[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hysterectomy-vaginal\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hysterectomy-vaginal":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,44],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":38,"leadSponsor":40,"locationsCount":43},"100507228","hysterectomy-by-transvaginal-natural-orifice-transluminal-endoscopic-surgery-versus-or-laparoscopic-hysterectomy-100507228",false,"NCT05884658","Hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery Versus or Laparoscopic Hysterectomy","vNOTEsHC: Hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery Versus or Laparoscopic Hysterectomy: a Randomized Controlled Trial","vNOTESHC","Inclusion Criteria:\n\n* Any woman received in preoperative consultation in the Gynecology-Obstetrics Department for a benign pathology of a uterus estimated to be large requiring a hysterectomy.\n* Patient affiliated or entitled to a social security system\n* Patients over 18 years of age\n* Patients having given their agreement to participate and after signing the consent form\n\nExclusion Criteria:\n\n* Woman refusing to participate in the study (lack of consent)\n* Non-French speaking woman (unable to conduct a good quality interview of the pregnant woman)\n* Participation in another interventional study.\n* Patient subject to a legal protection measure or unable to express her consent","FEMALE","18 Years",{"count":20,"type":21},200,"ESTIMATED","INTERVENTIONAL",[24],"NA","In France, there are approximately 62,000 hysterectomies per year, 70% of which are benign. It is the most frequent surgical procedure in gynecology.\n\nHysterectomies are performed via 3 routes: laparotomy, laparoscopy or vaginal route.\n\nThis choice of approach is particularly important in the case of large uteri (50% of uteri \\> 280g), which increase the risks of laparoconversion and bladder injury (NP3).\n\nThe vaginal route reduces the operating time and postoperative pain. Laparoscopy allows a better anatomical view and easier access to the neighbouring organs, which makes it the preferred approach, especially for young surgeons and when the uterus is large. However, the laparoscopic route is associated with an increase in the rate of conversion to laparotomy according to the volume of the uterus, as well as the rate of general per and postoperative complications compared with vaginal hysterectomy for uteri \\> 280 g. In a meta-analysis comparing laparoscopy and vaginal hysterectomy, the total prevalence of perioperative complications according to the classification of Clavien and Dindo was 27%. For large uteruses, complications by the vaginal route amounted to 15% and those by the laparoscopic route to 37.5%.\n\nThe data are not sufficient to give preference to one or other of the approaches, but for benign pathologies, for large uteri (\\>280 g), the minimally invasive laparoscopic or vaginal approaches are recommended by the CNGOF (grade C).\n\nA new Medical Device (MD), the vNOTES (Vaginal Natural Orifice Transluminal Endoscopy System) offers the advantage of two approaches for pelvic surgery by allowing minimally invasive surgery to be performed by endoscopy through the vagina, offering perfect vision for the assistants and the operator and without scarring. Two randomized trials have shown that vNOTES allows, compared to laparoscopy, to perform adnexectomies and hysterectomies without conversion with less pain, fewer postoperative complications and a shorter hospitalization time.\n\nThe first evaluations of vNOTES are encouraging and suggest a new era for pelvic surgery: less postoperative pain, fewer complications and facilitation of ambulatory care. Also the videoscopic assistance of the vNOTES is a pedagogical tool for the vaginal route because the field of vision is no longer limited to the operator alone. However, the vNOTES has only been evaluated by the developers of the tool, in monocentric studies and in small numbers. The hysterectomy study evaluated only 35 patients with vNOTES, half of whom had a uterus of less than 280 g. The benefit of vNOTES for uteri smaller than 280 g is not obvious because of the ease of the surgical procedure and the cost of the \"classic\" vaginal route. Our study would be the first multicentric and academic study on vNOTES to focus specifically on large volume uteri, the most difficult to operate and prone to postoperative complications.",[27],"Hysterectomy, Vaginal",[29,30],"natural orifice transluminal endoscopy system","large uteri","RECRUITING","2025-11-21",{"date":34,"type":35},"2025-11-26","ACTUAL",{"date":37,"type":35},"2024-12-23",{"date":39,"type":21},"2026-08",{"name":41,"class":42},"Centre Hospitalier Universitaire de Saint Etienne","OTHER",6,{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":4,"eligibilityCriteria":50,"healthyVolunteers":11,"sex":17,"minAge":51,"maxAge":52,"enrollmentInfo":53,"targetDuration":4,"studyType":22,"phases":55,"briefSummary":56,"conditions":57,"keywords":60,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":77},"100575779","vnotes-and-vaginal-hysterectomy-for-benign-indications-100575779","NCT06776718","VNOTES and Vaginal Hysterectomy for Benign Indications","Comparison of VNOTES and Vaginal Hysterectomy for Benign Indications","Inclusion Criteria:\n\n* aged between 40 and 80 years\n* undergo hysterectomy for benign gynecological conditions\n\nExclusion Criteria:\n\n* history of urogynecological surgery (including pelvic organ prolapse surgery and mid-urethral sling procedures),\n* suspected gynecologic malignancies,\n* endometriosis,\n* tubal-ovarian abscesses,\n* pelvic organ prolapse exceeding grade 2,\n* individuals who refused to participate in the study","40 Years","80 Years",{"count":54,"type":21},100,[24],"This study aimed to compare the surgical outcomes of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) and conventional vaginal hysterectomy (VH) for benign gynecological conditions.\n\nA prospective analysis will conducted at a tertiary hospital from January 2025 to February 2025. Patients aged 40-80 who underwent hysterectomy for benign indications will included. Outcomes will assessed included surgical outcomes, Visual Analog Scale (VAS) pain scores, and complication rates.",[58,59,27],"Hysterectomy","Hysterectomy, Benign Uterine Diseases",[61,62,63,64,65],"vNOTES","vaginal hysterectomy","benign gynecology","surgical outcomes","Pain","NOT_YET_RECRUITING","2025-01-13",{"date":69,"type":35},"2025-01-15",{"date":71,"type":21},"2025-01",{"date":73,"type":21},"2025-02",{"name":75,"class":76},"Dr. Lutfi Kirdar Kartal Training and Research Hospital","OTHER_GOV",1]