vNOTES Myoma

Myom Removal with vNOTES (vNOTES Myomectomy) – Patient Information Guide

What is vNOTES Myomectomy?

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

Which Fibroids Are Suitable?

• Subserosal fibroids
• Selected intramural fibroids
• Medium-sized fibroids
• Fibroids in suitable locations

How is the Surgery Performed?

• Vaginal access is made
• The fibroid is visualized with the help of a camera
• The fibroid is removed
• The uterus is repaired
• No abdominal incision

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 60–120 minutes.

Who is it Suitable For?

• Patients with suitable anatomical structure
• Selected fibroid cases
• Those desiring minimally invasive surgery

Who is it Not Suitable For?

• Very large fibroids
• Numerous fibroids
• Unsuitable location
• Extensive adhesions

After 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 appointments should not be missed
• If pregnancy is planned, discuss with the doctor

Possible Risks

• Bleeding
• Infection
• Recurrence of fibroid
• Weakness in the uterine wall (rarely)

Clinical Fact

vNOTES myomectomy is a safe and effective method in selected patients, but patient selection is crucial.

Conclusion

Fibroid removal with vNOTES is a scarless and comfortable surgical option. Personalized planning is required.