A case report of successful vaginal delivery for full-term pregnancy after transvaginal natural orifice transluminal endoscopic surgery(V-NOTES)

doi:10.3877/cma.j.issn.1674-6899.2020.05.011

Abstract

Abstract:

Objective

To investigate the safety and feasibility of vaginal delivery after transvaginal natural orifice transluminal endoscopic surgery(V-NOTES).

Methods

The clinical data of one case who underwent vaginal delivery after V-NOTES operation in the Affiliated NO.2 People′s Hospital of Nanjing Medical University were retrospectively analyzed and summarized. A 27-year-old female patient with right tubal ectopic pregnancy who accepted right salpingectomy via V-NOTES on Feb. 25, 2019, and recovered well after operation. The incision of posterior vaginal fornix healed well. She underwent vaginal natural delivery on Sep. 9, 2020.

Results

The parturient successfully delivered a healthy male infant of 3 600 g. The mother and child were in good condition, and there was no new laceration at the incision of posterior vaginal fornix. The results of regular follow-up were good.

Conclusions

Under the premise of strictly grasping the indications and contraindications of operation, if the surgeon was skilled in surgical techniques, the vaginal delivery of patients who accepted V-NOTES for gynecological diseases might be safe and feasible.

Key words: Transvaginal route, Single-port laparoscopy, Vaginal delivery, Full-term pregnancy

Shoufeng Zhang, Zhenyue Qin, Jiming Chen, Wendi Zhang, Hongxia Yu, Mingyue Bao, Huihui Wang, Huichao Xiao, Ying Cao, Yafeng Zheng, Yunfen Jiang, Ruxia Shi. A case report of successful vaginal delivery for full-term pregnancy after transvaginal natural orifice transluminal endoscopic surgery(V-NOTES)[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(05): 297-300.

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References 17

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