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SSVEP-based Experimental Procedure for Brain-Robot Interaction with Humanoid Robots
Published on: November 24, 2015
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Initiating robotic vaginal natural orifice transluminal endoscopic surgery: a Beginner's guide.
Aya Mohr-Sasson1,2, Asha Bhalwal3, Alvaro Montealegre3
1Department of Obstetrics, Gynecology & Reproductive Science, The University of Texas Health Science Center at Houston, Houston, TX, USA. Aya.MohrSasson@uth.tmc.edu.
Obstetrics & Gynecology Science
|April 15, 2026
Summary
Robotic assistance enhances vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy, overcoming limitations of traditional methods. This technique offers a feasible approach for complex gynecologic procedures with improved visualization and dexterity.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Robotics
- Vaginal Surgery
Background:
- Vaginal natural orifice transluminal endoscopic surgery (vNOTES) offers benefits like reduced pain and faster recovery over laparoscopy.
- Challenges in vNOTES include triangulation, visualization, and instrument length, limiting its use in complex cases.
- Robotic assistance can potentially address these limitations with 3D visualization and enhanced instrument dexterity.
Purpose of the Study:
- To demonstrate the procedural steps and practical tips for robotic-assisted vNOTES hysterectomy.
- To showcase the feasibility of robotic assistance in overcoming vNOTES limitations.
- To guide surgeons new to robotic vNOTES procedures.
Main Methods:
- Procedural steps demonstrated using a simulation model.
- Key steps include colpotomy, ligament detachment, Alexis ring insertion, and trocar placement in a diamond configuration.
- Robotic system docked with camera and instrument trocars placed for optimal triangulation and visualization in Trendelenburg position.
Main Results:
- Successful robotic vNOTES hysterectomy, bilateral salpingectomy, and ovarian cystectomy performed on a patient.
- Demonstrated successful translation of simulation-based techniques to clinical application.
- The procedure managed complex gynecologic pathology including heavy uterine bleeding from fibroids.
Conclusions:
- Robotic vNOTES is a feasible approach combining robotic advantages with vaginal access.
- Enables minimally invasive management of complex gynecologic conditions.
- Offers direct visualization and enhanced dexterity for improved surgical outcomes.
Keywords:
Gynecologic
surgical proceduresHysterectomyNatural orifice endoscopic surgeryRobotic surgical proceduresSurgical simulationMore Related Videos
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