vNOTES (vaginal natural orifice transluminal endoscopic surgery)

vNOTES (vaginal natural orifice transluminal endoscopic surgery):

• Advanced minimally invasive gynecologic surgery
• Uses the vagina as a surgical access route
• With improved access and visualization
• Consists of a specialized instruments (and high-definition camera) that are placed through the vagina to the uterus, fallopian tubes and ovaries without the need for abdominal incisions
• Combines the benefits of laparoscopic and traditional vaginal surgery

Procedures/ Conditions treated by vNOTES:

• Hysterectomy for:
  Adenomyosis 
  Abnormal uterine bleeding
  Uterine prolapse
• Oophorectomy – the removal of one or both ovaries
• Salpingectomy – the removal of one or both fallopian tubes
• Ovarian cysts removal.
• Fibroids removal
• Tubal sterilization
• Ectopic pregnancy

How it is performed:

• Under general anesthesia
• An incision in the vagina near the cervix is made
• vNOTES surgical instruments (with a video camera and light source) is placed through the incision
• Surgery needed is performed.

vNOTES advantages:

• Shorter operation duration
• Shorter hospital stay (often less than 24 hours)
• Less pain and pain relief medication
• Faster recovery
• No visible scarring (no abdominal incision)

Contraindications of vNOTES:

• Contraindications to general anesthesia
• Pregnancy
• Have an active genitourinary infection
• History of pelvic inflammatory disease
• History of endometriosis
• History of rectal or extensive pelvic surgery.