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Environmental Sustainability
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Social Responsibility
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Explore Education
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Europe
United States
Explore All Products
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Wound Protector-Retractor
C-Section Protector-Retractor
Laparoscopic System
Orthopaedic Protector
Contained Extraction System
Epix Instrumentation
Universal Clip Applier Electrosurgical Probes Graspers Scissors Dissectors Suction-Irrigation System
GelPOINT Platforms
Advanced Access Platform
Mini Advanced Access Platform
Path Transanal Access Platform
V-Path Transvaginal Access Platform
GelPort System
Inzii Retrieval Systems
Ripstop Nylon Bags
Polyurethane Bags
Kii Access Systems
Fios First Entry Access System
Balloon Blunt-Tip Access System
Advanced Fixation Sleeve
Optical Access System
Shielded Bladed Access System
Dissecting Balloon Access Systems
Simsei Simulation Program
Stealth Occlusion Products
Clamps
Clips
Inserts
Sureseal II Endoscopic Valve
Voyant System
Maryland Fusion Devices
5mm Fusion Device
Fine Fusion Device
Open Fusion Device
Electrosurgical Generator
Intelligent Energy Technology
Laparoscopic Accessories

vNOTES

  • For Healthcare Providers

This web page is intended exclusively for healthcare professionals.

What is vNOTES?

Vaginal hysterectomy is the recommended approach by ACOG (American College of Obstetricians and Gynecologists), AAGL (American Association of Gynecologic Laparoscopists), Cochrane, and ISGE (International Society for Gynecologic Endoscopy) whenever indicated and feasible.1,2,3,4 Despite these recommendations and supporting clinical evidence, the global rate of vaginal hysterectomies appears to have steadily declined. Some of the challenges that contribute to lower adoption of the vaginal approach include lack of visibility and reduced access to the anatomy. Access to the adnexa can be particularly challenging, with failure rates of up to 36%.5,6

vNOTES (vaginal natural orifice transluminal endoscopic surgery) modernizes vaginal surgery. Innovative advanced access platforms enable access into the peritoneal cavity through the vagina, effectively combining the benefits of laparoscopic and traditional vaginal surgery.

See how vNOTES works

Loading the player...

WHAT ARE THE BENEFITS OF vNOTES?

vNOTES enhances visualization and access compared to traditional vaginal surgery:7

  • Easier identification of ureters8
  • More complete abdominal exploration9
  • Greater ability to address pelvic floor support8
  • Increased ability to remove adnexa and large uteri10
  • Better ability to teach11

vNOTES has been shown to provide the following benefits compared to laparoscopic surgery:

  • Less postoperative pain and analgesics12
  • Improved ergonomics for surgeons9
  • Better cosmesis8
  • Faster recovery12
  • Fewer postoperative infections13

“vNOTES solves the challenges of vaginal surgery by allowing additional visualization. It enables you to see the patient’s anatomy, as well as any scar tissue or adhesions. Also, as surgeons, we find it helps us teach our residents how to perform surgery correctly and safely.”

- Erica Stockwell, DO, MBA, FACOG
Loading the player...

HOW CAN I LEARN MORE ABOUT vNOTES?

vNOTES peer to peer workshops provide a comprehensive understanding of vNOTES procedural steps and instrumentation used in the treatment of benign gynecologic pathologies. The workshop includes the following:

  • Didactic lectures reviewing indications, clinical literature, anatomy, and instrument placement

  • Hands-on practicum with lifelike Simsei® tissue models to simulate vNOTES

  • Expert guidance and feedback from the faculty

  • Continued education and support after workshop completion

contact us FOR MORE INFORMATION ABOUT COURSE AVAILABILITY IN YOUR REGION


Thank you!

Your submission has been received.

