Surgical Film Library-Vaginal NOTES approach for surgical ovarian suppression in an advanced stage breast cancer patient

Vaginal NOTES approach for surgical ovarian suppression in an advanced stage breast cancer patient

Video Transcription

Video Summary

A 40-year-old woman with advanced breast cancer and lung metastasis underwent ovarian castration via transvaginal surgery to enable a change to aromatase inhibitors after tamoxifen failure. Under general anesthesia, a small incision was made through the vaginal wall to access the peritoneal cavity. Using advanced bipolar devices, both ovaries and related ligaments were carefully coagulated, cut, and removed. Adhesions were lysed, and bleeding controlled. The incision was closed with absorbable sutures. The minimally invasive approach led to quick recovery, with the patient ambulatory and eating the same day, discharged the following day, reducing surgical trauma and postoperative pain.

Asset Subtitle

Pinyada Panyavaranat, Thailand

Meta Tag

Route MIS-Laparoscopic

Surgical Location Chest

Keywords

MIS-Laparoscopic

Chest

ovarian castration

transvaginal surgery

breast cancer metastasis

aromatase inhibitors

minimally invasive surgery

Pinyada Panyavaranat