{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T12:06:51Z","timestamp":1779451611197,"version":"3.53.1"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.ejogrb.2025.114897","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T16:49:35Z","timestamp":1765903775000},"page":"114897","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Gasless transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for sacrospinous fixation: An anatomical study"],"prefix":"10.1016","volume":"318","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9203-6673","authenticated-orcid":false,"given":"Gautier","family":"Chene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Cerruto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Moret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdogan","family":"Nohuz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2025.114897_b0005","article-title":"Surgery for women with apical vaginal prolapse","volume":"7","author":"Maher","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114897_b0010","first-page":"321","article-title":"Die chirurgische Anatomie der Vaginaefixatio sacrospinalis vaginalis. Ein Beitrag zur operativen Behandlung des Scheidenblind- sackprolapses","volume":"28","author":"Richter","year":"1968","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"10.1016\/j.ejogrb.2025.114897_b0015","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.1007\/s00192-023-05496-3","article-title":"The anatomy of the sacrospinous ligament: how to avoid complications related to the sacrospinous fixation procedure for treatment of pelvic organ prolapse","volume":"34","author":"Giraudet","year":"2023","journal-title":"Int Urogynecol J"},{"key":"10.1016\/j.ejogrb.2025.114897_b0020","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/S0301-2115(01)00507-3","article-title":"Anatomical landmarks regarding sacrospinous colpopexy operations performed for vaginal vault prolapse","volume":"101","author":"Sagsoz","year":"2002","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0025","first-page":"321","article-title":"How I do\u2026easily a vaginal sacrospinous colpopexy using an isthmic posterior mesh","volume":"47","author":"Chene","year":"2019","journal-title":"Gynecol Obstet Fertil Senol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.jogoh.2021.102172","article-title":"Easy way for elytrocele treatment by the vaginal route without mesh (with video)","volume":"50","author":"Chene","year":"2021","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"10.1016\/j.ejogrb.2025.114897_b0035","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.jmig.2012.02.005","article-title":"Transvaginal natural orifice transluminal endoscopic surgery (NOTES) in adnexal procedures","volume":"19","author":"Lee","year":"2012","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0040","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.jmig.2019.04.007","article-title":"Transvaginal natural orifice transluminal endoscopic hysterectomy and apical suspension of the vaginal cuff to the uterosacral ligament","volume":"26","author":"Lowenstein","year":"2019","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0045","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.931691","article-title":"A preliminary clinical report of transvaginal natural orifice transluminal endoscopic sacrospinous ligament fixation in the treatment of moderate and severe pelvic organ prolapse","volume":"9","author":"Qin","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.ejogrb.2025.114897_b0050","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12893-023-01921-y","article-title":"Transvaginal natural orifice transluminal endoscopic surgery versus conventional vaginal surgery for sacrospinous ligament fixation of apical compartment prolapse: a retrospective analysis","volume":"23","author":"Huang","year":"2023","journal-title":"BMC Surg"},{"key":"10.1016\/j.ejogrb.2025.114897_b0055","doi-asserted-by":"crossref","first-page":"283","DOI":"10.4103\/gmit.GMIT-D-25-00016","article-title":"V-notes sacrospinous ligament fixation for the treatment of apical vaginal prolapse","volume":"14","author":"Kanmaz","year":"2025","journal-title":"Gynecol Minim Invasive Ther"},{"key":"10.1016\/j.ejogrb.2025.114897_b0060","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1002\/ijgo.16136","article-title":"Early experience with the gasless vNOTES technique for adnexal surgery","volume":"169","author":"Gauci","year":"2025","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ejogrb.2025.114897_b0065","first-page":"973","article-title":"Anatomy of pelvic arteries adjacent to the sacrospinous ligament: importance of the coccygeal branch of the inferior gluteal artery","volume":"94","author":"Thompson","year":"1999","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0070","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s00192-007-0494-6","article-title":"Anatomic variations of the pelvic floor nerves adjacent to the sacrospinous ligament: