What is Vnotes

What is vNOTES? – Comprehensive Guide

What is vNOTES?

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is a minimally invasive surgical method performed by entering through the vaginal route, without an abdominal incision.

Key Features

• Natural orifice (vagina) is used
• No abdominal incision or scar
• Laparoscopic equipment is used
• Can be applied for both diagnostic and therapeutic purposes

In Which Surgeries Is It Used?

• Hysterectomy (uterus removal)
• Adnexal surgeries (cyst, ovary, tube)
• Ectopic pregnancy
• Myomectomy (selected cases)
• Pelvic organ prolapse surgery

Advantages

• Scarless surgery (cosmetic superiority)
• Less pain
• Faster recovery
• Shorter hospital stay
• Lower infection risk

Disadvantages

• High learning curve
• May not be suitable for every patient
• May be difficult in cases of advanced adhesions

Who Is It Suitable For?

• Patients desiring minimally invasive surgery
• Patients with suitable anatomical structure
• Selected gynecological pathologies

Who Is It Not Suitable For?

• Extensive intra-abdominal adhesions
• Severe obesity (relative)
• Situations where vaginal access is difficult

Difference from Classic Laparoscopy

In laparoscopy, trocar entries are made through the abdomen, whereas in vNOTES, all access is provided via the vaginal route.

Clinical Reality

vNOTES is an advanced form of minimally invasive surgery and provides high success and patient satisfaction with appropriate patient selection.

Conclusion

vNOTES is a scarless method with high patient comfort that is becoming increasingly common in modern gynecological surgery.