 
  • Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol. 2017;129(6):e155-e 159. doi:10.1097/AOG.0000000000002112
  • AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1-3. doi:10.1016/j.jmig.2010.10.001
  • Aarts JW, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015(8):CD003677. Published 2015 Aug 12. doi:10.1002/14651858.CD003677.pub5
  • Chrysostomou A, Djokovic D, Edridge W, van Herendael BJ. Evidence-based practical guidelines of the International Socie t y for Gynecologic Endoscopy (ISGE) for vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2020;252:118- 1 26. doi:10.1016/j.ejogrb.2020.06.027
  • Robert M, Cenaiko D, Sepandj J, Iwanicki S. Success and Complications of Salpingectomy at the Time of Vaginal Hysterectomy. J Minim Invasive Gynecol. 2015;22(5):864-869. doi:10.1016/j.jmig.2015.04.012
  • Mothes AR, Schlachetzki A, Nicolaus K, et al. LAVH superior to TVH when concomitant salpingo-oophorectomy is intended in prolapse hysterectomy: a comparative cohort study. Arch Gynecol Obstet. 2018;298(6):1131-1137. doi:10.1007/s00404-018-4909-z
  • Lee CL, Wu KY, Su H, Wu PJ, Han CM, Yen CF. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): a series of 137 patients. J Minim Invasive Gynecol. 2014;21(5):818-824. doi:10.1016/j.jmig.2014.03.011
  • Lowenstein L, Baekelandt JF, Paz Y, Lauterbach R, Matanes E. Transvaginal natural orifice transluminal endoscopic hysterectomy and apical suspension of the vaginal cuff to the uterosacral ligament. J Minim Invasive Gynecol. 2019;26(6):1015. doi:10.1016/j.jmig.2019.04.007
  • Burnett AF, Rojo MO. Vaginal Natural Orifice Transluminal Endoscopic Surgery for Gynecologic and Gynecologic Oncology Procedures. IntechOpen. 2021;1(9) doi:10.5772/intechopen.96082
  • Baekelandt JF, Cavens D. GelPOINT (Applied Medical) is a suitable port for transvaginal NOTES procedures. J Gynecol Surg. 2016;32(5):257-262. doi:10.10189/gyn.2016.0013.
  • Nulens K, Bosteels J, De Rop C, Baekelandt JF. vNOTES Hysterectomy for Large Uteri: A Retrospective Cohort Study of 114 Patients. J Minim Invasive Gynecol. 2021;28(7):1351-1356. doi:10.1016/j.jmig.2020.10.003
  • Baekelandt JF, 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(1):105-113. doi:10.1111/1471-0528.15504
  • 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(12):3959. Published 2020 Dec 7. doi:10.3390/jcm9123959

This site is not intended for patients residing in Australia, Austria, Denmark, France, Italy, Japan, Korea, New Zealand, Portugal, Switzerland, Turkey or UAE.

What if you could have a hysterectomy with less pain, a faster recovery and no scars?1

What is vNOTES?

You play an important role in your surgery and your recovery. Research shows that patients who know more about their surgery choices enjoy a better outcome and are happier with their results.2

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is another choice to consider for your hysterectomy and other gynecologic procedures. vNOTES is a minimally invasive surgery that eliminates the need for your surgeon to make incisions in your abdomen to perform the surgery.

In the vNOTES procedure, your doctor uses specialized instruments inserted through the vagina instead of making incisions in your abdomen. This allows your doctor to gain access to the uterus and/or fallopian tubes and ovaries without any visible scarring.

Why vNOTES?

vNOTES has been shown to provide the following benefits to patients compared to the laparoscopic approach.1

Loading the player...

“I was really surprised when I was in recovery, because I could get up on my own and I could move and go to the restroom. The little things you don’t expect you would be able to do for a while, I was able to do very, very quickly, I mean right after surgery.”

- Brittany Villeneuve

“The vNOTES procedure and my surgeon ... made it possible for me to just have a little blip on life and just keep going, and I feel so much better after the procedure!”

- Melissa Arrowood

“The surgery started at 9 a.m. and I went home by noon that day. I was not in any pain at the hospital. I never experienced any pain with this vNOTES procedure.”

- Dawn Wagner

What should I expect with vNOTES?

BEFORE THE PROCEDURE

Your doctor will inform you of any pre-surgery testing and will provide information on eating, drinking and taking medications.

DURING THE PROCEDURE

You will be put under general anesthesia and will not feel anything during the procedure.

A small incision will be made in the vagina to help place the vNOTES device.

Your abdomen will then be filled with gas to give your doctor more space to see and operate.

Your doctor will operate with the help of a camera and instruments placed through the vNOTES device.

