Hysterectomy via vNOTES approach. A case report

Abstract

Background: vNOTES (Vaginal Natural Orifices Transluminal Endoscopic Surgery), performed for the first time in 2010, is an emerging surgical technique that eliminates surgical trauma to the abdominal wall, through the use of natural orifices. Here we describe a case where this approach was used with excellent results. Due to the lack of reports using vNOTES surgery in Mexico, we present a case where this approach was achieved with excellent results. Objective: To report a case of hysterectomy using the vNOTES approach. Clinical case: A 60-year-old female, asymptomatic, referred for definitive procedure due to cervical intraepithelial neoplasia, after not accepting conservative management. A hysterectomy was performed using the vNOTES approach, lasting 100 minutes, with no eventualities or postoperative complications. She was discharged 24 hours after surgery, hemodynamically stable and asymptomatic, and without late complications. Conclusion: A hysterectomy was performed using the VNOTES approach successfully and without complications, with an adequate post-surgical evolution. Current evidence shows that the vNOTES approach to hysterectomy is an effective and safe surgery, which also combines the advantages of the vaginal approach with the laparoscopic approach.