Vnotes Oophorectomy

14.05.2026 Prof. Dr. Cihan Kaya

Ovary Removal (Oophorectomy) with vNOTES – Patient Information Guide

What is Ovary Removal with vNOTES?

With the vNOTES method, the ovary can be removed vaginally without an abdominal incision. This method is known as scarless surgery.

In Which Cases Is It Performed?

• Large ovarian cysts
• Recurrent cysts
• Ovarian torsion
• Suspicious masses (selected cases)
• Risk-reducing surgery

How Is the Surgery Performed?

• Vaginal access is gained
• The abdominal cavity is visualized with a camera
• The ovary is safely removed
• No abdominal incision is made

Advantages

• No abdominal scar
• Less pain
• Faster recovery
• Shorter hospital stay

Surgery Duration and Anesthesia

It is generally performed under general anesthesia and takes an average of 45–90 minutes.

Who Is It Suitable For?

• Patients with suitable anatomical structure
• Those seeking minimally invasive surgery
• Selected ovarian pathologies

Who Is It Not Suitable For?

• Extensive adhesions
• Large masses suspicious for malignancy
• Cases where vaginal access is difficult

Post-Surgery

• Discharge on the same day or the next day
• Mild pain may occur
• Rapid return to daily life

Points to Consider

• Avoid heavy lifting for 2–4 weeks
• Doctor's follow-up appointments should not be missed

Possible Risks

• Bleeding
• Infection
• Injury to adjacent organs (rare)
• Hormonal changes (if both sides are removed)

Clinical Fact

Oophorectomy with vNOTES is a safe and effective method in suitable patients.

Conclusion

Ovary removal with vNOTES is a comfortable and modern treatment option with the advantage of scarless surgery.

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