After your doctor has completed the surgery, the vNOTES device will be removed, the gas will be released, and your abdomen will return to normal. The internal incision will then be stitched.

AFTER THE PROCEDURE

You may be able to go home as early as the same day as your surgery.

A follow-up appointment will be scheduled a few weeks after surgery.

TALKING WITH YOUR DOCTOR

Only a trained doctor can determine whether you are eligible for a vNOTES procedure. All minimally invasive surgical procedures, including vNOTES, present risks to the patient, such as the potential for conversion to a traditional vaginal, laparoscopic or abdominal approach. These specific risks may only be evaluated in consultation with a doctor experienced in vNOTES procedures.

 
  • Baekelandt, J. F., De Mulder, P. A., Le Roy, I., Mathieu, C., Laenen, A., Enzlin, P., Weyers, S., Mol, B., & Bosteels, J. (2019). Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-care procedure: a randomised controlled trial. BJOG : an international journal of obstetrics and gynaecology, 126(1), 105–113. https://doi.org/10.1111/1471-0528.15504
  • Emerson, J., Paquet, A., Sangha, R., & Robison, K. (2019). Gynecologic Surgical Outcomes Through the Patient's Eyes: Are Physicians Looking in the Same Direction?. Obstetrical & gynecological survey, 74(6), 351–361. https://doi.org/10.1097/OGX.0000000000000681

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Si vous êtes un professionnel de santé, veuillez contacter le service Client d'Applied Medical à CustomerRelationsFR@appliedmedical.com. Sinon, merci de vous rapprocher de votre professionnel de santé pour en savoir plus sur la chirurgie vaginale endoscopique par voie naturelle.

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vNOTES

This web page is intended exclusively for healthcare professionals.


What is vNOTES?

Vaginal hysterectomy is the recommended approach by ACOG (American College of Obstetricians and Gynecologists), AAGL (American Association of Gynecologic Laparoscopists), Cochrane, and ISGE (International Society for Gynecologic Endoscopy), whenever indicated and feasible.1-4 Despite these recommendations and supporting clinical evidence, the global rate of vaginal hysterectomies appears to have steadily declined. Some of the challenges that contribute to lower adoption of the vaginal approach include lack of visibility and reduced access to the anatomy. Access to the adnexa can be particularly challenging, with failure rates of up to 36%.5,6

vNOTES (vaginal natural orifice transluminal endoscopic surgery) modernizes vaginal surgery. Innovative advanced access platforms enable access into the peritoneal cavity through the vagina, effectively combining the benefits of laparoscopic and traditional vaginal surgery.

See how vNOTES works

Loading the player...

WHAT ARE THE BENEFITS OF vNOTES?

vNOTES enhances visualization and access compared to traditional vaginal surgery7:

  • Easier identification of ureters8
  • More complete abdominal exploration9
  • Greater ability to address pelvic floor support8
  • Increased ability to remove adnexa and large uteri10
  • Better ability to teach11

vNOTES has been shown to provide the following benefits compared to laparoscopic surgery:

  • Less postoperative pain and analgesics12
  • Improved ergonomics for surgeons9
  • Better cosmesis8
  • Faster recovery12
  • Fewer postoperative infections13

“Patients are very surprised at the rapidity of the recovery. Most of the time, they are very, very happy after the experience. They say, 'If I had known, I would have done it before!'”

- Géraldine Giraudet, MD, PhD
Loading the player...
Loading the player...

PAST EVENTS

October 2023 | vNOTES Webinar Series: Progressing Your Practice

Join us as Drs. Jean Dubuisson (Switzerland), Géraldine Giraudet (France) and Grover May (United States) share how they have advanced their practices with vNOTES. Observe case presentations and listen to a Q&A on how to approach complex cases, such as adnexal procedures and the removal of large uteri, with the vNOTES approach.

Watch Event

May 2023 | vNOTES Webinar Series: vNOTES Hysterectomy Foundations

Join us as Drs. Asha Bhalwal (United States), Brandi Hardin (United States) and Jay Matkins (United States) review a complete vNOTES hysterectomy, including patient selection, OR and GelPOINT® V-Path platform setup, colpotomy creation, postoperative care and patient outcomes.

