Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive...

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Surgical Innovation

Background:

• Vaginal hysterectomy rates have been declining.
• Vaginal natural orifice transluminal endoscopic surgery (vNOTES) presents a novel approach.
• vNOTES has the potential to reverse the decline in vaginal hysterectomies.

Purpose of the Study:

• To review the nuances of vNOTES hysterectomy.
• To provide a step-by-step guide to vNOTES hysterectomy, including tips for various complexities.
• To examine current evidence and future research trends in vNOTES hysterectomy.

Main Methods:

• Review of vNOTES technique for hysterectomy.
• Detailed description of vNOTES hysterectomy procedure.
• Inclusion of surgical tips and tricks for different case complexities.

Main Results:

• Comprehensive understanding of vNOTES, its benefits, and limitations.
• Clear descriptions supported by text, figures, tables, and videos.
• Insights into research potential and current trends.

Conclusions:

• vNOTES hysterectomy integrates vaginal, laparoscopic, and laparoendoscopic single-site surgery (LESS) techniques.
• It is an evolution of existing minimally invasive gynecologic surgery methods.
• vNOTES represents a valuable addition to the surgeon's armamentarium.