{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:26:13Z","timestamp":1791419173940,"version":"4.3.3"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study objective was to compare intraoperative and early postoperative outcomes among patients who underwent hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (and single\u2010port lararoscopy for presumed benign gynecologic disorders).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed 40 patients who underwent single\u2010port laparoscopic hysterectomy and 20 patients who underwent hysterectomy via natural orifice transluminal endoscopic surgery. Patients' age, body mass index, history of previous delivery and surgery, total operation time (from skin incision to closure), intraoperative and postoperative complications conversion to another surgical procedure, drop of hemoglobin level, postoperative pain at 1 and 18\u2009h, average hospital stay, and clinical outcomes were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery was superior to single\u2010port hysterectomy concerning the length of hospitalization (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and visual analog scale at 1\u00a0h (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.024) and 18\u2009h (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In transvaginal natural orifice transluminal endoscopic group, postoperative complications were lower than single\u2010port laparoscopy group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.023). In transvaginal natural orifice transluminal endoscopy, group conversion to a standard vaginal hysterectomy occurred in two cases (10%). Four patients in the single\u2010port laparoscopic hysterectomy group had umbilical herniation, three had port\u2010site infections, and two patients had vaginal cuff hematoma. These patients required rehospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite hysterectomy via transvaginal natural orifice transluminal surgery has not yet found its place in routine practice in gynecology departments, it could be a prominent alternative approach to other minimally invasive surgical procedures in selected patients with many advantages including lesser pain and lower complication rates compared with single\u2010port laparoscopic hysterectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14874","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T10:17:23Z","timestamp":1625134643000},"page":"3288-3296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery versus single\u2010port laparoscopy: Comparison of early outcomes"],"prefix":"10.1111","volume":"47","author":[{"given":"Gulfem","family":"Basol","sequence":"first","affiliation":[{"name":"Department of Obstetricsand Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayfer Ozer","family":"Cora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kocaeli Private Cihan Hospital  Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Cansu","family":"Gundogdu","sequence":"additional","affiliation":[{"name":"Department of Obstetricsand Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Mat","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Department of Obstetrics and Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gazi","family":"Yildiz","sequence":"additional","affiliation":[{"name":"Department of Obstetricsand Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betul","family":"Kuru","sequence":"additional","affiliation":[{"name":"Department of Obstetricsand Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navdar Dogus","family":"Uzun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mardin State Hospital  Mardin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemine","family":"Uzel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Erzincan Binali Yildirim University, Mengucek Gazi Education and Research Hospital  Erzincan Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taner","family":"Usta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Acibadem University, Altunizade Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Kale","sequence":"additional","affiliation":[{"name":"Department of Obstetricsand Gynecology University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-015-0126-y"},{"key":"e_1_2_9_3_1","unstructured":"MackMJ.Developments in minimally invasive 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