Watch Event

HOW CAN I LEARN MORE ABOUT vNOTES?

vNOTES workshops provide a comprehensive understanding of vNOTES procedural steps and instrumentation used in the treatment of benign gynecologic pathologies. The workshop includes the following:

  • Online didactic lectures reviewing indications, clinical literature, anatomy and instrument placement

  • Hands-on practicum with lifelike Simsei® tissue models to simulate vNOTES

  • Expert guidance and feedback from expert faculty

  • Continued education and support after workshop completion

contact us FOR MORE INFORMATION ABOUT COURSE AVAILABILITY IN YOUR REGION


The disclosure of this data is voluntary. By providing your personal data you give your consent to Applied Medical to process your personal data and follow up on your request for more information on the email address and/or phone number provided by you on this form. Applied Medical will not transfer your personal data to third parties unless required to do so by law and shall take all appropriate measures to protect your personal data from unauthorized access. We will retain your data in our CRM database.  Your consent can be withdrawn at any time by contacting DPO-Europe@appliedmedical.com.

Thank you!

Your submission has been received.

 
  • Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol. 2017;129(6):e155-e 159. doi:10.1097/AOG.0000000000002112
  • AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1-3. doi:10.1016/j.jmig.2010.10.001
  • Aarts JW, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015(8):CD003677. Published 2015 Aug 12. doi:10.1002/14651858.CD003677.pub5
  • Chrysostomou A, Djokovic D, Edridge W, van Herendael BJ. Evidence-based practical guidelines of the International Socie t y for Gynecologic Endoscopy (ISGE) for vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2020;252:118- 1 26. doi:10.1016/j.ejogrb.2020.06.027
  • Robert M, Cenaiko D, Sepandj J, Iwanicki S. Success and Complications of Salpingectomy at the Time of Vaginal Hysterectomy. J Minim Invasive Gynecol. 2015;22(5):864-869. doi:10.1016/j.jmig.2015.04.012
  • Mothes AR, Schlachetzki A, Nicolaus K, et al. LAVH superior to TVH when concomitant salpingo-oophorectomy is intended in prolapse hysterectomy: a comparative cohort study. Arch Gynecol Obstet. 2018;298(6):1131-1137. doi:10.1007/s00404-018-4909-z
  • Lee CL, Wu KY, Su H, Wu PJ, Han CM, Yen CF. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): a series of 137 patients. J Minim Invasive Gynecol. 2014;21(5):818-824. doi:10.1016/j.jmig.2014.03.011
  • Lowenstein L, Baekelandt JF, Paz Y, Lauterbach R, Matanes E. Transvaginal natural orifice transluminal endoscopic hysterectomy and apical suspension of the vaginal cuff to the uterosacral ligament. J Minim Invasive Gynecol. 2019;26(6):1015. doi:10.1016/j.jmig.2019.04.007
  • Burnett AF, Rojo MO. Vaginal Natural Orifice Transluminal Endoscopic Surgery for Gynecologic and Gynecologic Oncology Procedures. IntechOpen. 2021;1(9) doi:10.5772/intechopen.96082
  • Baekelandt JF, Cavens D. GelPOINT (Applied Medical) is a suitable port for transvaginal NOTES procedures. J Gynecol Surg. 2016;32(5):257-262. doi:10.10189/gyn.2016.0013.
  • Nulens K, Bosteels J, De Rop C, Baekelandt JF. vNOTES Hysterectomy for Large Uteri: A Retrospective Cohort Study of 114 Patients. J Minim Invasive Gynecol. 2021;28(7):1351-1356. doi:10.1016/j.jmig.2020.10.003
  • Baekelandt JF, 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(1):105-113. doi:10.1111/1471-0528.15504
  • 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(12):3959. Published 2020 Dec 7. doi:10.3390/jcm9123959

vNOTES

Pour le moment, ce site web n'est pas disponible pour votre pays.


Si vous êtes un professionnel de santé, veuillez contacter votre représentant local d'Applied Medical ou CustomerRelations-FR@appliedmedical.com pour plus d'informations.

vNOTES

What is vNOTES?

