Myomectomy can be performed by vNOTES (vaginal Natural Orifices Transluminal Endoscopic Surgery).
vNOTES can be performed through anterior cul-de-sac incision.
vNOTES can be feasible for patients with uterine malformation.
Despite fibroid morcellation is time-consuming, it is worthwhile since the patient can be discharged the next day.
VNOTES is a novel technique that allows access to the pelvic-abdominal cavity through the vagina. Myomectomy can be performed by vNOTES even through anterior cul-de-sac incision and for selected cases of uterine malformation.
Here we present a 29-years-old patient with a complaint about pelvic discomfort. Pelvic examination revealed an 8 cm palpable mass in the right iliac region.
The magnetic resonance exam revealed a bicornuate uterus attached to a subserosal fibroid that was 7.7 × 6.6 × 6.0 cm in size. The fibroid was positioned anteriorly to the uterus so the vNOTES approach was indicated through the anterior cul-de-sac.
The surgery was performed without any complication and the patient was discharged the next day. The final pathological analysis confirmed uterine leiomyoma and the patient had a good postoperative evaluation.
In Conclusion, vNOTES myomectomy may be feasible for selected patients even with uterine malformation.Le texte complet de cet article est disponible en PDF.
Keywords : vNOTES, NOTES, Myomectomy, Fibroid, Vaginal, Uterine malformation
Vol 50 - N° 1Article 101911- janvier 2021 Retour au numéro
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