{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:49:58Z","timestamp":1790052598931,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T00:00:00Z","timestamp":1374451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Natural orifice transluminal endoscopic surgery (<jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content>) is currently a very important topic for surgeons. This study aimed to describe the initial clinical experience of transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> for adnexal masses and investigate its feasibility and surgical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> in seven patients with adnexal masses through a 2\u2010cm incision in the posterior vaginal fornix. A transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> system comprising a wound protractor and a surgical glove with sheaths was used. Resection was performed according to the method of standard laparoscopic adnexal surgery. The adnexal mass was removed via the incision of the posterior vaginal fornix after complete resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Since <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2011, seven patients have undergone transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> for adnexal masses. All cases were completed successfully without conversion to standard laparoscopic approach. The median age of the patients was 48 years (range, 36\u201360) and the median body mass index was 23.6 (range, 20.4\u201325.3). The median tumor size was 6\u2009cm (range, 3.7\u20136.7). The median operative time was 45\u2009min (range, 40\u201380). The estimated blood loss was minimal (range, 5\u2013300\u2009mL). The median postoperative hospital stay was 2 days (range, 1\u20133). No postoperative complications were observed at follow\u2010up. All the patients were very satisfied with the cosmetic result.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings show transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> with our method to be a feasible, safe and effective surgical technique that results in excellent cosmesis. It may be an alternative technique for the treatment of properly selected female patients with adnexal masses. More experience and instrumental improvement suitable for transvaginal <jats:styled-content style=\"fixed-case\">NOTES<\/jats:styled-content> are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12108","type":"journal-article","created":{"date-parts":[[2013,7,23]],"date-time":"2013-07-23T04:44:17Z","timestamp":1374554657000},"page":"1604-1609","source":"Crossref","is-referenced-by-count":36,"title":["Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses"],"prefix":"10.1111","volume":"39","author":[{"given":"Yun Seok","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Eulji University  Daejeon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Haeng","family":"Hur","sequence":"additional","affiliation":[{"name":"Department of Nursing Eulji University  Daejeon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwoan Young","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Eulji University  Daejeon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Eulji University  Daejeon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2009.10.003"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350606290529"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.9.823"},{"key":"e_1_2_5_5_1","first-page":"152","article-title":"Primer caso de apendicectomia por via vaginal","volume":"8","author":"Bueno B","year":"1949","journal-title":"Tokoginecol Pract"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(01)02887-4"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60313-1"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00636.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/109264202760268050"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2741\/A153","article-title":"Management of benign adnexal masses by vaginal route","volume":"1","author":"Massi GB","year":"1996","journal-title":"Front Biosci"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2001.00003.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350611411492"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5272"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(02)00510-9"},{"key":"e_1_2_5_15_1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/0002-9378(66)90078-0","article-title":"Use of posterior culdotomy in pelvic operation","volume":"95","author":"Lee RA","year":"1966","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(04)01309-4"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.3393\/jksc.2010.26.6.429"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0453-z"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181a802e2"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0427-3"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9811-5"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.10.027"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1718-x"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.12108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T14:51:33Z","timestamp":1696171893000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.12108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,22]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1111\/jog.12108"],"URL":"https:\/\/doi.org\/10.1111\/jog.12108","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,22]]}}}