{"id":"https://openalex.org/W3099828567","doi":"https://doi.org/10.1002/ijgo.13483","title":"Vaginally assisted NOTES hysterectomy with adnexectomy (vNOTES) compared with conventional laparoscopy. A retrospective observational cohort study","display_name":"Vaginally assisted NOTES hysterectomy with adnexectomy (vNOTES) compared with conventional laparoscopy. A retrospective observational cohort study","publication_year":2020,"publication_date":"2020-11-16","ids":{"openalex":"https://openalex.org/W3099828567","doi":"https://doi.org/10.1002/ijgo.13483","mag":"3099828567","pmid":"https://pubmed.ncbi.nlm.nih.gov/33191509"},"language":"en","primary_location":{"id":"doi:10.1002/ijgo.13483","doi":"https://doi.org/10.1002/ijgo.13483","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ijgo.13483","pdf_url":null,"source":{"id":"https://openalex.org/S4210216427","display_name":"International Journal of Gynecology & Obstetrics","issn_l":"0020-6695","issn":["0020-6695","0020-7292","1879-3479"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Gynecology & Obstetrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047638112","display_name":"Levon Badiglian\u2010Filho","orcid":"https://orcid.org/0000-0001-8741-166X","observed_orcids":["https://orcid.org/0000-0001-8741-166X","https://orcid.org/0009-0008-0488-2166"]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Levon Badiglian\u2010Filho","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069837705","display_name":"Carlos Chaves Faloppa","orcid":"https://orcid.org/0000-0002-5803-8699","observed_orcids":["https://orcid.org/0000-0002-5803-8699","https://orcid.org/0000-0002-0180-5586"]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Carlos Chaves Faloppa","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110531222","display_name":"Ademir Narciso de Oliveira Menezes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ademir Narciso de Oliveira Menezes","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051126393","display_name":"Henrique Mantoan","orcid":"https://orcid.org/0000-0002-3869-9107","observed_orcids":["https://orcid.org/0000-0002-3869-9107"]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Henrique Mantoan","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021023183","display_name":"Lillian Yuri Kumagai","orcid":"https://orcid.org/0000-0003-1728-0523","observed_orcids":["https://orcid.org/0000-0003-1728-0523"]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Lillian Yuri Kumagai","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003962206","display_name":"Glauco Baiocchi","orcid":"https://orcid.org/0000-0002-8193-5582","observed_orcids":["https://orcid.org/0000-0002-8193-5582"]},"institutions":[{"id":"https://openalex.org/I3019035496","display_name":"AC Camargo Hospital","ror":"https://ror.org/03025ga79","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I3019035496"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Glauco Baiocchi","raw_affiliation_strings":["Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gynecologic Oncology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil","institution_ids":["https://openalex.org/I3019035496"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5047638112"],"corresponding_institution_ids":["https://openalex.org/I3019035496"],"apc_list":{"value":3597,"currency":"USD","value_usd":3597},"apc_paid":null,"fwci":1.7989,"has_fulltext":false,"cited_by_count":20,"citation_normalized_percentile":{"value":0.85220896,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":98},"biblio":{"volume":"153","issue":"2","first_page":"351","last_page":"356"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.0034000000450760126,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vnotes","display_name":"vNOTES","score":0.8309999704360962},{"id":"https://openalex.org/keywords/hysterectomy","display_name":"hysterectomy","score":0.8119999766349792},{"id":"https://openalex.org/keywords/salpingo-oophorectomy","display_name":"salpingo-oophorectomy","score":0.9750000238418579},{"id":"https://openalex.org/keywords/salpingectomy","display_name":"salpingectomy","score":0.8799999952316284},{"id":"https://openalex.org/keywords/conventional-laparoscopic-surgery","display_name":"conventional laparoscopy","score":0.8640000224113464},{"id":"https://openalex.org/keywords/benign-gynecologic-disease","display_name":"benign gynecologic disease","score":0.9409999847412109},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.843999981880188},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9300000071525574},{"id":"https://openalex.org/keywords/conversion-to-open-surgery","display_name":"conversion to open surgery","score":0.7239999771118164},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.49399998784065247}],"concepts":[{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7127848267555237},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.7104249000549316},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6893292665481567},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5953602194786072},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.5414969325065613},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.43784791231155396},{"id":"https://openalex.org/C3017593049","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Laparoscopic