Tables1_Safety and Feasibility of Vaginal Delivery in Full-Term Pregnancy After Transvaginal-Natural Orifice Transluminal Endoscopic Surgery: A Case S.docx (19.48 kB)
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Tables1_Safety and Feasibility of Vaginal Delivery in Full-Term Pregnancy After Transvaginal-Natural Orifice Transluminal Endoscopic Surgery: A Case Series.docx

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posted on 28.04.2022, 05:28 authored by Shoufeng Zhang, Zhiyong Dong, Junling Liu, Zhenyue Qin, Huihui Wang, Mingyue Bao, Weiwei Wei, Ruxia Shi, Jiming Chen, Bairong Xia
Study Objective

The aim was to investigate the outcome of vaginal delivery of full-term pregnancies in patients after transvaginal-natural orifice transluminal endoscopic surgery (vNOTES) treatment for gynecological disorders.

Design

A case series report.

Setting

A medical university hospital.

Patients

12 cases of successful delivery after transvaginal-natural orifice transluminal endoscopic surgery.

Interventions

Long-term follow-up of patients with fertility needs after transvaginal-natural orifice transluminal endoscopic surgery.

Measurements and Main Results

From 2018 to 2021, 163 cases of gynecological diseases were treated by vNOTES. One hundred forty-seven patients were followed up, with a follow-up rate of 90.1%. The average follow-up time was 28 (15–47) months, including 66 cases with fertility requirements. Among these 66 patients, 12 patients successfully got pregnant and completed delivery, including 10 cases of vaginal delivery and 2 cases of cesarean section, with no adverse pregnancy outcomes associated with vNOTES arising.

Conclusion

Vaginal delivery of a full-term pregnancy after transvaginal-natural orifice transluminal endoscopic surgery appears to be safe and feasible and would not be one of the bases for elective cesarean delivery.

History