Asian journal of endoscopic surgery · 2025
A New Technique in Pelvic Organ Prolapse: Performing Sacrocolpopexy Through Natural Orifice Surgery Kılıççı-Bulutlar Technique.
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Bulutlar Eralp, Bulutlar Gizem Berfin Uluutku, İzceyhan Gizem Boz, Kılıççı Çetin
Аннотация
OBJECTIVES: Pelvic organ prolapse (POP) significantly affects patients' quality of life, necessitating effective surgical interventions. Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) sacrocolpopexy has been developed as a minimally invasive technique to address these challenges. This study aims to describe the vNOTES sacrocolpopexy procedure and evaluate its outcomes in patients with Stage II or higher apical prolapse.
METHODS: A prospective study was conducted, including eight patients who underwent vNOTES sacrocolpopexy between January and March 2024. Surgical procedures followed a standardized protocol, and demographic data, surgical details, and postoperative outcomes were recorded. Operative results were analyzed using SPSS 22.0 software.
RESULTS: The vNOTES sacrocolpopexy procedure was successfully performed in all eight patients, with an average operation time of 62 min and minimal blood loss. Postoperative evaluations showed significant improvements in POP-Q scores. No intraoperative or 30-day postoperative complications were observed, and all patients were discharged on the 2nd postoperative day.
CONCLUSIONS: vNOTES sacrocolpopexy is a promising minimally invasive technique for managing POP, providing excellent cosmetic results and a comparable hospital stay to traditional approaches. The procedure aligns with recent trends favoring same-day discharge. While these findings support the wider adoption of vNOTES sacrocolpopexy in gynecological practice, further studies are necessary to assess long-term outcomes and potential complications.
METHODS: A prospective study was conducted, including eight patients who underwent vNOTES sacrocolpopexy between January and March 2024. Surgical procedures followed a standardized protocol, and demographic data, surgical details, and postoperative outcomes were recorded. Operative results were analyzed using SPSS 22.0 software.
RESULTS: The vNOTES sacrocolpopexy procedure was successfully performed in all eight patients, with an average operation time of 62 min and minimal blood loss. Postoperative evaluations showed significant improvements in POP-Q scores. No intraoperative or 30-day postoperative complications were observed, and all patients were discharged on the 2nd postoperative day.
CONCLUSIONS: vNOTES sacrocolpopexy is a promising minimally invasive technique for managing POP, providing excellent cosmetic results and a comparable hospital stay to traditional approaches. The procedure aligns with recent trends favoring same-day discharge. While these findings support the wider adoption of vNOTES sacrocolpopexy in gynecological practice, further studies are necessary to assess long-term outcomes and potential complications.