AUTHOR=Zhang Shoufeng , Dong Zhiyong , Liu Junling , Qin Zhenyue , Wang Huihui , Bao Mingyue , Wei Weiwei , Shi Ruxia , Chen Jiming , Xia Bairong 

TITLE=Safety and Feasibility of Vaginal Delivery in Full-Term Pregnancy After Transvaginal-Natural Orifice Transluminal Endoscopic Surgery: A Case Series

JOURNAL=Frontiers in Surgery

VOLUME=9

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.888281

DOI=10.3389/fsurg.2022.888281

ISSN=2296-875X

ABSTRACT=<sec><title>Study Objective</title><p>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.</p></sec><sec><title>Design</title><p>A case series report.</p></sec><sec><title>Setting</title><p>A medical university hospital.</p></sec><sec><title>Patients</title><p>12 cases of successful delivery after transvaginal-natural orifice transluminal endoscopic surgery.</p></sec><sec><title>Interventions</title><p>Long-term follow-up of patients with fertility needs after transvaginal-natural orifice transluminal endoscopic surgery.</p></sec><sec><title>Measurements and Main Results</title><p>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.</p></sec><sec><title>Conclusion</title><p>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.</p></sec>