Vaginal hysterectomy is the recommended approach by ACOG (American College of Obstetricians and Gynecologists), AAGL (American Association of Gynecologic Laparoscopists), Cochrane, and ISGE (International Society for Gynecologic Endoscopy), whenever indicated and feasible.1-4 Despite these recommendations and supporting clinical evidence, the global rate of vaginal hysterectomies appears to have steadily declined. Some of the challenges that contribute to lower adoption of the vaginal approach include lack of visibility and reduced access to the anatomy. Access to the adnexa can be particularly challenging, with failure rates of up to 36 percent.5,6

vNOTES (vaginal natural orifice transluminal endoscopic surgery) modernizes vaginal surgery. Innovative advanced access platforms enable access into the peritoneal cavity through the vagina, effectively combining the benefits of laparoscopic and traditional vaginal surgery.

See how vNOTES works

Loading the player...

WHAT ARE THE BENEFITS OF vNOTES?

vNOTES enhances visualization and access compared to traditional vaginal surgery7:

  • Easier identification of ureters8
  • More complete abdominal exploration9
  • Greater ability to address pelvic floor support8
  • Increased ability to remove adnexa and large uteri10
  • Better ability to teach11

vNOTES has been shown to provide the following benefits compared to laparoscopic surgery:

  • Less postoperative pain and analgesics12
  • Improved ergonomics for surgeons9
  • Better cosmesis8
  • Faster recovery12
  • Fewer postoperative infections13

“My patients often experience many benefits from the vNOTES procedure. In addition to not having a scar, they have less postoperative pain, often requiring only ibuprofen. Most importantly, they have a shorter hospital stay and are able to return to work more quickly.”

- Grover May, MD, FACOG
Loading the player...

HOW CAN I LEARN MORE ABOUT vNOTES?

vNOTES peer-to-peer workshops provide a comprehensive understanding of vNOTES procedural steps and instrumentation used in the treatment of benign gynecologic pathologies. The workshop includes the following:

  • Online didactic lectures reviewing indications, clinical literature, anatomy and instrument placement

  • Hands-on practicum with lifelike Simsei® tissue models to simulate vNOTES

  • Guidance and feedback from expert faculty

  • Continued education and support after workshop completion

contact us FOR MORE INFORMATION ABOUT COURSE AVAILABILITY IN YOUR REGION


The disclosure of this data is voluntary. By providing your personal data you give your consent to Applied Medical to process your personal data and follow-up on your request for more information on the e-mail address and/or phone number provided by you on this form. Applied Medical will not transfer your personal data to third parties unless required to do so by law and shall take all appropriate measures to protect your personal data from unauthorized access. We will retain your data in our CRM database.  Your consent can be withdrawn at any time by contacting ClinicalEducation-AU@appliedmedical.com.

Thank you!

Your submission has been received.

 
  • Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol. 2017;129(6):e155-e 159. doi:10.1097/AOG.0000000000002112
  • AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1-3. doi:10.1016/j.jmig.2010.10.001
  • Aarts JW, Nieboer TE, Johnson N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015(8):CD003677. Published 2015 Aug 12. doi:10.1002/14651858.CD003677.pub5
  • Chrysostomou A, Djokovic D, Edridge W, van Herendael BJ. Evidence-based practical guidelines of the International Socie t y for Gynecologic Endoscopy (ISGE) for vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol. 2020;252:118- 1 26. doi:10.1016/j.ejogrb.2020.06.027
  • Robert M, Cenaiko D, Sepandj J, Iwanicki S. Success and Complications of Salpingectomy at the Time of Vaginal Hysterectomy. J Minim Invasive Gynecol. 2015;22(5):864-869. doi:10.1016/j.jmig.2015.04.012
  • Mothes AR, Schlachetzki A, Nicolaus K, et al. LAVH superior to TVH when concomitant salpingo-oophorectomy is intended in prolapse hysterectomy: a comparative cohort study. Arch Gynecol Obstet. 2018;298(6):1131-1137. doi:10.1007/s00404-018-4909-z
  • Lee CL, Wu KY, Su H, Wu PJ, Han CM, Yen CF. Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): a series of 137 patients. J Minim Invasive Gynecol. 2014;21(5):818-824. doi:10.1016/j.jmig.2014.03.011
  • Lowenstein L, Baekelandt JF, Paz Y, Lauterbach R, Matanes E. Transvaginal natural orifice transluminal endoscopic hysterectomy and apical suspension of the vaginal cuff to the uterosacral ligament. J Minim Invasive Gynecol. 2019;26(6):1015. doi:10.1016/j.jmig.2019.04.007
  • Burnett AF, Rojo MO. Vaginal Natural Orifice Transluminal Endoscopic Surgery for Gynecologic and Gynecologic Oncology Procedures. IntechOpen. 2021;1(9) doi:10.5772/intechopen.96082
  • Baekelandt JF, Cavens D. GelPOINT (Applied Medical) is a suitable port for transvaginal NOTES procedures. J Gynecol Surg. 2016;32(5):257-262. doi:10.10189/gyn.2016.0013.
  • Nulens K, Bosteels J, De Rop C, Baekelandt JF. vNOTES Hysterectomy for Large Uteri: A Retrospective Cohort Study of 114 Patients. J Minim Invasive Gynecol. 2021;28(7):1351-1356. doi:10.1016/j.jmig.2020.10.003
  • Baekelandt JF, 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(1):105-113. doi:10.1111/1471-0528.15504
  • 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(12):3959. Published 2020 Dec 7. doi:10.3390/jcm9123959

