Bulutlar Eralp, Uluutku Bulutlar Gizem Berfin, Şahin Sadık
Zeynep Kamil Women's and Children's Diseases Training and Research Hospital, Istanbul, Türkiye, Türkiye.
Haydarpaşa Numune Education and Research Hospital, Endocrinology and Metabolism Clinic, Istanbul, Türkiye.
Ginekol Pol. 2025;96(8):624-629. doi: 10.5603/gpl.104335. Epub 2025 May 26.
Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) has emerged as a minimally invasive approach for hysterectomies, offering improved outcomes and patient satisfaction. Various techniques, including the GelPoint® and Glove methods, are used during V-NOTES procedures, each with potential advantages and drawbacks. This study aims to compare the effectiveness of the GelPoint® and Glove techniques in V-NOTES hysterectomy surgeries by evaluating their impact on surgical outcomes, complication rates, operative time, patient satisfaction, aesthetic results, and costs. This is a retrospective study analyzing data from patients who underwent V-NOTES hysterectomy between 2022 and 2024.
A total of 60 patients were included, divided into two groups based on the technique used: GelPoint (n = 30) and Glove (n = 30). Data on operative time, intraoperative and postoperative complications, hospital stay duration, aesthetic satisfaction, and costs were collected retrospectively.
The mean operative time was significantly shorter in the GelPoint group (85 ± 12 minutes) compared to the Glove group (102 ± 15 minutes, p < 0.01). Postoperative complication rates were also lower in the GelPoint group (7%) than in the Glove group (15%, p < 0.05). The material cost for the Glove technique was 200 USD, whereas for the GelPoint technique, it was 500 USD.
Both GelPoint and Glove techniques are safe and effective for V-NOTES hysterectomies. The GelPoint technique is associated with shorter operative times and fewer complications, whereas the Glove technique provides a more cost-effective solution.
经阴道自然腔道内镜手术（V-NOTES）已成为子宫切除术的一种微创方法，能带来更好的手术效果和患者满意度。在V-NOTES手术过程中使用了多种技术，包括GelPoint®技术和手套法，每种技术都有潜在的优缺点。本研究旨在通过评估GelPoint®技术和手套法对手术效果、并发症发生率、手术时间、患者满意度、美学效果和成本的影响，比较它们在V-NOTES子宫切除术中的有效性。这是一项回顾性研究，分析了2022年至2024年间接受V-NOTES子宫切除术患者的数据。
共纳入60例患者，根据所使用的技术分为两组：GelPoint组（n = 30）和手套法组（n = 30）。回顾性收集手术时间、术中及术后并发症、住院时间、美学满意度和成本的数据。
GelPoint组的平均手术时间（85±12分钟）明显短于手套法组（102±15分钟，p < 0.01）。GelPoint组的术后并发症发生率（7%）也低于手套法组（15%，p < 0.05）。手套法的材料成本为200美元，而GelPoint技术的材料成本为500美元。
GelPoint技术和手套法在V-NOTES子宫切除术中都是安全有效的。GelPoint技术手术时间更短，并发症更少，而手套法提供了更具成本效益的解决方案。
