Department of Obstetrics and Gynecology, the Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, China
ZHU Jiawei,ZHU Li,LIANG Zongwen, et al. Advantages of vNOTES hysterectomy combined with salpingectomy/adnexectomy in ERAS[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(9): 713-718.
Abstract：Objective: To compare the advantages of vNOTES, U-LESS and traditional laparoscopy in ERAS after hysterectomy combined with salpingectomy/adnexectomy. Methods: A total of 115 patients who underwent hysterectomy combined with salpingectomy/adnexectomy by vNOTES, U-LESS, and traditional laparoscopy were selected. The primary indicators included the first time off-bed after surgery, postoperative exhaust time, length of hospital stay after operation, the 24-hour pain score and the 48-hour pain score after operation, incidence of nausea, vomiting and abdominal distension. The secondary indicators included intraoperative blood loss, length of operation, the rate of postoperative fever, the cost of hospitalization,intraoperative and postoperative complication rate and incision cosmetic score. Additional indicators included the first urination time after surgery, rate of urinary retention, rate of urinary tract infection rate and the rate of dysuria.Results: In the vNOTES group, the first time to get out of bed was shorter, the time of first anal exhaust was the shortest, the length of hospital stay was the shortest, and the pain score was the lowest at 24 hours and 48 hours after operation (P<0.05). There was no significant difference in postoperative nausea, vomiting and abdominal rate among the three groups (P>0.05); the incision aesthetic score was also the highest (P<0.05); the postoperative micturition was not worse than the other two groups. Conclusion: vNOTES hysterectomy combined with salpingectomy/adnexectomy is worthy of clinical application with the benefits of get out of bed earlier, less pain,earlier exhaust, earlier discharge, sooner recovery and higher incision cosmetic score.
