Obstet Gynecol Sci.  2024 Mar;67(2):199-211. 10.5468/ogs.23205.

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology

• Kim JC
• Yim GW
• Kim YT

• KMID: 2553427
• DOI: http://doi.org/10.5468/ogs.23205

Abstract

This study reviews the progress and recent advances in vaginal natural orifice transluminal endoscopic surgery (vNOTES) as a minimally invasive gynecologic procedure. The proposed advantages of vaginal natural orifice transluminal surgery include enhanced cosmesis due to a scarless procedure, better exposure compared with the pure vaginal approach, tolerable pain scores, fewer perioperative complications, and a shorter hospital stay. Recent advances in surgical instrumentation and technology have improved the feasibility of vNOTES as an innovative treatment option for gynecological conditions. However, technical challenges and training issues must be overcome before its widespread use. As a promising surgical innovation, further randomized comparative studies are required to clarify the safety and effectiveness of vNOTES in gynecology.

Keyword

Gynecology; Laparoscopy; Minimally invasive surgical procedures; Natural orifice endoscopic surgery

Reference

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