VNOTES Ectopic Pregnancy

14.05.2026 Prof. Dr. Cihan Kaya

Ectopic Pregnancy Surgery with vNOTES (Ectopic Pregnancy) – Patient Information Guide

What is Ectopic Pregnancy Surgery with vNOTES?

With the vNOTES method, ectopic pregnancy can be treated by entering through the vaginal route without making an incision in the abdomen. This method is known as scarless surgery.

What is Ectopic Pregnancy?

Ectopic pregnancy is a condition where the pregnancy implants outside the uterus, most commonly in the fallopian tubes. It is an important condition that requires early intervention.

In Which Cases is vNOTES Preferred?

• Stable patients
• Ectopic pregnancy diagnosed early
• Suitable anatomical structure
• Patients preferring minimally invasive surgery

How is the Surgery Performed?

• Entry is made via the vaginal route
• The abdominal cavity is visualized with a camera
• Ectopic pregnancy is identified
• Treated by preserving the tube (salpingostomy) or removing the tube (salpingectomy)

Advantages

• No abdominal scars
• Less pain
• Rapid recovery
• Shorter 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 early diagnosis
• Hemodynamically stable patients
• Those desiring minimally invasive surgery

Who is it Not Suitable For?

• Patients with severe internal bleeding
• Cases requiring emergency surgery
• Extensive adhesions

Post-Surgery

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

Points to Consider

• Doctor's appointments should not be missed
• Beta-hCG monitoring should be performed
• Doctor's advice should be sought for new pregnancy planning

Possible Risks

• Bleeding
• Infection
• Fallopian tube damage
• Risk of recurrent ectopic pregnancy

Clinical Fact

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

Conclusion

Ectopic pregnancy surgery with vNOTES is a scarless and comfortable surgical option. Early diagnosis and appropriate patient selection are important.

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