Vaginal Hysterectomy Versus Vaginal Assisted Natural Orifice Transluminal Endoscopic Surgery Hysterectomy; Results of a Randomised Controlled Trial.
BJOGMay 15, 2026 (epub)
Clinical ResearchObstetrics & Gynecology
Ilse P W Bekkers, Floor R M Wintraecken, Nicol A C Smeets et al.
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In 30 seconds
This multicenter randomized controlled trial compared Vaginal Hysterectomy (VH) and Vaginal Assisted Natural Orifice Transluminal Endoscopic Surgery (VANH) in women undergoing hysterectomy for benign conditions. The study found that VANH resulted in a significantly higher rate of same-day discharge (87.3% vs 71.4%; OR 2.76, 95% CI 1.04-7.25; p = 0.04) and shorter operative time compared to VH.
Key findings
- Same-day discharge occurred in 87.3% of VANH patients compared to 71.4% of VH patients.
- VANH had a significantly shorter operative time (median 55 min vs 65 min; p = 0.005).
- Intraoperative blood loss was significantly less in the VANH group (median 50 mL vs 150 mL; p < 0.001).
- Elective opportunistic salpingectomy was performed more often in the VANH group (100% vs 77.4%; p = 0.008).
Why it matters
The findings suggest that VANH may enhance patient outcomes by facilitating same-day discharge and reducing operative time and blood loss, which are important considerations in surgical practice.