Hysterectomy and vNOTES at Zydus Hospitals

Why is a Hysterectomy Recommended?

A hysterectomy is advised when other treatments are unable to provide adequate relief and the condition is significantly impacting a woman's quality of life. The most common reasons include heavy or prolonged menstrual bleeding, uterine fibroids, uterine prolapse, endometriosis, adenomyosis, and in some cases, gynaecological cancers of the uterus, cervix, or ovaries. In India, excessive menstrual bleeding and pain remain the leading reasons women undergo hysterectomy, followed by fibroids and cysts.

vNOTES — A New Era in Minimally Invasive Gynaecological Surgery

Among the most significant advances in gynaecological surgery in recent years is vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery). vNOTES is a novel minimally invasive technique that uses the vaginal opening as the surgical access point, after which endoscopic instruments are introduced, eliminating the need for any external skin incisions.

In simpler terms, the surgery is performed entirely through the vagina. No cuts on the abdomen. No visible scars.

The advantages of vNOTES include a scarless outcome, better surgical visualisation compared to the conventional vaginal approach, tolerable post-operative pain, fewer perioperative complications, and a shorter hospital stay.

When compared to conventional laparoscopic surgery, vNOTES is associated with reduced morbidity, improved cosmesis, lower pain scores, and a decreased length of hospital stay. This procedure can be done both laparoscopically and robotically.

vNOTES also offers potential advantages such as decreased operative time and improved patient outcomes.