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. 2024 Mar;67(2):199-211.
doi: 10.5468/ogs.23205. Epub 2024 Jan 16.

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

Jung Chul Kim  1 , Ga Won Yim  2 , Young Tae Kim  1
Affiliations

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

Jung Chul Kim et al. Obstet Gynecol Sci. 2024 Mar.

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.

Keywords: Gynecology; Laparoscopy; Minimally invasive surgical procedures; Natural orifice endoscopic surgery.

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Conflict of interest statement

Conflict of interest

The authors declare no conflicts of interest.

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