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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
SOSA-BRAVO, Francisco Jesús et al. Hysterectomy across vNOTES procedure. A case report. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.6, pp.454-461. Epub 31-Ago-2023. ISSN 0300-9041. https://doi.org/10.24245/gom.v91i6.8022.
BACKGROUND:
vNOTES surgery (Vaginal Natural Orifices Transluminal Endoscopic Surgery), first practiced in 2010, is an emerging surgical technique that eliminates surgical trauma to the abdominal wall by means of natural body orifices for the execution of surgical procedures. Due to the lack of reports with vNOTES in Mexico, we report the case of a patient in whom this access was applied, with good results.
CLINICAL CASE:
60-year-old asymptomatic patient referred for definitive treatment of a cervical intraepithelial lesion, because she did not accept the conservative treatment. The hysterectomy was performed by vNOTES access, with a duration of 100 minutes, without setbacks or postoperative complications. At 24 hours she was discharged from the hospital hemodynamically stable and asymptomatic, and without late complications.
CONCLUSION:
Hysterectomy by VNOTES access was successful, without complications and with adequate postoperative evolution. Current evidence demonstrates that vNOTES access for hysterectomy is an effective and safe procedure that combines the advantages of the vaginal and laparoscopic routes.
Palabras llave : vNOTES; Vaginal surgery; Mexico; Conservative treatment; Hysterectomy; Laparoscopic; Patient discharge.