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

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...

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Bibliographic Details
Published in:	Obstetrics & gynecology science Vol. 67; no. 2; pp. 199 - 211
Main Authors:	Jung Chul Kim, Ga Won Yim, Young Tae Kim
Format:	Journal Article
Language:	Korean
Published:	대한산부인과학회 30-03-2024
Subjects:	Gynecology Laparoscopy Minimally invasive surgical procedures Natural orifice endoscopic surgery
Online Access:	Get full text
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Summary:	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.
Bibliography:	The Korean Association of Obstetricians and Gynecologists
ISSN:	2287-8572