📩 29/11/2021 12:00
Fibroids, which are benign tumors arising from the smooth muscle layer of the uterus, are a very common disease in women of childbearing age. So much so that in one of every 5 women in our country, small or large, more or less 'fibroids' are detected! Due to higher estrogen levels in the body, fibroids, which are frequently seen in women aged 18-45 in reproductive age, are the most common cause of uterine removal operations.
Acıbadem Bakırköy Hospital Gynecology and Obstetrics Specialist Assoc. Dr. Cihan Kaya pointed out that fibroids are usually detected by chance during routine examinations, as they do not cause any complaints in most of the patients, and said, “In some patients, fibroids can cause complaints such as irregular or increased menstrual bleeding, pain in the groin area, constipation and frequent urination. More importantly, fibroids located in the uterus can prevent pregnancy; Even if pregnancy does occur, it can lead to recurrent miscarriages or premature birth. While regular follow-up is sufficient in fibroids that do not cause any complaints, medical or surgical intervention is required when it causes problems that reduce the quality of life or prevents being a mother.
'Scarless' and 'painless' surgery with V-NOTES
Today, the vast majority of myoma surgeries can be performed with the 'laparoscopic', in other words, closed method, which provides important comforts such as less hospital stay and shorter return to daily activities compared to open surgery. Thanks to the giant steps taken in the world of technology in recent years, there has been another important development in laparoscopic surgeries that makes patients smile; V-NOTES method where all transactions take place 'through natural opening'!
The most remarkable benefits of the V-NOTES method, which has been applied in the world and in our country for several years, are; It does not create incision marks in the abdominal region due to the natural opening of all procedures and thus prevents the formation of pain after the operation! Gynecology and Obstetrics Specialist Assoc. Dr. Cihan Kaya, “V-NOTES surgery; It means a surgical method performed through the birth canal in the presence of laparoscopic instruments, without making any incisions in the abdominal wall. Thanks to this method, which provides scarless and painless removal of fibroids, patients can be discharged from the hospital on the same day after surgery; they can return to their work and daily life in a short time.”
There is no 'mark' in the abdomen
The V-NOTES method, which has created great excitement in the medical world; It can be applied especially in patients who do not want children and who need to have the uterus removed due to large fibroids, irregular menstrual bleeding, frequent urination, constipation, pain during sexual intercourse and constant groin pain. In addition, it can be easily performed in patients who want to protect the uterus, especially in fibroids located close to the outer part of the uterus. Gynecology and Obstetrics Specialist Assoc. Dr. Cihan Kaya explains how the V-NOTES method, which can be used in cases where the uterus is preserved or completely removed, is applied:
“The abdominal cavity is reached through 2-3 cm incisions made at the deepest point of the birth canal. The organs in the abdomen are made visible with the help of platforms that protect the birth path, specially developed for this method. Then, the fibroids are taken out of the body with the help of camera and laparoscopic instruments. The birth canal is repaired and the operation is completed.”
There is no 'pain' problem after the surgery!
Due to factors such as small incisions made to the abdominal skin and subcutaneous tissues in classical laparoscopy and the long duration of the operation, pain may develop especially in the lower abdomen and incision sites after the operation. In the V-NOTES method, on the other hand, since all procedures are performed in the birth canal and are completed in an average of 30-45 minutes, there is no pain problem after the operation.
Patients can deliver normally
Another important benefit of the method is that the patients can be discharged on the same day as the operation time is short and there is no incision in the abdomen. Gynecology and Obstetrics Specialist Assoc. Dr. Cihan Kaya said, “After V-NOTES surgery, patients can return to their homes after an average of 6-18 hours, and they can return to work and daily activities in a short time. The other important benefit of this method is that incisional hernias do not develop in the abdominal region and that it prevents cosmetic concerns due to incision scars. Assoc. Dr. Cihan Kaya adds that patients can have a normal birth after surgery.