vNOTES Hysterectomy: What about Obese Patients?
other
OA: green
CC-BY-NC-4.0
⚙
AI-generated summary
by claude@2026-06, 2026-06-07
ⓘ
This retrospective study compared vNOTES hysterectomies in obese and non-obese patients, finding no significant differences in intraoperative conversion or complications, though operative times were longer in obese patients.
⚙
AI-generated deep summary
by claude@2026-06, 2026-06-07
· read from full text
ⓘ
I can’t access the actual paper content because the provided text is a website anti-bot (Anubis) challenge page rather than biomedical study methods or results. As a result, I’m unable to determine what population, methods, or findings the study reports, or what limitations it explicitly states. The paper’s relationship to endometriosis or adenomyosis cannot be assessed from the supplied text, beyond the fact that no such discussion is present here. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
Abstract
STUDY OBJECTIVE: To compare the surgical outcomes of hysterectomy by vaginal natural orifice transluminal endoscopic surgery (vNOTES) for patients with body mass index (BMI) <30 and BMI ≥30.
DESIGN: A retrospective cohort study.
SETTING: A French teaching hospital.
PATIENTS: All patients who underwent a vNOTES hysterectomy from February 2020 to January 2022 were included (N = 200). The vNOTES approach was chosen for all patients requiring a hysterectomy, unless the procedure was for endometriosis or cancer (except grade 1 endometrioid adenocarcinoma).
INTERVENTIONS: Patients were categorized into 2 groups based on their BMI (<30 or ≥30 kg/m2). The population characteristics, surgical outcomes, and hospitalization outcomes were compared. The main outcome was the intraoperative conversion rate. Secondary end points were blood loss, operative time, perioperative and postoperative complications, and same-day surgery management.
MEASUREMENTS AND MAIN RESULTS: A total of 146 patients were included in the BMI <30 group, and 54 patients in the BMI ≥30 group. There was no statistical difference between obese and nonobese patients concerning intraoperative conversion (p = .150), with 4 cases occurring in the BMI <30 group (2.74%) and 4 occurring in the BMI ≥30 group (7.41%). Operative times were longer in obese patients (115.93 min [±55.28] vs 79.78 min [±40.38], p <.001). There was no significant difference in blood loss (p = .337) or perioperative and postoperative complications (p = .346 and p = .612, respectively). The ability to complete the surgery as a same-day procedure was no different between obese and nonobese patients (p = .150).
CONCLUSION: The results concerning intraoperative conversion and perioperative and postoperative complications show that vNOTES hysterectomies seem to be feasible for obese patients. When same-day surgery was decided before surgery, no more obese than nonobese patients were converted to conventional hospitalization. Further studies are needed to confirm these observations.
Full text
1,068 characters
· extracted from
oa-html
· click to expand
Making sure you're not a bot!
Loading...
You are seeing this because the administrator of this website has set up Anubis to protect the server against the scourge of AI companies aggressively scraping websites. This can and does cause downtime for the websites, which makes their resources inaccessible for everyone.
Anubis is a compromise. Anubis uses a Proof-of-Work scheme in the vein of Hashcash, a proposed proof-of-work scheme for reducing email spam. The idea is that at individual scales the additional load is ignorable, but at mass scraper levels it adds up and makes scraping much more expensive.
Ultimately, this is a placeholder solution so that more time can be spent on fingerprinting and identifying headless browsers (EG: via how they do font rendering) so that the challenge proof of work page doesn't need to be presented to users that are much more likely to be legitimate.
Please note that Anubis requires the use of modern JavaScript features that plugins like JShelter will disable. Please disable JShelter or other such plugins for this domain.
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.
My notes (saved in your browser only)
⚙
Ask this paper
AI returns verbatim quotes from the full text
· source: oa-html
ⓘ
Condition tags
endometriosis
MeSH descriptors
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Laparoscopy
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Natural Orifice Endoscopic Surgery
Citation neighborhood
(no data yet)
We don't have any in-corpus citations linked to this paper yet.
The paper's references may be in our DB but unresolved to
``paper_id`` (resolution happens at ingest when the cited DOI
matches a row we already have). Run the cross-source citation
reconcile pass to retry.
Source provenance
- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- pubmed
- last seen: 2026-05-27T00:33:55.579574+00:00
- unpaywall
- last seen: 2026-05-14T19:30:52.867331+00:00
License: CC-BY-NC-4.0
· commercial use OK
· attribution required
Courtesy of the U.S. National Library of Medicine