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Updated: May 4, 2026

Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Vaginal Natural Orifice Transluminal Endoscopic Surgery in Minimally Invasive Gynecologic Surgery
Veronica Lerner1, Amanda Ulrich, Chi Chiung Grace Chen
1Department of Obstetrics & Gynecology, Lenox Hill Hospital, New York, Northwell Health, New Hyde Park, and the Zucker School of Medicine, Uniondale, New York; the Department of Obstetrics & Gynecology, University of Connecticut Health Center, Farmington, Connecticut; the Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland; and the Department of Gynecologic Oncology, Imelda Hospital, Bonheiden, and the Department of Development and Regeneration, University of Leuven, Leuven, Belgium.
Abstract:
As vaginal hysterectomy rates continued to decline, vNOTES (vaginal natural orifice transluminal endoscopic surgery) emerged. vNOTES offers the advantage of combining the benefits of laparoscopy with improved visualization, instrumentation, and hemostasis with the vaginal route. In this review, we describe the vNOTES technique in gynecologic surgical procedures, review available evidence, and discuss future directions.

