Cohort analysis compares vNOTES and conventional laparoscopy outcomes in managing ruptured ectopic pregnancy, suggesting vNOTES as a promising alternative.
In this cohort, vNOTES demonstrated shorter operative times, reduced insufflation pressures, and enhanced postoperative recovery compared with conventional laparoscopy. The results indicate that vNOTES could serve as a promising surgical alternative for selected patients presenting with ruptured ectopic pregnancy. Future multicenter investigations involving larger populations and extended follow-up periods-including assessments of fertility and quality of life-will be crucial to validate these findings.
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Genco et al. (2026) studied this question.
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