VNOTES Cyst

14.05.2026 Prof. Dr. Cihan Kaya

Ovarian Cyst Removal with vNOTES – Patient Information Guide

What is Cyst Surgery with vNOTES?

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

Which Cysts Are Suitable?

• Functional cysts
• Dermoid cysts
• Endometrioma (chocolate cyst)
• Selected benign ovarian cysts

How is the Surgery Performed?

• Access is gained vaginally with special instruments
• The cyst is visualized with the help of a camera
• The cyst is removed or peeled away
• No abdominal incision is made

Advantages

• No abdominal scar
• Less pain
• Rapid recovery
• Short hospital stay

Surgery Duration and Anesthesia

It is generally performed under general anesthesia and takes an average of 30–90 minutes.

Who is it Suitable For?

• Patients with suitable anatomical structure
• Those with small to medium-sized cysts
• Those desiring minimally invasive surgery

Who is it Not Suitable For?

• Large or suspected malignant cysts
• Extensive adhesions
• Situations where vaginal access is difficult

Post-Surgery

• Discharge may be on the same day or the next day
• Mild pain may occur
• A quick return to daily life is ensured

Points to Consider

• Avoid heavy lifting for 2–4 weeks
• Doctor's check-ups should not be missed

Possible Risks

• Bleeding
• Infection
• Recurrence of the cyst
• Injury to adjacent organs (rare)

Clinical Fact

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

Conclusion

Ovarian cyst surgery with vNOTES is a scarless and comfortable surgical option. Personalized planning is important.

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