Hysterectomy, Hysterectomy, Benign Uterine Diseases, Hysterectomy, Vaginal
Conditions
Keywords
vNOTES, vaginal hysterectomy, benign gynecology, surgical outcomes, Pain
Brief summary
This study aimed to compare the surgical outcomes of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and conventional vaginal hysterectomy (VH) for benign gynecological conditions. A prospective analysis will conducted at a tertiary hospital from January 2025 to February 2025. Patients aged 40-80 who underwent hysterectomy for benign indications will included. Outcomes will assessed included surgical outcomes, Visual Analog Scale (VAS) pain scores, and complication rates.
Interventions
PROCEDUREvNOTES
vNOTES for benign hysterectomy
PROCEDUREvaginal hysterectomy
vaginal hysterectomy for benign hysterectomy
Sponsors
Dr. Lutfi Kirdar Kartal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* aged between 40 and 80 years * undergo hysterectomy for benign gynecological conditions
Exclusion criteria
* history of urogynecological surgery (including pelvic organ prolapse surgery and mid-urethral sling procedures), * suspected gynecologic malignancies, * endometriosis, * tubal-ovarian abscesses, * pelvic organ prolapse exceeding grade 2, * individuals who refused to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the duration of surgery | The time from the beginning to the end of the operation | İnterval from initial incision to the completion of vaginal cuff closure (minute) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospitalization time | through study completion, an average of 1 month | Time from surgery to discharge (hours) |
| VAS score | postoperative 6th and 24 th hour | Visual Analog Score for pain at postoperative 6th and 24 th hour (0-10) |
| Uterin volume | through study completion, an average of 1 month | Uterine volume is quantified in milimeters based on measurement of pathological specimens, calculate using the formula (Uterine volume (ml)= (anterior-posterior diameter)\* (sagital diameter) \* (transverse diameter) \* 0,0005236 |
| Re-admission | within 1 month after discharge | Re-admission to hospital after discharge (yes/no) |
Countries
Turkey (Türkiye)
Contacts
Primary ContactGazi Yıldız, Assoc Prof
Backup ContactMehmet Mete Kırlangıç, Assoc Prof
Outcome results
None listed