AVELLINO – An operation without incisions on the abdomen, without visible scars and with discharge in just one day.San Giuseppe Moscati Hospital what is defined as the first totally extravaginal robotic hysterectomy in Italy was performed, carried out with the vNotes technique and the aid of the system da Vinci Surgical System, among the most advanced platforms in the world for minimally invasive surgery.
The 46-year-old patient suffered from a benign uterine tumor that caused heavy bleeding and a significant increase in the size of the uterus, which had reached four times the normal size. The Obstetrics and Gynecology team led by Professor Mario Ardovino She performed a total hysterectomy with bilateral salpingectomy, preserving the ovaries to maintain hormonal function.
The unique feature of the operation lies in its surgical approach: no abdominal incision, but an entirely transvaginal approach thanks to the vNotes technique, an acronym for vaginal Natural Orifice Transluminal Endoscopic Surgery. Integration with the robotic platform has ensured high-definition, three-dimensional vision and extremely precise movements, significantly expanding the possibilities of minimally invasive surgery even in complex cases like the one treated in Avellino.
The postoperative course was uneventful, without complications, and the patient was discharged the following day in good health. According to the physician, the introduction of this method represents a significant step forward, combining the advantages of natural access with the safety and accuracy of robotic technology, reducing the impact on the body and promoting a more rapid recovery.
This achievement positions the Irpinia center among the highly specialized international institutions and opens new perspectives for patients requiring complex gynecological procedures, aiming to combine clinical efficacy and quality of life in the post-operative period.
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Comments (2)
I agree with Ms. Damico: communication between doctors and patients is essential for making informed decisions. Technology is advancing, but individual needs must always be considered.
It's interesting that such an advanced procedure has been performed in Italy, but it's also important that patients are well-informed about the risks and benefits of these techniques to fully understand the consequences.