MemorialCare Saddleback Medical Center has the latest innovative option for gynecologic procedures – using advanced minimally invasive gynecologic surgery without the need of even one incision. vNOTES (vaginal natural orifice transluminal endoscopic surgery), combines the benefits of laparoscopic and vaginal approaches for hysterectomies. It is the next advancement in minimally invasive surgery and does not require abdominal skin incisions – completely eliminating scarring – and without an incision, can further reduce pain, risk of infection and improve your recovery time.
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In the vNOTES procedure, your doctor uses specialized instruments and a high-definition camera inserted through the vagina instead of creating visible abdominal incisions in the body. This allows your doctor to gain access to the uterus to operate with the utmost precision and visualization without any visible scarring. vNOTES is performed under general anesthesia, and often times patients are discharged the same day of the procedure.
Benefits of vNOTES
vNOTES has been shown to provide the following benefits to patients compared to the laparoscopic approach: [1]
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Whenever possible, the American College of Obstetricians and Gynecologists (ACOG) and the American Association of Gynecologic Laparoscopists (AAGL) recommend vaginal hysterectomy as the approach of choice. [2] [3]
[1] Baekelandt J, et al. Hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery versus laparoscopy as a day-care procedure: a randomized controlled trial. BJOG 2019 Jan;126(1):105-113.
[2] Choosing the route of hysterectomy for benign disease. Committee Opinion No.701. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017:129:e155-9.
[3] AAGL Position Statement: Route of Hysterectomy to Treat Benign Uterine Disease. JMIG 2011 Jan;18(1):P1-3.