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A Bladder-Saving Technique in vNOTES: Uterine Twisting Maneuver for Patients With Previous Cesarean Sections

Cihan Kaya1, Murat Yassa2

  • 1Faculty of Medicine, Department of Obstetrics and Gynecology, Istanbul Aydin University, Istanbul, Turkiye.

Asian Journal of Endoscopic Surgery
|May 6, 2025
PubMed

Bladder injuries remain a significant risk during the vNOTES approach, especially in patients with a history of cesarean sections. In this video, we presented an innovative bladder-saving technique "uterine twisting maneuver" in a vNOTES hysterectomy case. This approach provides a valuable addition to our vNOTES practice, particularly in patients with complex pelvic anatomy due to prior cesarean sections.

Keywords:
bladder injurycesarean deliveryvNOTES

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