VNOTES (VAGINAL NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY)

vNOTES procedures

vNOTES procedures

What if a necessary gynecological procedure were possible without any visible scars? Using the vNOTES method, Asst. Prof. Dr. Resmiye Ermis operates through a natural access route – particularly gentle, precise, and with rapid recovery. Read here to find out whether vNOTES could be the solution for your symptoms.

Brief overview: when is a vNOTES procedure appropriate?

Many women wonder when a procedure is truly necessary and which method offers the gentlest solution. A vNOTES procedure may be considered when benign conditions such as fibroids or ovarian cysts cause symptoms and require surgical treatment. Even when the uterus needs to be removed, vNOTES can be a particularly gentle alternative. For many patients, the question of whether visible scars can be avoided also plays an important role.

Typical signs that should be evaluated include persistent lower abdominal pain, heavy or irregular bleeding, a feeling of pressure in the pelvis, or recurrent symptoms that affect everyday life. Whether vNOTES is the appropriate method for you is determined by Asst. Prof. Dr. Resmiye Ermis after a thorough examination. Decisive factors include your individual situation, your personal wishes, and the possibility of using a natural access route that places as little strain on the body as possible.

Before surgery, Asst. Prof. Dr. Resmiye Ermis takes the time to discuss your symptoms and your wishes in detail. Examinations and an ultrasound will show whether vNOTES is an appropriate option for you. This way, you know exactly what to expect and can approach the procedure well prepared.

On the day of surgery, you will be accompanied by our team. After a brief discussion with the anesthesiology team, anesthesia is administered and you fall asleep comfortably. During the procedure, you are fully monitored and medically cared for at all times.

The procedure is performed through a natural access route via the vagina. This means that no incisions on the abdominal skin are required. The surrounding tissue is preserved, and the body is subjected to less strain.

Depending on the findings, Asst. Prof. Dr. Ermis removes fibroids, cysts, or the uterus. The camera provides a clear view and enables precise and gentle surgical work.

At the end of the procedure, the access point in the vaginal vault is carefully closed. Because there are no external incisions, no visible scars are left and healing is usually uncomplicated.

After the procedure, you rest in the recovery room. Many women feel stable again quite quickly. Pain is usually mild and can be well controlled.

After the procedure, you will initially remain in the hospital for observation. Because the intervention is particularly gentle, recovery usually progresses quickly and discharge can take place soon.

Take some time for yourself in the first few days and avoid major physical strain. Light activities are usually possible again quite soon. Asst. Prof. Dr. Resmiye Ermis will explain how you can best support the healing process.

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