Abstract:
Objective
To investigate the feasibility and safety of flip method transvaginal natural orifice transluminal endoscopic surgery（vNOTES） adenomyosis foci resection.
Methods
The clinical data of 6 patients with adenomyosis admitted to the Department of Gynecology of Kelamayi Central Hospital from Jul. 2024 to Sept. 2024 were reviewed，and the experience was summarized.
Results
The median age of the patients included in the study was 44. 5 years （38-48 years），and the mean BMI was 21. 30 ±1.18 kg/m2. All patients underwent successful resection of adenomyosis foci by the vNOTES reversal method，with a median operative time of 3.22 h （2.25-3.92 h），a median operative bleeding of 140 ml（50-600 ml），and 1 patient with blood transfusion （17%，1/6），1 patient with delayed healing of vaginal incision （17%，1/6），first postoperative menstrual PBAC score of 97 （14-110），first postoperative dysmenorrhea median VAS of 2 （0-5） were lower than preoperative levels，and none of the patients had intestinal injuries，ureteral or bladder injuries，postoperative infections，blood leakage from vaginal incision，infection of the severed end of the vagina，or incision dehiscence，complications such as abnormal vaginal discharge and lower abdominal pain.
Conclusions
The flip method of vNOTES adenomyosis foci excision is a safe and feasible surgical route，with favorable results in the near future.
Key words:
Flip method,
Vaginal natural orifice transluminal endoscopic surgery,
Uterine adenomyosis
Rihua Xu, Guoxiu Yu, Wenxi Li, Yanjun Shi, Jinsheng Ma, Dan Tang, Jingru Ouyang, Yunxia Li, Lei Hou, Jing Zhou. Clinical observation of “flip method” vNOTES adenomyosis lesion excision[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(06): 346-351.