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Observational analysis suggests lower ureteral injury risk with vNOTES hysterectomy than laparoscopic methods, highlighting its safety.
Vaginally assisted natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy has been compared to conventional laparoscopic total hysterectomy in previous reports. Incidentally, the risk of ureteral injury during total hysterectomy is lower with vaginal hysterectomy than with laparotomy or laparoscopy. Therefore, vNOTES hysterectomy, similar to vaginal hysterectomy, may be a safe option for total resection of cervical myomas.
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Okuda et al. (2025) studied this question.
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