCTs and eight observational studies were included. Eight hundred and four patients received liposomal bupivacaine while 631 patients received standard bupivacaine in the included studies. The meta-analysis showed that the use of liposomal bupivacaine for ICB did not reduce opioid consumption as compared to standard bupivacaine at 24 h, 48 h, and for the total duration of hospitalization. Pain scores were also not significantly different between the two groups at 24 h and 48 h. Meta-analysis showed that there was no difference in the LOS between intervention and control groups. Subgroup analysis based on study design also generated similar results.Conclusions: Mostly low-quality evidence shows that liposomal bupivacaine does not offer additional benefits over standard bupivacaine when used for ICB in patients undergoing minimally invasive thoracic surgery.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"219-229"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

10-year experience with single-site laparoscopic-assisted Soave operation for Hirschsprung disease. 10年单部位腹腔镜辅助Soave手术治疗先天性巨结肠疾病的经验。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-06-01 Epub Date: 2025-01-26 DOI: 10.1080/13645706.2025.2454966

Yun-Jin Wang, Yi-Fan Fang, Hua-Jun Cai, Liu Chen, Chao-Ming Zhou, Guo-Xian Guan

{"title":"10-year experience with single-site laparoscopic-assisted Soave operation for Hirschsprung disease.","authors":"Yun-Jin Wang, Yi-Fan Fang, Hua-Jun Cai, Liu Chen, Chao-Ming Zhou, Guo-Xian Guan","doi":"10.1080/13645706.2025.2454966","DOIUrl":"10.1080/13645706.2025.2454966","url":null,"abstract":"Background: The aim of this study was to investigate the clinical outcomes after a transumbilical single-site laparoscopic-assisted Soave operation (TSLSO) for Hirschsprung disease (HD) in children, with a 10-year follow‑up results assessment.Methods: We retrospectively analyzed the clinical data of 165 children with HD from January 2013 to January 2023. The operation method was a TSLSO. The operation time, intraoperative bleeding, postoperative abdominal drainage time, postoperative hospitalization time, and postoperative complications were analyzed.Results: All 165 cases were successfully completed using the TSLSO. The median operative time was 160 (120-210) minutes, and the median volume of bleeding was 9 mL (3-15 mL). The median length of the resected intestine was 25 cm (20-32 cm), and the median postoperative peritoneal drainage time was 4.2 days (3-6 days). Postoperative defecation function generally recovered well, there was no recurrence of constipation. There were three cases of anal stenosis, 12 cases of perianal dermatitis, two cases of adhesive intestinal obstruction, 14 cases of soiling, and 18 cases of enterocolitis.Conclusion: The TSLSO is a safe and feasible surgical method for the treatment of HD in children. It has the advantages of little bleeding, a good cosmetic effect, and fast postoperative recovery. However, it does require skilled laparoscopic technique by the surgeon.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"187-193"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available. 目前的腹腔镜胆总管探查模拟器是否适合用于捕捉该技术的复杂性？回顾文献并对现有文献进行评价。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-05-29 DOI: 10.1080/13645706.2025.2509220

Mohamed Aburrous, Marine Shao, Benjy Bailey, Charlotte Clark, Michael G Clarke, Ian Finlay, Allwyn Cota, James Clark

