Optimizing V-NOTES hysterectomy: a comparative analysis of GelPoint and Glove techniques.

OBJECTIVES

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.

MATERIAL AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.