Minerva obstetrics and gynecology
Vaginal natural orifice transluminal endoscopic myomectomy
Par Fanourgiakis A, Lazaridis A, Baekelandt J et 4 autres.
Contenu en anglais
Résumé
Background
Vaginal natural orifice transluminal endoscopic surgery (vNOTES) avoids abdominal incisions and is increasingly used for benign gynecologic surgery, but evidence for fertility-sparing myomectomy remains limited.
Methods
We searched PubMed, MEDLINE, EMBASE and Scopus (January 1, 2000 - July 31, 2025) for comparative studies (vNOTES vs. multi-port or laparoendoscopic single-site [LESS] myomectomy) and single-arm vNOTES cohorts. Two reviewers screened/extracted data. Risk of bias was assessed using Newcastle-Ottawa (comparative) and Joanna Briggs Institute (JBI; case series). Random-effects meta-analysis (inverse-variance) was performed when mean ± standard deviation (SD) were available; heterogeneity was assessed with I2.