vNOTES (vaginal natural orifice transluminal endoscopic surgery) is an advanced minimally invasive gynecologic procedure using that vagina as a surgical access route. The vNOTE technique is most commonly used for hysterectomy procedures, as well as salpingectomy, oophorectomy, and cystectomy procedures.
vNOTES is the next advancement in minimally invasive gynecologic surgery it is performed by using the vagina as a surgical access route for the procedure, leaving the patient with no visible scarring.
Patient Benefits
vNOTES has been shown to provide the following benefits compared to the laparoscopic approach:
Shorter hospital stay
Less postoperative pain
vNOTES Procedures
Hysterectomy
Salpingectomy
Oophorectomy
Salpingo-oophorectomy
Cystectomy
vNOTES Technique
vNOTES combines the benefits of the laparoscopic and vaginal approaches to gynecologic surgery using a vNOTES device known as the GelPOINT® V-Path transvaginal access platform.
vNOTES is performed by using the vagina as a surgical access route. The vNOTES device is placed through the vagina into the pelvic cavity, giving access to the uterus, fallopian tubes and ovaries.
The abdomen is inflated with carbon dioxide gas to give the surgeon the space needed to see and operate. vNOTES enables the surgeon to operate at a lower carbon dioxide gas pressure.
Research has shown that operating at a lower pressure is associated with reduced postoperative pain.
A high-definition camera and specialized instruments are inserted through the vNOTES device, allowing surgeons to operate with the utmost precision and visualization. Once the surgery is completed, the vNOTES device is removed and the gas is evacuated.
