None listed
Conditions
Interventions
Procedure/Surgery : Vaginal Natural Orifice Transluminal Endoscopic Surgery is performed on patients with benign gynecologic diseases such as adenomyosis and myoma. The vNOTES surgery is application o
Sponsors
Seoul National University Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1) Adult women, between 19 to 80 years of age 2) Patients whom lithotomy position and vaginal approach is possible 3) For patients aged 70 or more, patients who voluntarily agreed to consent form; patients unable to sit in lithotomy position or unable to approach vaginally in surgical field is excluded. 4) Patients suitable for surgery (American society of Anesthesiologists Physical Status classification 1 or 2) 5) Patients who understand the contents of the study and able to participate till the end 6) Patients who signed the consent form voluntarily
Exclusion criteria
Exclusion criteria: 1) Patients underaged or age over 80 2) Pregnant women, or lactating women 3) Patiens without prior sexual intercourse 4) Patients unable to sit in lithotomy position 5) Patients whom pelvic malignancy is suspected 6) Patients who underwent cesarean section twice or more 7) Patients whose posterior-cul-de-sac obliteration is suspected on bimanual pelvic exam 8) Patients who did not sign the consent form 9) Patients whom investigators decided is not suitable for the study or unable to complete the study for any reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients who successfully underwent vNOTES surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation related variables: Operation time, time from vaginal incision to vNOTES port setup, adhesion during surgery, type of port used, conversion to other methods, transfusion, bleeding amount, ICU admission;Variables during admission: Admission period, pain score after surgery in 8 hour intervals, NSAID or opioids use (intravenous), Postoperative complication (fever, urination difficulty, defecation difficulty, vaginal stump rulture, urinary tract injury, vascular injury), Hemoglobin level at postoperative day 1;Variables within three months: Reoperation, Readmission, Pathologic data | — |
Countries
Korea, Republic of
Contacts
Public ContactHaerin Paik
Seoul National University Hospital
Outcome results
None listed