A case of Transvaginal NOTES (vNOTES) hysterectomy. Multidisciplinary minimal invasive approach for all aspects

Umbilical single-port surgeries developed with advanced technological equipment like flexıble optics and reticulated graspers. Single-port surgeries decreased skin incision and multiple port-site pain concerns.Case: In this study, a 74-years-old, postmenopausal female had P2G2 descensus uteri, subtotal uterine prolapse. Complaints were about vaginal mass disturbing life quality associated with bladder incontinence. vNOTES Hysterectomy performed. Case: vNOTES Hysterectomy was performed and spinal anaesthesia was used as a regional anaesthesia (RA) for the procedure. vNOTES allow for safe surgery for ovarian and adnexal structures and visual exploration in the abdominal cavity.Conclusion: vNOTES Hysterectomy allows safe surgery, especially for elderyl and uterine prolapse cases.