Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation
Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a novel minimal invasive technique which employs the vaginal orifice for surgical access, after which endoscopic instruments are introduced, thus obviating the need for any external skin incisions. This approach has gained traction...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Journal of Obstetrics and Gynaecology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/01443615.2025.2458842 |
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| author | Sarah Wylie Eric Mutema Wai Yoong |
| author_facet | Sarah Wylie Eric Mutema Wai Yoong |
| author_sort | Sarah Wylie |
| collection | DOAJ |
| description | Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a novel minimal invasive technique which employs the vaginal orifice for surgical access, after which endoscopic instruments are introduced, thus obviating the need for any external skin incisions. This approach has gained traction as it is associated with reduced morbidity, improved cosmesis, lower pain scores and decreased length of hospital stay, with no increase in adverse events, when compared with conventional laparoscopic surgery. Initially limited to hysterectomy and adnexectomy, its role has now expanded to include indications such as urogynaecology, oncology and fertility. Clinicians wishing to implement vNOTES need to undergo appropriate training and appreciate judicious governance. Further randomised controlled trials will allow us to better understand if this newer technique will offer well-evidenced preferable outcomes and become the preferred surgical approach. |
| format | Article |
| id | doaj-art-86d8f488b4d84ac59144d8f5a82fec5e |
| institution | Kabale University |
| issn | 0144-3615 1364-6893 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Obstetrics and Gynaecology |
| spelling | doaj-art-86d8f488b4d84ac59144d8f5a82fec5e2025-01-31T15:49:21ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932025-12-0145110.1080/01443615.2025.2458842Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovationSarah Wylie0Eric Mutema1Wai Yoong2Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UKDepartment of Obstetrics and Gynaecology, Blackpool Teaching Hospital NHS Trust, Blackpool, UKDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UKVaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a novel minimal invasive technique which employs the vaginal orifice for surgical access, after which endoscopic instruments are introduced, thus obviating the need for any external skin incisions. This approach has gained traction as it is associated with reduced morbidity, improved cosmesis, lower pain scores and decreased length of hospital stay, with no increase in adverse events, when compared with conventional laparoscopic surgery. Initially limited to hysterectomy and adnexectomy, its role has now expanded to include indications such as urogynaecology, oncology and fertility. Clinicians wishing to implement vNOTES need to undergo appropriate training and appreciate judicious governance. Further randomised controlled trials will allow us to better understand if this newer technique will offer well-evidenced preferable outcomes and become the preferred surgical approach.https://www.tandfonline.com/doi/10.1080/01443615.2025.2458842vNOTEShysterectomyadnexectomyvaginal surgery |
| spellingShingle | Sarah Wylie Eric Mutema Wai Yoong Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation Journal of Obstetrics and Gynaecology vNOTES hysterectomy adnexectomy vaginal surgery |
| title | Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation |
| title_full | Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation |
| title_fullStr | Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation |
| title_full_unstemmed | Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation |
| title_short | Vaginal natural orifice transluminal endoscopic surgery (vNOTES): a new chapter in vaginal surgical innovation |
| title_sort | vaginal natural orifice transluminal endoscopic surgery vnotes a new chapter in vaginal surgical innovation |
| topic | vNOTES hysterectomy adnexectomy vaginal surgery |
| url | https://www.tandfonline.com/doi/10.1080/01443615.2025.2458842 |
| work_keys_str_mv | AT sarahwylie vaginalnaturalorificetransluminalendoscopicsurgeryvnotesanewchapterinvaginalsurgicalinnovation AT ericmutema vaginalnaturalorificetransluminalendoscopicsurgeryvnotesanewchapterinvaginalsurgicalinnovation AT waiyoong vaginalnaturalorificetransluminalendoscopicsurgeryvnotesanewchapterinvaginalsurgicalinnovation |