Vnotes Scarless Fibroid

14.05.2026 Prof. Dr. Cihan Kaya

Scarless Myoma Surgery with vNOTES – Patient Information Guide

What is Scarless Myoma Surgery with vNOTES?

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is a modern surgical method where myomas are removed by entering through the vaginal route, leaving no incision scars on the abdomen.

Purpose

To remove myomas, alleviate symptoms, and, if possible, preserve the uterus to improve the patient's quality of life.

Which Myomas Are Suitable?

• Selected intramural myomas
• Subserosal myomas
• Medium-sized myomas
• Myomas with suitable location

How Is the Surgery Performed?

• Entry is made through the vaginal route with a special device
• The abdominal cavity is visualized with a camera
• Myomas are removed
• The uterus is repaired
• No abdominal incision

Advantages

• No abdominal scar (scarless surgery)
• Less pain
• Faster recovery
• Shorter hospital stay
• Cosmetic superiority

Disadvantages

• May not be suitable for every myoma
• Requires technical experience

Surgery Duration

It usually takes 60–120 minutes and is performed under general anesthesia.

Who Is It Suitable For?

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

Who Is It Not Suitable For?

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

Post-Surgery

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

Pregnancy Plan

• Pregnancy is generally recommended 3–6 months later
• May vary depending on uterine repair

Possible Risks

• Bleeding
• Infection
• Recurrence of myoma
• Rare complications

Clinical Fact

Myoma surgery with vNOTES, with proper patient selection, ensures high success and patient satisfaction.

Conclusion

Scarless myoma surgery with vNOTES is one of the most comfortable and aesthetic solutions offered by modern surgery.

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