{"title":"Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available.","authors":"Mohamed Aburrous, Marine Shao, Benjy Bailey, Charlotte Clark, Michael G Clarke, Ian Finlay, Allwyn Cota, James Clark","doi":"10.1080/13645706.2025.2509220","DOIUrl":"https://doi.org/10.1080/13645706.2025.2509220","url":null,"abstract":"Background: Whilst endoscopic retrograde cholangiopancreatography (ERCP) remains the main line of treatment for choledocholithiasis, laparoscopic common bile duct exploration (LCBDE) offers a single-stage procedure and reduced hospital stay, cost and pressure on ERCP. However, LCBDE is a demanding technique that requires training in order to master, which could be achieved through simulation. The aim of this study was to highlight the suitability of currently available LCBDE simulators for surgical training and evaluate their practicality.Methods: Database search included Embase and Medline as well as grey literature for LCBDE simulation and training.Results: Nine dedicated simulators were identified to train on LCBDE. Five simulators were validated, of which only three are commercially available and only one model could train on laparoscopic ultrasound using augmented reality.Conclusions: Most identified LCBDE simulators are meeting basic criteria to train on the procedure steps. Synthetic models have been shown to improve training and operative performance in addition to shortening learning curves, many at low cost, especially when used within a constructed surgical curriculum program. However, more investment in development and implementation is required to meet the growing need, including training on laparoscopic ultrasound. Only one primitive virtual reality-based simulator was identified and did not meet the criteria for training.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of safety for self-retracting intraperitoneal device for small bowel in minimally invasive surgery. 微创手术中自收放式腹腔内装置安全性的验证。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-05-21 DOI: 10.1080/13645706.2025.2500742

Samer Abu Salem, Koby Goren, Samer Michael, Ronit Brodie, David Kushnir, Jenia Yagil, Gabriel Szydlo Shein, Brigitte Helou, Gad Marom, Yoav Mintz

{"title":"Validation of safety for self-retracting intraperitoneal device for small bowel in minimally invasive surgery.","authors":"Samer Abu Salem, Koby Goren, Samer Michael, Ronit Brodie, David Kushnir, Jenia Yagil, Gabriel Szydlo Shein, Brigitte Helou, Gad Marom, Yoav Mintz","doi":"10.1080/13645706.2025.2500742","DOIUrl":"https://doi.org/10.1080/13645706.2025.2500742","url":null,"abstract":"Background: Modernly, abdominal surgery has shifted to minimally invasive techniques with an inclination towards fewer incisions. This has made intra-abdominal retraction more challenging. Despite development in retracting instrumentation for solid organs, the mobilization of the bowel remains challenging due to its friable nature. Therefore, there is a need to investigate the safety profile of internal retractors such as the EndoGrab for small-bowel retraction.Methods: Twenty locations of small bowel were selected for EndoGrab retraction in two pigs. The locations were studied for iatrogenic injury at acute and delayed stages. Evaluation of injury was assessed clinically and histologically.Results: After the EndoGrab application, no immediate signs of perforation or ischemia were observed. The clinical post-operative course was uncomplicated. Histopathology findings included serosal compression and minimal mucosal ulceration. Long-term changes showed mild changes of focal edema and fibrosis, with inter-individual variability in severity.Conclusion: While there were no signs of overt macroscopic acute injury, minimal microscopic changes were evident. According to this small-scale study, the EndoGrab can provide an effective and safe solution for small-bowel self-retractors. More research is needed to acquire a higher level of evidence for safety. Such a solution could eliminate ports or assistants previously designed for retraction only.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

vNOTES hysterectomy versus laparoscopic hysterectomy: experiences and outcomes in a tertiary center. 子宫切除术与腹腔镜子宫切除术：三级中心的经验和结果。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-05-04 DOI: 10.1080/13645706.2025.2500097

Eralp Bulutlar, Gizem Berfin Uluutku Bulutlar, Latife Aslı Cilli, Çetin Kılıççı, Sadık Şahin

