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Hysterectomy is performed using the vNOTES method

What is vNOTES?

Fifth: vaginal

N: Natural

Him: nest

T: throughout the lumen

E: Laparoscopically

Question: Surgery

It is defined as surgical operations performed using laparoscopic instruments through the vagina, which is a natural opening, without making any incisions on the abdominal wall.

In which diseases can it be applied?

It can be especially applied to patients who do not want to have children and need hysterectomy due to large myomas, irregular menstrual bleeding, frequent urination, constipation, pain during intercourse, and persistent pain in the groin. Apart from this, it can also be easily applied to patients who want to protect the uterus, especially for myomas located close to the outer part of the uterus.

except this;

Removal of cysts while preserving the ovary,

Complete removal of the ovaries

If there is a blockage in the tubes, if the tubes are removed

In cases of ectopic pregnancy

In patients with uterine prolapse, vNOTES can be applied if the uterus is kept in place without the use of a patch.

How to implement vNOTES?

In cases where full hysterectomy or preservation of the uterus is performed, the abdominal cavity is entered through 2-3 cm incisions made at the deepest point of the vaginal area. Abdominal organs become visible thanks to vaginal protective pads specially developed for this surgery. With the help of a camera and laparoscopic instruments, the uterus is properly separated from its supporting ligaments and vessels and taken out of the abdomen. The procedure ends with the repair of vaginal tissue.

How long does vNOTES surgery take?

Reproductive organs are organs adjacent to the vaginal area and easy to reach. The process of removing the uterus through the vagina and removing cysts, tubes or ovaries while preserving the uterus takes an average of 15 to 45 minutes. To take. Since the surgery time is short and there is no incision in the abdominal area,

Didn’t I say no less?

Less need for painkillers

Less blood loss

Less hospital stay (6-24 hours)

early discharge

It is possible to return to daily work in a shorter time.

The average postoperative discharge is 6-18 hours later.

vNOTES oophorectomy was performed for the first time in our country in 2016 and took its place in the scientific literature. He has contributed to more than 15 international articles and numerous national and international meetings on this topic.

In our country; In Ankara, Istanbul, Izmir, Kütahya and Ordu

I trained nearly 500 doctors abroad in Lebanon, Jordan, Oman, Kuwait, UAE and Saudi Arabia to learn this technique.