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

Abstract

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.