hysterectomy","level":3,"score":0.41808751225471497},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3673717975616455},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3414173722267151},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.27665162086486816},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10483837127685547}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007044","descriptor_name":"Hysterectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010535","descriptor_name":"Laparoscopy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010535","descriptor_name":"Laparoscopy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016022","descriptor_name":"Case-Control Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057605","descriptor_name":"Natural Orifice Endoscopic Surgery","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D057605","descriptor_name":"Natural Orifice Endoscopic Surgery","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057605","descriptor_name":"Natural Orifice Endoscopic Surgery","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D061646","descriptor_name":"Operative Time","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1002/ijgo.13483","doi":"https://doi.org/10.1002/ijgo.13483","is_oa":false,"landing_page_url":"https://doi.org/10.1002/ijgo.13483","pdf_url":null,"source":{"id":"https://openalex.org/S4210216427","display_name":"International Journal of Gynecology & Obstetrics","issn_l":"0020-6695","issn":["0020-6695","0020-7292","1879-3479"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Gynecology & Obstetrics","raw_type":"journal-article"},{"id":"pmid:33191509","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33191509","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W1970647726","https://openalex.org/W1977594800","https://openalex.org/W1985243880","https://openalex.org/W1993790913","https://openalex.org/W2033703134","https://openalex.org/W2035539078","https://openalex.org/W2055024184","https://openalex.org/W2056366600","https://openalex.org/W2082381686","https://openalex.org/W2128915069","https://openalex.org/W2170359011","https://openalex.org/W2767775433","https://openalex.org/W2782782541","https://openalex.org/W2793946931","https://openalex.org/W2809110505","https://openalex.org/W2896431192","https://openalex.org/W2904471181","https://openalex.org/W2922170353"],"related_works":["https://openalex.org/W4388563164","https://openalex.org/W4283784555","https://openalex.org/W3207283683","https://openalex.org/W3034327751","https://openalex.org/W2970965758","https://openalex.org/W3112817504","https://openalex.org/W4413346062","https://openalex.org/W4411187664","https://openalex.org/W4393319467","https://openalex.org/W3041450208"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"compare":[2],"vaginally-assisted":[3],"natural":[4],"orifices":[5],"endoscopic":[6,8],"transluminal":[7],"surgery":[9,171],"(vNOTES)":[10],"hysterectomy":[11,24],"with":[12,14,25],"salpingectomy/salpingo-oophorectomy":[13],"standard":[15],"laparoscopic":[16],"access.":[17],"METHODS:":[18],"Medical":[19],"records":[20],"for":[21,27,89],"patients":[22],"undergoing":[23],"adnexectomy":[26],"benign":[28],"disease":[29,51],"indication":[30],"between":[31,132],"February":[32,36],"1,":[33,37],"2019":[34],"and":[35,76,97,150,174,183],"2020":[38],"were":[39,44,70,79,92,107,141,163],"retrospectively":[40],"examined.":[41],"Exclusion":[42],"criteria":[43],"endometriosis,":[45],"previous":[46],"pelvic":[47,50],"radiotherapy,":[48],"inflammatory":[49],"history,":[52,123],"any":[53],"other":[54],"concurrent":[55],"surgery,":[56,59],"laparotomy,":[57],"robotic":[58],"and/or":[60],"traditional":[61],"vaginal":[62],"hysterectomy.":[63],"RESULTS:":[64],"Among":[65],"86":[66],"patients,":[67],"21":[68],"(24.4%)":[69],"allocated":[71,80],"to":[72,81,195,198],"a":[73,82],"vNOTES":[74,148,194],"group":[75,149,158],"65":[77],"(75.6%)":[78],"conventional":[83],"laparoscopy":[84,199],"(LAP)":[85],"group.":[86],"Mean":[87],"ages":[88],"the":[90,133,147,156,189],"groups":[91],"47.19":[93],"\u00b1":[94,99],"11.11":[95],"years":[96],"46.69":[98],"9.11":[100],"years,":[101],"respectively":[102],"(P":[103,159],"=":[104,160],"0.928).":[105],"There":[106,162],"no":[108,164],"statistically":[109,165],"significant":[110,166,181],"differences":[111,167],"in":[112,146,155,168],"age,":[113],"body":[114],"mass":[115],"index,":[116],"arterial":[117],"hypertension/diabetes,":[118],"smoking,":[119],"menopausal":[120],"status,":[121],"obstetric":[122],"number":[124],"of":[125,170],"abdominal":[126],"surgeries,":[127],"or":[128],"preoperative":[129],"hemoglobin":[130],"level":[131],"two":[134],"groups.":[135],"The":[136],"mean":[137],"(range)":[138],"operative":[139],"times":[140],"111.90":[142],"min":[143,152],"(80-180":[144],"min)":[145,154],"113.98":[151],"(64-350":[153],"LAP":[157],"0.904).":[161],"terms":[169],"indication,":[172],"specific":[173],"unspecific":[175],"complications,":[176],"conversions,":[177],"blood":[178],"transfusion,":[179],"reoperation,":[180],"ileus/emesis,":[182],"hospital":[184],"stay.":[185],"CONCLUSIONS:":[186],"Based":[187],"on":[188],"parameters":[190],"assessed,":[191],"we":[192],"found":[193],"be":[196],"comparable":[197],"among":[200],"our":[201],"cohort.":[202]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2020-11-23T00:00:00"}