In Which Conditions Can It Be Applied?
It can be applied especially in patients who do not desire children and require hysterectomy due to large fibroids causing irregular menstrual bleeding, frequent urination, constipation, pain during intercourse, and persistent pelvic pain.
Additionally, it can be easily applied in patients who wish to preserve their uterus, especially for fibroids located close to the outer part of the uterus.
How is vNOTES Performed?
In cases where the uterus is completely removed or preserved, the abdominal cavity is accessed through 2-3 cm incisions made at the deepest point of the vaginal area. With the help of specially developed vaginal protective platforms for this surgery, the organs within the abdomen are made visible.
With the aid of a camera and laparoscopic instruments, the uterus is appropriately separated from its supporting ligaments and vessels and removed from the abdomen. The vaginal tissue is then repaired, completing the operation.
Reproductive organs are adjacent to the vaginal area and are easily accessible. Whether it's a vaginal hysterectomy or the removal of cysts, fallopian tubes, or ovaries while preserving the uterus, the procedure takes an average of 15-45 minutes.
Advantages
Due to the short operation time and the absence of abdominal incisions:
- Less pain
- Less need for painkillers
- Less blood loss
- Shorter hospital stay (6-24 hours)
- Earlier discharge
- Quicker return to daily activities
- No abdominal scars remain
Average discharge after surgery is 6-18 hours.
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