{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:35:13Z","timestamp":1789133713842,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"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":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aims to describe our transvaginal natural orifice transluminal endoscopic surgery (vNOTES) technique for ectopic pregnancy that can be performed using conventional laparoscopic equipment with the addition of a self\u2010constructed pessary port and to evaluate the safety, feasibility, and outcomes of the technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective study evaluating outcomes of patients who underwent vNOTES for ectopic pregnancy (<jats:italic>n<\/jats:italic>\u00a0=\u00a021) between August 2019 and April 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one patients underwent vNOTES as intended without any intraoperative complications. Three patients (14.3%) were nulliparous, 16 patients (76.2%) had no history of vaginal delivery, and 13 patients (61.9%) had a history of at least one cesarean delivery. Eight patients (38.1%) had a history of previous abdominal surgery other than cesarean section. The mean duration of surgery was 43.4\u2009\u00b1\u200912.6\u00a0min. The mean visual analog scale scores for pain were 2.45\u2009\u00b1\u20091.13 at 2\u00a0h after surgery, 0.45\u2009\u00b1\u20090.83 at 12\u2009h after surgery, and 0.18\u2009\u00b1\u20090.36 at 24\u2009h after surgery. The median duration of postoperative hospital stay was 1\u00a0day (range, 1\u20132). There were no postoperative complications within 30\u2009days after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>vNOTES can be performed in an existing laparoscopy setup with the addition of a self\u2010constructed pessary port. vNOTES is a safe and effective surgical treatment option for ectopic pregnancy, even in patients who have not had a vaginal delivery and have had multiple abdominal surgeries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15165","type":"journal-article","created":{"date-parts":[[2022,1,25]],"date-time":"2022-01-25T06:00:48Z","timestamp":1643090448000},"page":"843-849","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1413-685X","authenticated-orcid":false,"given":"Gokay","family":"Ozceltik","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University Faculty of Medicine  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0975-9457","authenticated-orcid":false,"given":"Deniz","family":"Simsek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bursa Yuksek Ihtisas Education and Research Hospital  Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3833-0999","authenticated-orcid":false,"given":"Ismet","family":"Hortu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University Faculty of Medicine  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet O.","family":"Yeniel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University Faculty of Medicine  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail M.","family":"Itil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ege University Faculty of Medicine  Izmir 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