Abstract
Report surgical technique for pure NOTES transvaginal sterilization. Patient 32 years old, IIG. Surgical steps: 1 Trendelenburg patient positioning, vaginal washing with povidone iodine solution, urinary catheter placement. 2 5mm umbilical trocars placement for pneumoperitoneum and optical control of the vaginal approach. 3 Posterior colpotomy 2cm length, introduction of a single channel gastroscope, placement of uterine manipulator. 4 Peritoneoscopy, positioning of the endoscope in retroflexion identifying the Fallopian tubes; QuickClip are applied in each tube, followed by tube coagulation with coagrasper.
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