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vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery)

vNOTES is an innovative minimally invasive surgical technique where endoscopic surgery is performed through the vaginal route, leaving no incision marks on the abdomen.

What is vNOTES?

vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery) is an advanced surgical technique where endoscopic surgery is performed by entering through the vagina, a natural body opening. No incision is made on the abdominal wall; the entire surgical procedure is performed through the vaginal route.

vNOTES was developed in 2012 by Belgian gynecologist Prof. Dr. Jan Baekelandt. This technique, which offers all the advantages of laparoscopic surgery while adding the benefit of leaving no abdominal scars, is becoming increasingly widespread worldwide.

Assoc. Prof. Erkan Elçi is one of the experienced surgeons performing the vNOTES technique in Turkey.

vNOTES Application Areas

Gynecological surgeries that can be performed with vNOTES:

- Myomectomy: Removal of fibroids while preserving the uterus

  • Hysterectomy: Uterus removal

  • Cystectomy: Removal of ovarian cysts

  • Salpingectomy: Removal of fallopian tubes

  • Oophorectomy: Removal of ovaries

  • Adnexectomy: Combined removal of ovary and tube

  • Endometriosis surgery: Removal of endometriosis lesions

  • Diagnostic purposes: Pelvic evaluation

    • vNOTES Advantages

    Advantages of the vNOTES technique:

    - No abdominal scars: Leaves no incision marks

  • Less pain: Minimal pain as the abdominal wall is not cut

  • Fast recovery: Quick return to daily life

  • Short hospital stay: Usually same-day or next-day discharge

  • Low complication: No risk of abdominal wall complications (hernia, infection)

  • Advantage in obese patients: Not affected by abdominal wall thickness

  • Low adhesion risk: No adhesion formation on the abdominal wall

  • Cosmetic superiority: Leaves no visible scars

    • Frequently Asked Questions

    Is vNOTES suitable for every patient?+
    Each patient's suitability is individually evaluated. In general, many gynecological surgeries can be performed with vNOTES, but some conditions (very large masses, advanced cancer, etc.) may not be suitable.
    What is the difference between vNOTES and laparoscopic surgery?+
    Both methods are endoscopic surgery. In laparoscopy, entry is through small incisions in the abdomen, while in vNOTES, entry is through the vaginal route. The biggest advantage of vNOTES is leaving no marks on the abdomen.
    How long does vNOTES surgery take?+
    Depending on the scope of the surgery, it can take from 30 minutes to 2-3 hours. A simple cyst removal takes a short time, while complex cases may take longer.

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