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Benefits of vaginal natural orifice transluminal endoscopic surgery (vNOTES) Technique
Tue - November 30, 2021 11:38 am  |  Article Hits:138  |  A+ | a-
vNOTES - vaginal natural orifice transluminal endoscopic surgery
vNOTES - vaginal natural orifice transluminal endoscopic surgery
vNOTES is a minimally invasive alternative for performing procedures, such as hysterectomies, cystectomies, and oophorectomies in which the vagina is used as the surgical access route, providing access to the uterus, fallopian tubes, and ovaries.

Literature indicates that vaginal natural orifice transluminal endoscopic surgery (vNOTES) may now be the preferred method for hysterectomy and adnexectomy, even in complex cases of large uteri or high body mass index, compared to conventional laparoscopic and vaginal approaches. Multiple studies cite improved patient outcomes and benefits, including shorter duration of surgery and length of stay, lower pain scores and total dose of analgesics, and higher patient satisfaction.

 The vNOTES technique overcomes these challenges by combining the benefits of laparoscopic and traditional vaginal surgery using the Applied Medical GelPOINT® V-Path transvaginal access platform, which enables access into the peritoneal cavity through the vagina.

Today, the vast majority of myoma surgeries can be performed with the 'laparoscopic', in other words, closed method, which provides important comforts such as less hospital stay and shorter return to daily activities compared to open surgery. Thanks to the giant steps taken in the world of technology in recent years, there has been another important development in laparoscopic surgeries that makes patients smile; the V-NOTES method where all transactions take place 'through the natural opening'!

The most remarkable benefits of the V-NOTES method, which has been applied in the world for several years, are; It does not create incision marks in the abdominal region due to the natural opening of all procedures and thus prevents the formation of pain after the operation. It means a surgical method performed through the birth canal in the presence of laparoscopic instruments, without making any incisions in the abdominal wall. Thanks to this method, which provides scarless and painless removal of fibroids, patients can be discharged from the hospital on the same day after surgery; they can return to their work and daily life in a short time.”


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