vNOTES
Innovative gynecologic surgery without abdominal incisions
What is vNOTES technique
vNOTES (transvaginal Natural Orifice Transluminal Endoscopic Surgery) is a modern, minimally invasive gynecologic surgical technique that allows access to pelvic organs through the vagina, eliminating the need for abdominal incisions. Using endoscopic instruments and high-definition imaging, gynecologic procedures can be performed safely and precisely, with virtually no external intervention.
This technique combines the advantages of laparoscopy with natural orifice access, offering improved cosmetic outcomes, faster recovery, and significantly reduced postoperative pain.
Indications and clinical applications
Total hysterectomy
Removal of the uterus with or without adnexa, without abdominal incisions.
Removal of ovarian cysts or adnexa
When anatomy allows, access is direct and effective.
Management of uterine or vaginal vault prolapse
vNOTES is used to restore pelvic support structures.
Diagnostic access for pelvic pathologies
In selected cases, for histological confirmation or visual inspection of the pelvic cavity.
Preoperative assessment and surgical technique
The decision to use vNOTES is made by a specialized team with experience in the method, based on specific anatomical and pathological criteria. A thorough gynecological and imaging evaluation is required to ensure safety and appropriateness.
Access is gained via the vagina, through a small incision in the posterior fornix, where a specialized port is inserted to accommodate endoscopic instruments. The surgery is performed under general anesthesia with continuous visualization and precision.
Benefits of vNOTES for the patient
No abdominal incisions
No visible scars or external sutures.
Faster recovery and shorter hospital stay
Most patients return home within 24 hours.
Minimal postoperative pain
Thanks to natural access and absence of abdominal trauma.
Improved cosmetic and functional outcomes
Especially important for young women or fertility-sparing procedures.
What women should know before surgery
While innovative, vNOTES is not suitable for all cases. Proper consultation with a trained gynecologist is essential. Preoperative evaluation includes vaginal and abdominal imaging, assessment of anatomical parameters, and an overall health review.
After surgery, sexual activity should be avoided for a few weeks, and regular postoperative follow-up is recommended.
vNOTES represents a new era in gynecologic surgery, focusing on respect for the female body and minimizing surgical trauma. With the right indications and a qualified surgical team, it offers excellent outcomes and a patient experience rooted in innovation and safety.