Inclusion Criteria:  Adult woman eligible for total hysterectomy for benign lesions with or without bilateral adnexectomy. Able to give informed consent to participate in research. Affiliation to a Social Security scheme.  Exclusion Criteria:  Pregnant or breastfeeding women Contraindication to the laparoscopic approach Contraindication to first vNOTES, in particular: virginity, history of rectal surgery, rectovaginal endometriosis, high active genital infection Indications for another concomitant surgical procedure (other than procedure on the appendix) Indication of hysterectomy for malignant lesion. Any concomitant pathology deemed incompatible with the study. COVID not cured or SARS-COv2 positivity dating less than 3 days before surgery. Adult patient protected, under guardianship or curatorship or legal safeguard Refusal of participation.