{"title":"vNOTES hysterectomy versus laparoscopic hysterectomy: experiences and outcomes in a tertiary center.","authors":"Eralp Bulutlar, Gizem Berfin Uluutku Bulutlar, Latife Aslı Cilli, Çetin Kılıççı, Sadık Şahin","doi":"10.1080/13645706.2025.2500097","DOIUrl":"https://doi.org/10.1080/13645706.2025.2500097","url":null,"abstract":"Background: This study compares vaginal natural orifice transluminal endoscopic surgery (vNOTES) and total laparoscopic hysterectomy (TLH) in terms of clinical outcomes, complications, and recovery.Methods: A retrospective study was conducted on 143 patients who underwent hysterectomy for benign gynecologic conditions (vNOTES: 63; TLH: 80). Demographic, intraoperative, and postoperative outcomes were analyzed.Results: vNOTES had a significantly shorter operative time (87 ± 22 vs. 103 ± 22 min, p < .001) and lower blood loss (138 ± 99 vs. 302 ± 132 cm3, p < .001). Postoperative pain scores were lower on days 1, 3, and 7 (p < .001). Patients ambulated earlier (5.87 ± 1.11 vs. 6.59 ± 1.28 h, p < .001) and resumed daily activities faster (6.83 ± 1.1 vs. 7.89 ± 1.17 days, p < .001). No significant differences were found in hospital stay (p = .10), intraoperative complications (p = 1.000), or re-intervention/readmission rates (p = 1.000).Conclusions: vNOTES is a safe, effective alternative to TLH with advantages in efficiency, pain management, and recovery. However, its learning curve may limit widespread use. Further studies are needed to confirm long-term benefits.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.7 4区医学

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

{"title":"Evaluation of the mid-term surgical outcomes of vNOTES sacrocolpopexy and vNOTES high uterosacral ligament suspension in pelvic organ prolapse.","authors":"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","doi":"10.1080/13645706.2025.2500095","DOIUrl":"https://doi.org/10.1080/13645706.2025.2500095","url":null,"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.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative outcomes of hysterectomy using single-port umbilical laparoscopy versus vaginal natural orifice transluminal endoscopic surgery. 单孔脐带腹腔镜子宫切除术与阴道自然孔腔内窥镜手术的比较结果。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-18 DOI: 10.1080/13645706.2025.2490080

Kemal Güngördük, Berican Şahin Uyar, Varol Gülseren

{"title":"Comparative outcomes of hysterectomy using single-port umbilical laparoscopy versus vaginal natural orifice transluminal endoscopic surgery.","authors":"Kemal Güngördük, Berican Şahin Uyar, Varol Gülseren","doi":"10.1080/13645706.2025.2490080","DOIUrl":"https://doi.org/10.1080/13645706.2025.2490080","url":null,"abstract":"Background: This study compared two minimally invasive hysterectomy techniques-single-port umbilical laparoscopy (SPLS) and vaginal natural orifice transluminal endoscopic surgery (vNOTES)-in terms of operating time, blood loss, postoperative pain, and hospitalization duration.Methods: We retrospectively analyzed patients who underwent hysterectomy via SPLS or vNOTES. Inclusion criteria were patients who had a hysterectomy with bilateral salpingectomy, with additional procedures such as salpingo-oophorectomy or sentinel lymph node dissection as indicated.Results: Among the 121 patients studied, 63 underwent SPLS and 58 underwent vNOTES. The mean operative time was 67.3 ± 15.9 min for vNOTES and 75.7 ± 12.1 min for SPLS. Six patients (9.5%) in the SPLS group and four (6.9%) in the vNOTES group underwent sentinel lymph node biopsies for endometrial cancer. Pain assessment at six, 12, and 24 h after surgery indicated lower visual analog scale (VAS) scores in the vNOTES group. Notably, patients in that group reported reduced shoulder and umbilical pain at 24 h postoperatively. Those patients also showed improved sexual function index scores and reduced dyspareunia, although the differences were not statistically significant.Conclusions: The vNOTES approach to hysterectomy is a viable alternative, characterized by shorter operative times and decreased postoperative pain without increasing complication rates.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive approach in emergency for the treatment of acute incarcerated/strangulated ventral hernias. A systematic review and meta-analysis. 治疗急性嵌顿/绞窄性腹股沟疝的急诊微创方法。系统回顾和荟萃分析。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-06 DOI: 10.1080/13645706.2025.2487789

