Oct 2026· Journal of Gynecology Obstetrics and Human Reproduction· Vol 55, pp.
103310
· 0 citations· 11 references
Medicine
TL;DR
A step-by-step video of the adnexal detorsion followed by ovarian cystectomy by the vNOTES approach is proposed.
Abstract
Adnexal torsion is a surgical emergency usually treated by laparoscopy. The transvaginal natural orifice transluminal endoscopic surgery (vNOTES) may be a relevant minimally invasive alternative to laparoscopy. We propose a step-by-step video of the adnexal detorsion followed by ovarian cystectomy by the vNOTES approach.
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A 37-year-old male presented with diplopia for 3 weeks. MRI revealed a large solid suprasellar and retrosellar lesion highly suggestive of craniopharyngioma. Endoscopic endonasal transcavernous posterior clinoidectomy with pituitary transposition was performed. This approach provides sufficient access to the interpedun...
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