Too big to bag? - Technique for bagging very large adnexal masses via vNOTES

Jan Baekelandt; Joke Van Camp; Lynn Vercammen; Andrea Stuart

doi:10.1016/j.jogoh.2024.102857

Too big to bag? - Technique for bagging very large adnexal masses via vNOTES

J Gynecol Obstet Hum Reprod. 2024 Nov;53(9):102857. doi: 10.1016/j.jogoh.2024.102857. Epub 2024 Sep 20.

Authors

Jan Baekelandt¹, Joke Van Camp², Lynn Vercammen², Andrea Stuart³

Affiliations

¹ Department of Obstetrics and Gynaecology, Imelda Hospital, Bonheiden, Belgium; Department of Development and Regeneration, Faculty of Medicine, Group Biomedical Sciences, KU Leuven, Leuven, Belgium.
² Department of Obstetrics and Gynaecology, Imelda Hospital, Bonheiden, Belgium.
³ Institution of Clinical Sciences Lund, Dept of Obstetrics and Gynaecology, Lund University, Lund, Sweden; Department of Obstetrics and Gynaecology, Helsingborg Central Hospital, Helsingborg, Sweden. Electronic address: [email protected].

PMID: 39307350
DOI: 10.1016/j.jogoh.2024.102857

Abstract

The technique to perform adnexectomy for adnexal masses has shifted over the last decades, from open surgery towards minimally invasive approaches. At the same time caution is warranted to prevent perioperative intra-abdominal spilling of cyst content which can be a challenge especially for very large masses. vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery) combines a vaginal approach with endoscopic overview in performing gynaecological surgery without abdominal scarring. The aim of the video is to demonstrate a vNOTES technique for safely bagging very large adnexal masses.

Keywords: Adnexectomy; Large adnexal masses; Minimally invasive surgery; Specimen retrieval bag; vNOTES.

Publication types

Video-Audio Media

MeSH terms

Adnexal Diseases* / surgery
Female
Gynecologic Surgical Procedures / methods
Humans
Natural Orifice Endoscopic Surgery* / instrumentation
Natural Orifice Endoscopic Surgery* / methods