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Vaginal NOTES approach for risk-reducing salpingo-oophorectomy in BRCA mutation carriers: A video demonstration

Abstract : Risk-reducing bilateral salpingo-oophorectomy (BSO) is an important option to prevent the development of ovarian and fallopian tube cancers in women with a BRCA1/2 mutation. Conventional laparoscopy is the current preferred technique since it is associated with less morbidity compared to laparotomy. Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a new minimally invasive technique that allows access to the peritoneal cavity through the vagina without skin incisions. The vNOTES technique for risk-reducing BSO is presented herein. This article includes a narrated, step-by-step video demonstration of the entire procedure. Risk-reducing BSO using the vNOTES approach is a feasible technique that appears to be simple, safe, and reproducible. This technique has the potential to improve patients’ surgical experience and provide good long-term functional and cosmetics outcomes. This technique needs to be further evaluated and compared to the conventional laparoscopic approach.
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https://hal-amu.archives-ouvertes.fr/hal-03400652
Contributor : Stéphane Greff Connect in order to contact the contributor
Submitted on : Thursday, January 13, 2022 - 5:53:46 PM
Last modification on : Friday, April 1, 2022 - 3:57:50 AM
Long-term archiving on: : Thursday, April 14, 2022 - 11:38:08 PM

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Antoine Netter, Raphael Niddam, Aubert Agostini, Patrice Crochet. Vaginal NOTES approach for risk-reducing salpingo-oophorectomy in BRCA mutation carriers: A video demonstration. Journal of Gynecology Obstetrics and Human Reproduction, Elsevier, 2021, 50 (10), pp.102212. ⟨10.1016/j.jogoh.2021.102212⟩. ⟨hal-03400652⟩

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