| CASE REPORT |
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| Year : 2020 | Volume
: 9
| Issue : 3 | Page : 179-181 |
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Transvaginal natural orifice transluminal endoscopic surgery myomectomy followed by hysterectomy
Phornsawan Wasinghon1, Chyi- Long Lee2, Shazia Khan3
1 Department of Obstetrics and Gynecology, Buddhachinaraj Hospital, Naresuan University, Phitsanulok, Thailand; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan
2 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou; Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan
3 Department of Obstetrics and Gynecology, Army Hospital Research and Referral, New Delhi, India
Correspondence Address:
Prof. Chyi- Long Lee
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou and Chang Gung University College of Medicine, No. 5, Fuxing Street, Kweishan, Taoyuan 333
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/GMIT.GMIT_62_18
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Transvaginal surgery is the most minimally invasive surgery for a gynecologic procedure. A 67-year-old woman who had four children with vaginal deliveries and one abortion, with no underlying disease and a body mass index of 22.4 kg/m2, came to the hospital due to menorrhagia. Her diagnosis was myoma uteri from an asymptomatic palpated mass at the lower abdomen. The ultrasonography showed a 9 cm × 5.9 cm myoma mass at the anterior wall of the uterus. After counseling, the transvaginal natural orifice transluminal endoscopic surgery (NOTES) operation was conducted on May 2018. The process was a transvaginal NOTES hysterectomy following a transvaginal NOTES-assisted myomectomy. The uterine weight was 376 g. In this case, the surgeons could not enter into the pelvic cavity completely because the myoma mass was attached to the bladder which led to the surgeons safely performing the transvaginal NOTES myomectomy before the hysterectomy.
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