{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:56:20Z","timestamp":1781715380806,"version":"3.54.5"},"reference-count":24,"publisher":"Galenos Yayinevi","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>Background: Transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) is an emerging surgical technique in the evolution of minimally invasive surgery. This technique allows different types of surgical procedures to be performed by vaginal access with endoscopic control. The combination of vaginal surgery and laparoscopy brings many advantages, especially the absence of incisions in the abdominal wall and better visualization of the abdominal cavity.\n\nObjectives: In this retrospective study we report our initial experience of V-NOTES in benign gynaecologic surgery by describing our first consecutive 32 surgeries.\n\nMaterials and Methods: From June 2020 to January 2022, 32 gynaecological procedures were performed by V-NOTES by the same surgeon in a university hospital. Perioperative outcomes were evaluated retrospectively.\n\nMain outcomes measures: Conversion to laparoscopy or laparotomy and peri-operative and post-operative complications.\n\nResults: None of the 32 V-NOTES procedures required conversion to conventional laparoscopy or laparotomy. We observed 2 intraoperative complications managed by V-NOTES and 2 post-operative complications (Clavien-Dindo Grade 2).\n\nConclusion: Our results are similar to studies previously published about this subject and are promising concerning the techniques efficacy and safety. We do believe that a short training allows to reach benefits safely. However, further prospective multicentre randomized trials comparing V-NOTES to totally laparoscopic hysterectomy and to vaginal hysterectomy are needed to strengthen the validity of this new approach.\n\nWhat\u2019s new? V-NOTES widens the indications of vaginal hysterectomies by removing limitations such as large uterus, absence of prolapse, and history of caesarean. Moreover, this technique allows adnexal surgery to be performed by vaginal access.<\/jats:p>","DOI":"10.52054\/fvvo.15.1.064","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T12:12:53Z","timestamp":1680264773000},"page":"69-78","source":"Crossref","is-referenced-by-count":16,"title":["The revival of vaginal surgery in the era of endoscopy: V-NOTES initial experience with a series of 32 patients"],"prefix":"10.52054","volume":"15","author":[{"given":"J","family":"Raquet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Nam\u00e8che","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Nisolle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Closon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2023,3]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Aarts JWM, Nieboer TE, Johnson N et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015:CD003677.","DOI":"10.1002\/14651858.cd003677.pub5"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Ahn KH, Song JY, Kim SH et al. Transvaginal single-port natural orifice transluminal endoscopic surgery for benign uterine adnexal pathologies. J Minim Invasive Gynecol. 2012;19:631-5.","DOI":"10.1016\/j.jmig.2012.04.001"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Baekelandt J. Poor Man\u2019s NOTES: can it be a good approach for adhesiolysis? A first case report with video demonstration. J Minim Invasive Gynecol. 2015;22:319.","DOI":"10.1016\/j.jmig.2014.11.001"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Baekelandt J, De Mulder PA, Le Roy I et al. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: a randomised controlled trial. BJOG. 2019;126:105-13.","DOI":"10.1111\/1471-0528.15504"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Baekelandt J, Kapurubandara S. Benign Gynaecological procedures by vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES): Complication data from a series of 1000 patients. Eur J Obstet Gynecol Reprod Biol. 2021;256:221-4.","DOI":"10.1016\/j.ejogrb.2020.10.059"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Baekelandt J, Vercammen J. IMELDA transvaginal approach to ectopic pregnancy: diagnosis by transvaginal hydrolaparoscopy and treatment by transvaginal natural orifice transluminal endoscopic surgery. Fertil Steril. 2017;107:e1-e2.","DOI":"10.1016\/j.fertnstert.2016.09.024"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Baekelandt J, De Mulder PA, Le Roy I et al. Postoperative outcomes and quality of life following hysterectomy by natural orifice transluminal endoscopic surgery (NOTES) compared to laparoscopy in women with a non-prolapsed uterus and benign gynaecological disease: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2017; 208:6-15.","DOI":"10.1016\/j.ejogrb.2016.10.044"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Gordts S, Gordts Sy, Puttemans P et al. Systematic use of transvaginal hydrolaparoscopy as a minimally invasive procedure in the exploration of the infertile patient: results and reflections. Facts Views Vis Obgyn. 