Can vNOTES (Scarless Surgery) be performed in emergency situations?

Gynecological emergencies; They may manifest themselves with sudden, stabbing abdominal pain, vaginal bleeding, nausea and vomiting, and fainting in later stages.

So what are the most common gynecological emergencies?

Ectopic pregnancy

Ovarian cyst rupture

Ovarian cyst rotating around itself

Constant vaginal bleeding

miscarriages

Ovarian abscess

The treatment of these diseases is surgery if the patient’s vital signs worsen. The preferred surgical technique is laparoscopy, which is often performed with 3-4 1-1.5 cm incisions in the abdominal area.

The Scarless Surgery (vNOTES) technique, which has become increasingly widespread in the world in recent years, is defined as surgery performed with the help of laparoscopic instruments, without any incision in the abdominal area, by entering through the vaginal route. The vNOTES technique provides better cosmetic results due to short surgery time, short hospital stay, short recovery and return to work time, and no incision in the abdominal area. In experienced hands and centers, vNOTES surgery can also be performed in emergency situations and contributes to the recovery of patients in a short time.

For my work on the subject;

https://www.tandfonline.com/eprint/JQYTHEXBGE9VFSAJI8TB/full?target=10.1080/13645706.2021.2025111