Transvaginal Natural-Orifice Transluminal Endoscopic Surgery (NOTES) in Adnexal Procedures

Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri

“…The demonstrated technique combines traditional vaginal surgery and the newly reported laparoscopic single-site surgery via the vaginal route [9,14,15]. tVNOTEH not only provides scarless surgery but diminishes the drawbacks of VT due to limited surgical field contributed by a narrow vagina and undescended uterus.…”

“…At our institution, a tertiary referral medical center, gynecologic endoscopists have performed tubal sterilization, adnexal surgery, and hysterectomy by using the techniques of transvaginal NOTES since 2010 [9,10]. Although the successful removal of uterine weighting 538 g or more with transvaginal natural orifice transluminal endoscopic hysterectomy (tVNOTEH) was reported [10], however, the safety, feasibility, and outcomes of tVNOTEH have not been well established.…”

Natural orifice transluminal endoscopic surgery (NOTES) salpingectomy for ectopic pregnancy: a first series demonstrating how a new surgical technique can be applied in a low-resource setting

“…1 Conventional, reusable laparoscopic instruments used and inserted through an inexpensive, self-constructed single port device transition towards fertiloscopy in the diagnostic workup of unexplained infertility, or for the purpose of ovarian drilling [12]. vNOTES can also be used as an approach for adnexal surgery and adhaesiolysis [3][4][5]13]. A variety of approaches, including the stomach, oesophagus, bladder and rectum, are being used for NOTES procedures.…”

“…Less invasive procedures, such as single incision laparoscopic surgery (SILS) [2] and natural orifice transluminal endoscopic surgery (NOTES) [3][4][5], are a developing field of minimally invasive surgery. NOTES makes use of the natural orifices of the body as surgical channels of endoscopy; transvaginal access is most frequently used for NOTES.…”

Natural orifice transluminal endoscopic surgery-assisted versus laparoscopic ovarian cystectomy (NAOC vs. LOC): a case-matched study

“…Purely transvaginal removal may encounter difficulty when the mass floated up beyond the uterine fundus and the semi-blind vision restricted the inspection of intraabdominal situation and assurance of complete hemostasis. Natural orifice transluminal endoscopic surgery (NOTES) has been the recent advancement in the gynecologic field of minimally invasive surgery [9][10][11][12][13]. This technique utilizes the posterior colpotomy as the surgical channel for endoscopic management of uterine and adnexal pathologies.…”