A case of Transvaginal NOTES (vNOTES) hysterectomy. Multidisciplinary minimal invasive approach for all aspects VNotes Hysterectomy

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Gülçin Çetin Uysal
Şeniz Bektur


Umbilical single-port surgeries developed with advanced technological equipment like flexıble optics and reticulated graspers. Single-port surgeries decreased skin incision and multiple port-site pain concerns.

Case: In this study, a 74-years-old, postmenopausal female had P2G2 descensus uteri, subtotal uterine prolapse. Complaints were about vaginal mass disturbing life quality associated with bladder incontinence. vNOTES Hysterectomy performed. Case: vNOTES Hysterectomy was performed and spinal anaesthesia was used as a regional anaesthesia (RA) for the procedure. vNOTES allow for safe surgery for ovarian and adnexal structures and visual exploration in the abdominal cavity.

Conclusion: vNOTES Hysterectomy allows safe surgery, especially for elderyl and uterine prolapse cases.


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How to Cite
Uysal, G. Çetin, & Bektur, Şeniz. (2022). A case of Transvaginal NOTES (vNOTES) hysterectomy. Multidisciplinary minimal invasive approach for all aspects: VNotes Hysterectomy. Medical Science and Discovery, 9(4), 263–264. https://doi.org/10.36472/msd.v9i4.712
Case Reports
Received 2022-04-01
Accepted 2022-04-22
Published 2022-04-29


Kalloo AN, Singh VK, Jagannath SB, Niiyama H, Hill SL, Vaughn CA, Magee CA, Kantsevoy SV. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointestinal endoscopy. 2004 Jul 1;60(1):114-7.

Clark MP, Qayed ES, Kooby DA, Maithel SK, Willingham FF. Natural orifice translumenal endoscopic surgery in humans: a review. Minimally invasive surgery. 2012 Jun 6;2012.

Lee CL, Wu KY, Su H, Ueng SH, Yen CF. Transvaginal natural-orifice transluminal endoscopic surgery (NOTES) in adnexal procedures. Journal of minimally invasive gynecology. 2012 Jul 1;19(4):509-13.

Agostini A, Bretelle F, Cravello L, Maisonneuve AS, Roger V, Blanc B. Vaginal hysterectomy in nulliparous women without prolapse: a prospective comparative study. BJOG: An International Journal of Obstetrics & Gynaecology. 2003 May;110(5):515-8..

Baekelandt J, De Mulder PA, Le Roy I, Mathieu C, Laenen A, Enzlin P, Weyers S, Mol BW, Bosteels JJ. Postoperative outcomes and quality of life following hysterectomy by natural orifice transluminal endoscopic surgery (NOTES) compared to laparoscopy in women with a non-prolapsed uterus and benign gynaecological disease: a systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017 Jan 1;208:6-15.

Yang YS, Kim SY, Hur MH, Oh KY. Natural orifice transluminal endoscopic surgery-assisted versus single-port laparoscopic-assisted vaginal hysterectomy: a case-matched study. Journal of Minimally Invasive Gynecology. 2014 Jul 1;21(4):624-31.

Bajwa SJ, Kulshrestha A. Anaesthesia for laparoscopic surgery: General vs regional anaesthesia. Journal of minimal access surgery. 2016 Jan;12(1):4.

Raimondo D, Borghese G, Mastronardi M, Mabrouk M, Salucci P, Lambertini A, Casadio P, Tonini C, Meriggiola MC, Arena A, Tarozzi G. Laparoscopic surgery for benign adnexal conditions under spinal anaesthesia: Towards a multidisciplinary minimally invasive approach. Journal of gynecology obstetrics and human reproduction. 2020 Sep 1;49(7):101813.