İşcan S. C., Hanedan C.
Turkish Journal of Clinics and Laboratory, no.1, pp.1-8, 2026 (TRDizin)
Abstract
Aim: This study retrospectively evaluated the data of the first 30 patients who underwent v-NOTES (vaginal natural orifice transluminal endoscopic surgery) hysterectomy for benign disease in our clinic. As a minimally invasive surgical method, v-NOTES offers advantages such as less pain, reduced blood loss, and cosmetic benefits. The primary aim was to assess the feasibility, safety, and effectiveness of the v-NOTES method. The secondary aim was to evaluate the surgical outcomes of the method.Material and Methods: Patients included were aged 40-75, had elective hysterectomy decisions for benign disease, and no malignancy was detected in preoperative evaluations. The study evaluated operation time, uterine weight, hospital stay duration, complication rates, and readmission rates within 30 days.Results: The results demonstrate that v-NOTES hysterectomy is a safe and effective method with low complication rates and a rapid recovery process.Conclusion: When performed by experienced surgeons, this technique yields successful outcomes even in cases of large uterus, obesity, and nulliparity. If the operation is performed by surgeons trained in v-NOTES and experienced in laparoscopy, even challenging cases can be managed with low complication rates, even during the initial learning phase.