Andrea Balla, Alberto Sartori, Mauro Podda, Manuel Cuevas Cabrera, Livia Bressan, Simone Rattizzato, Monica Ortenzi, Eugenio Licardie, Salvador Morales-Conde

{"title":"Minimally invasive approach in emergency for the treatment of acute incarcerated/strangulated ventral hernias. A systematic review and meta-analysis.","authors":"Andrea Balla, Alberto Sartori, Mauro Podda, Manuel Cuevas Cabrera, Livia Bressan, Simone Rattizzato, Monica Ortenzi, Eugenio Licardie, Salvador Morales-Conde","doi":"10.1080/13645706.2025.2487789","DOIUrl":"https://doi.org/10.1080/13645706.2025.2487789","url":null,"abstract":"Background: This study aims to report the currently available evidence on minimally invasive surgery (MIS) in emergency settings for treating acute incarcerated/strangulated ventral, primary, or incisional hernias and compare it with the open approach.Methods: A systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement.Results: Six articles were included. Results of the meta-analysis based on 1720 patients and two articles show that the mean operative time was shorter in the open repair group compared to the MIS group (mean difference [MD], 39.53 min; p < 0.0002). Overall, 116 (13.6%) and 181 (20.9%) postoperative complications were observed after MIS and open repair, respectively (relative risk [RR], 0.65; p = 0.61). MIS was associated with a statistically significantly lower wound complication rate than the open approach (RR, 0.43; p = 0.50). The two approaches showed equivalent results regarding return to the operative room (RR, 0.61; p = 0.13). The mean hospital stay in the MIS group was shorter than the open group (MD, -0.68; p = 0.99).Conclusions: MIS in emergency settings seems feasible for treating acute incarcerated ventral hernias. However, due to the limitations of the included studies, the obtained evidence should be analyzed with caution. Further prospective studies are required to draw definitive conclusions.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

vNOTES chromopertubation: a new method for assessing tubal patency and peritubal anatomy. 彩色插管：一种评估输卵管通畅和输卵管周围解剖的新方法。

IF 1.7 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-04-01 Epub Date: 2024-12-01 DOI: 10.1080/13645706.2024.2435556

Murat Levent Dereli, Pınar Birol İlter, Esra Keleş, Gazi Yıldız, Pınar Yıldız, Özgür Kartal, Emre Mat

{"title":"vNOTES chromopertubation: a new method for assessing tubal patency and peritubal anatomy.","authors":"Murat Levent Dereli, Pınar Birol İlter, Esra Keleş, Gazi Yıldız, Pınar Yıldız, Özgür Kartal, Emre Mat","doi":"10.1080/13645706.2024.2435556","DOIUrl":"10.1080/13645706.2024.2435556","url":null,"abstract":"Background: We conducted a retrospective cohort study of women with suspected tubal factor infertility who underwent vaginal natural orifice endoluminal surgery (vNOTES) chromopertubation and adnexal anatomy assessment at a large referral hospital.Methods: Twelve women aged between 29 and 38 years with suspected tubal factor infertility who underwent vNOTES chromopertubation were retrospectively examined. Demographic data, as well as clinical and surgical characteristics, were reviewed and the surgical technique was defined.Results: The mean BMI was 34.2 ± 7.12 kg/m2 (range 24.7-42.6). No conversion to laparotomy or laparoscopy was required. The median operative time was 39 (26.5-42) minutes. The median VAS scores at six and 12 h postoperatively were 3.5 (3-4) and 2 (1-2), respectively. There were no complications and all patients were discharged at the 12th postoperative hour.Conclusions: Considering the increased risk of surgical morbidity and mortality associated with increasing BMI and the difficulty in gaining access to the abdominal cavity not only in obese women but also in cases with previous extensive midline incisions, where dense intra-abdominal adhesions are likely, or in cases where esthetic considerations are important, vNOTES appears to be a useful alternative to assess tubal patency and adnexal anatomy and even to perform concomitant adnexal surgery.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"144-151"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0