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Case Reports
. 2020 Dec;48(12):300060520981263.
doi: 10.1177/0300060520981263.

Vaginal hysterectomy combined with transvaginal natural orifice transluminal endoscopic surgery bilateral adnexectomy: a case report

Hanlin Yang  1 , Mengyue Yang  1 , Aduah Ransford  1 , Dan Zi  1
Affiliations
Case Reports

Vaginal hysterectomy combined with transvaginal natural orifice transluminal endoscopic surgery bilateral adnexectomy: a case report

Hanlin Yang et al. J Int Med Res. 2020 Dec.

Abstract

This current case report describes an elderly woman with pyometra that underwent successful vaginal hysterectomy and transvaginal natural orifice transluminal endoscopic surgery (vNOTES) bilateral adnexectomy after conservative anti-inflammatory drug treatment. The patient had a history of transvaginal delivery so this approach was considered the most appropriate. To the best of our knowledge, this is the first report to investigate the use of vaginal hysterectomy and vNOTES bilateral adnexectomy in an elderly patient with pyometra. The necessary steps to the procedure are shown in a narrated instructional video.

Keywords: Transvaginal natural orifice transluminal endoscopic surgery; bilateral adnexectomy; case report; pyometra; vNOTES; vaginal hysterectomy.

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Conflict of interest statement

Declaration of conflicting interest: The authors declare that there are no conflicts of interest.

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