vNOTES

What is vNOTES?

Vaginal hysterectomy is the recommended approach by ACOG (American College of Obstetricians and Gynecologists), AAGL (American Association of Gynecologic Laparoscopists), Cochrane, and ISGE (International Society for Gynecologic Endoscopy), whenever indicated and feasible.1-4 Despite these recommendations and supporting clinical evidence, the global rate of vaginal hysterectomies appears to have steadily declined. Some of the challenges that contribute to lower adoption of the vaginal approach include lack of visibility and reduced access to the anatomy. Access to the adnexa can be particularly challenging, with failure rates of up to 36 percent.5,6

vNOTES (vaginal natural orifice transluminal endoscopic surgery) modernizes vaginal surgery. Innovative advanced access platforms enable access into the peritoneal cavity through the vagina, effectively combining the benefits of laparoscopic and traditional vaginal surgery.

See how vNOTES works

Loading the player...

WHAT ARE THE BENEFITS OF vNOTES?

vNOTES enhances visualization and access compared to traditional vaginal surgery7:

  • Easier identification of ureters8
  • More complete abdominal exploration9
  • Greater ability to address pelvic floor support8
  • Increased ability to remove adnexa and large uteri10
  • Better ability to teach11

vNOTES has been shown to provide the following benefits compared to laparoscopic surgery:

  • Less postoperative pain and analgesics12
  • Improved ergonomics for surgeons9
  • Better cosmesis8
  • Faster recovery12
  • Fewer postoperative infections13

“vNOTES solves the challenges of vaginal surgery by allowing additional visualization. It enables you to see the patient’s anatomy, as well as any scar tissue or adhesions. Also, as surgeons, we find it helps us teach our residents how to perform surgery correctly and safely.”

- Erica Stockwell, DO, MBA, FACOG
Loading the player...

HOW CAN I LEARN MORE ABOUT vNOTES?

vNOTES peer-to-peer workshops provide a comprehensive understanding of vNOTES procedural steps and instrumentation used in the treatment of benign gynecologic pathologies. The workshop includes the following:

  • Online didactic lectures reviewing indications, clinical literature, anatomy and instrument placement

  • Hands-on practicum with lifelike Simsei® tissue models to simulate vNOTES

  • Guidance and feedback from expert faculty

  • Continued education and support after workshop completion

contact us FOR MORE INFORMATION ABOUT COURSE AVAILABILITY IN YOUR REGION


The disclosure of this data is voluntary. By providing your personal data you give your consent to Applied Medical to process your personal data and follow-up on your request for more information on the e-mail address and/or phone number provided by you on this form. Applied Medical will not transfer your personal data to third parties unless required to do so by law and shall take all appropriate measures to protect your personal data from unauthorized access. We will retain your data in our CRM database.  Your consent can be withdrawn at any time by contacting vNOTES-MENAT@appliedmedical.com

Thank you!

Your submission has been received.

 
  • Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol. 2017;129(6):e155-e 159. doi:10.1097/AOG.0000000000002112
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