2021;13:131-40","DOI":"10.52054\/fvvo.13.2.014"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Housmans S, Noori N, Kapurubandara S et al. Systematic Review and Meta-Analysis on Hysterectomy by Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Compared to Laparoscopic Hysterectomy for Benign Indications. J Clin Med. 2020;9:3959.","DOI":"10.3390\/jcm9123959"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Housmans S, Stuart A, Bosteels J et al. Standardized 10-step approach for successfully performing a hysterectomy via vaginal natural orifice transluminal endoscopic surgery. Acta Obstet Gynecol Scand. 2022;101:649-56","DOI":"10.1111\/aogs.14367"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Hughes-Hallett A, Mayer EK, Pratt PJ et al. Quantitative analysis of technological innovation in minimally invasive surgery. Br J Surg. 2015;102:e151\u20137.","DOI":"10.1002\/bjs.9706"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Jallad K, Siff L, Thomas T et al. Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery. Journal of Obstetrics and Gynecology. 2016;128:293-6.","DOI":"10.1097\/aog.0000000000001513"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Kaya C, Y\u0131ld\u0131z \u015e, Alay I et al. The Comparison of Surgical Outcomes following Laparoscopic Hysterectomy and vNOTES Hysterectomy in Obese Patients. J Invest Surg. 2022;35:862-7.","DOI":"10.1080\/08941939.2021.1927262"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Kalloo AN, Singh VK, Jagannath SB et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc. 2004;60:114-7.","DOI":"10.1016\/s0016-5107(04)01309-4"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Nulens K, Bosteels J, De Rop C et al. vNOTES hysterectomy for large uteri: a retrospective cohort study of 114 patients. J Minim Invasive Gynecol. 2021;28:1351-6.","DOI":"10.1016\/j.jmig.2020.10.003"},{"key":"ref15","unstructured":"Reddy N, Rao P. Per oral transgastric endoscopic appendectomy in human. In: Paper Presented at 45th Annual Conference of Gastrointestinal Endoscopy of India, Jaipur, India. February 28-29 2004."},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Santos BF, Hungness ES. Natural orifice translumenal endoscopic surgery: Progress in humans since white paper. World J Gastroenterol. 2011;17:1655-65.","DOI":"10.3748\/wjg.v17.i13.1655"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Senn N. The early history of vaginal hysterectomy. JAMA. 1895;25:476\u201382.","DOI":"10.1001\/jama.1895.02430380006002"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"Su H, Yen CF, Wu KY et al. Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): feasibility of an innovative approach. Taiwan J Obstet Gynecol. 2012;51:217-21.","DOI":"10.1016\/j.tjog.2012.04.009"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Temtanakitpaisan T, Wu KY, Huang CY et al. The outcomes of transvaginal NOTES hysterectomy in various uterine sizes. Taiwan J Obstet Gynecol. 2018;57:842-5.","DOI":"10.1016\/j.tjog.2018.10.013"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Tolcher MC, Kalogera E, Hopkins MR et al. Safety of culdotomy as a surgical approach: implications for natural orifice transluminal. JSLS. 2012;16:413\u201320.","DOI":"10.4293\/108680812x13462882735854"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Wang CJ, Huang HY, Huang CY et al. Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri. Surg Endosc. 2015;29:100\u20137.","DOI":"10.1007\/s00464-014-3639-y"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Wang CJ, Go J, Huang HY et al. Learning curve analysis of transvaginal natural orifice transluminal endoscopic hysterectomy. BMC Surg. 2019;19:88.","DOI":"10.1186\/s12893-019-0554-0"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"Yang YS, Kim SY, Hur MH et al. Natural orifice transluminal endoscopic surgery-assisted versus single-port laparoscopic-assisted vaginal hysterectomy: a case-matched study. J Minim Invasive Gynecol. 2014;21:624\u201331.","DOI":"10.1016\/j.jmig.2014.01.005"}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:45Z","timestamp":1739512545000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.15.1.064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,3]]},"published-print":{"date-parts":[[2023,3]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.15.1.064","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}