a female cadaver study","volume":"19","author":"Lazarou","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"660","key":"10.1016\/j.ejogrb.2025.114897_b0075","first-page":"e1","article-title":"Neurovascular anatomy of the sacrospinous ligament region in female cadavers: implications in sacrospinous ligament fixation","volume":"197","author":"Roshanravan","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0080","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijgo.2007.04.028","article-title":"Complications of three sacrospinous ligament fixation techniques","volume":"99","author":"Pollak","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ejogrb.2025.114897_b0085","doi-asserted-by":"crossref","first-page":"1908","DOI":"10.1111\/1471-0528.17145","article-title":"Surgical management of pudendal nerve entrapment after sacrospinous ligament fixation","volume":"129","author":"Vodegel","year":"2022","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2025.114897_b0090","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ejogrb.2024.03.039","article-title":"The minimally invasive sacrospinous fixation under visual guidance: an anatomic study","volume":"297","author":"Chene","year":"2024","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0095","doi-asserted-by":"crossref","first-page":"114866","DOI":"10.1016\/j.ejogrb.2025.114866","article-title":"The vaginal minimally invasive sacrospinous fixation under visual guidance: a pilot study","volume":"317","author":"Chene","year":"2025","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0100","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1111\/1471-0528.18000","article-title":"Intra- and postoperative complications in 4565 vNOTES hysterectomies: international registry cohort study","volume":"132","author":"Stuart","year":"2024","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2025.114897_b0105","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1016\/j.ejso.2021.03.253","article-title":"Surgical complications occuring during minimally invasive sentinel lymph node detection in endometrial cancer patients. A systematic review of the literature and metaanalysis","volume":"47","author":"Capozzi","year":"2021","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0110","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1007\/s11701-025-02885-2","article-title":"A systematic review and bibliometric analysis of robot vs laparoscopic surgery in urogynecology: current trends and future directions","volume":"19","author":"Bilir","year":"2025","journal-title":"J Robot Surg"},{"key":"10.1016\/j.ejogrb.2025.114897_b0115","series-title":"AUGS pfd conference 2020: S4\u20135. Female Pelvic Medicine & Reconstructive Surgery: Virtual","article-title":"Vaginal angulation after vaginal hysterectomy with uterosacral ligament suspension or vaginal mesh hysteropexy: investigating the role of vaginal configuration in anatomic failure of apical prolapse repair","author":"Bowen","year":"2020"},{"issue":"Suppl 1","key":"10.1016\/j.ejogrb.2025.114897_b0120","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/S0090-4295(00)00919-5","article-title":"Anterior approach bilateral sacrospinous ligament fixation for vaginal vault prolapse","volume":"56","author":"Cespedes","year":"2000","journal-title":"Urology"},{"key":"10.1016\/j.ejogrb.2025.114897_b0125","doi-asserted-by":"crossref","first-page":"2185","DOI":"10.1007\/s00192-020-04463-6","article-title":"The comeback of vaginal surgery during and after the COVID-19 pandemic: a new paradigm","volume":"31","author":"Chene","year":"2020","journal-title":"Int Urogynecol"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.114897_b0130","doi-asserted-by":"crossref","first-page":"646.e1","DOI":"10.1016\/j.ajog.2016.06.025","article-title":"Inferior gluteal and other nerves associated with sacrospinous ligament: a cadaver study","volume":"215","author":"Florian-Rodriguez","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2025.114897_b0135","doi-asserted-by":"crossref","DOI":"10.1016\/0002-9378(95)90634-7","article-title":"Transvaginal sacrospinous colpopexy: anatomic landmarks to be aware of to minimize complications","volume":"173","author":"Verdeja","year":"1995","journal-title":"Am J Obstet Gynecol"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030121152501173X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030121152501173X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T11:20:50Z","timestamp":1779448850000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S030121152501173X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":27,"alternative-id":["S030121152501173X"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114897","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Gasless transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for sacrospinous fixation: An anatomical study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114897","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"114897"}}