# Vaginally Assisted Natural Orifice Transluminal Endoscopic Surgery Hysterectomy for Giant Cervical Myoma: A Simple Procedure to Avoid Ureteral Injury

## TL;DR

This paper suggests that vNOTES hysterectomy is a safe method for removing large cervical myomas and may reduce the risk of ureteral injury.

## Contribution

The paper introduces vNOTES hysterectomy as a potential safer alternative for giant cervical myoma removal.

## Key findings

- vNOTES hysterectomy may reduce the risk of ureteral injury compared to laparotomy or laparoscopy.
- vNOTES hysterectomy is similar to vaginal hysterectomy in safety for total resection of cervical myomas.

## Abstract

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.