Observational studyInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025
Early experience with the gasless vNOTES technique for adnexal surgery.
Observational study in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Early experience with the gasless vNOTES technique for adnexal surgery.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study evaluates the feasibility, safety, and outcomes of gasless vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery) for benign adnexal surgeries. MATERIALS AND
methodsThis was an observational, retrospective study performed in two centers with over 3 years of experience in vNOTES: the University Hospital Center of Nice (France) and Kantys Private Hospital Center (Nice, France). Gasless vNOTES adnexal surgery was performed without the use of pneumoperitoneum or abdominal parietal material. Procedures followed a standardized technique using a posterior colpotomy, the placement of a mesh to push the bowels, and a transvaginal access platform.
resultsFifty patients underwent gasless vNOTES adnexal surgery between December 18, 2023, and April 17, 2024. The median age of patients was 40.4 ± 9.7 years, with a median body mass index (BMI) of 22.4 (range 17.6-42.0). Thirteen patients (26.0%) had a history of abdominal or pelvic surgery. The most common procedure was bilateral salpingectomy (60.0%). The median and mean durations for all procedures were 21 min (range 15-60) and 27.4 min (SD ± 10.8), respectively. No postoperative bleeding complications were noted, but one patient developed an abscess requiring surgical intervention. Pain scores were low, with only one patient reporting pain (10/100 on the visual analog scale) 6 h post-surgery. Ninety percent of patients were managed in an ambulatory setting, with a median time to first stand-up of 4 h and 7 min.
conclusionGasless vNOTES adnexal surgery is a feasible and safe technique for surgeons experienced in vNOTES. It offers the potential for reduced postoperative pain and analgesic requirements without increasing operating time or complication rates, making it a viable alternative to conventional pneumoperitoneum-assisted vNOTES. Further prospective studies are needed to confirm these findings and evaluate long-term outcomes.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.