Natural orifice transluminal endoscopic surgery in gynecology: What do we know till now?

Abstract

Surgical advancements are focusing currently on minimally invasive techniques, the latest of which is natural orifice transluminal endoscopic surgery. Though this approach is feasible through different natural orifices, the vaginal approach is the one which gained attention the most, given the vaginal flexibility and the ability to access pelvic and abdominal organs. Compared to gynecologists, general surgeons were precedents for using the vaginal orifice as a port of surgical entry. However, this vaginal approach is being more frequently implemented during gynecological surgeries nowadays. Advantages of natural orifice transluminal endoscopic surgery include scarless surgery, better exposure, reduced pain scores, less peri-operative complications, shorter hospital stay and improved patient satisfaction. This article provides an idea on the application of vaginal natural orifice transluminal endoscopic surgery in gynecology along with future potentials.

Transvaginal natural orifice transluminal endoscopic surgery for ectopic pregnancy

“…4 Following that, several studies have demonstrated that vNOTES can be performed successfully and safely in a series of gynecologic surgeries. [5][6][7] However, literature regarding vNOTES for ectopic pregnancy is still limited. Moreover, the techniques and equipment used vary considerably.…”

“…In 2012, the first case series of vNOTES in gynecology was published, and this series included four tubal ectopic pregnancies and one ovarian ectopic pregnancy 4 . Following that, several studies have demonstrated that vNOTES can be performed successfully and safely in a series of gynecologic surgeries 5–7 . However, literature regarding vNOTES for ectopic pregnancy is still limited.…”

“…4 Following that, several authors published their experiences, and various gynecological surgeries performed by vNOTES have been reported. [5][6][7] However, publications regarding vNOTES for ectopic pregnancy are still limited, and the techniques described require additional single-use or advanced equipment.…”

“…The first paper on NOTES in gynecology was published in 2012 and demonstrated the feasibility of transvaginal NOTES (vNOTES) for benign adnexal procedures 4 . Following that, several authors published their experiences, and various gynecological surgeries performed by vNOTES have been reported 5–7 . However, publications regarding vNOTES for ectopic pregnancy are still limited, and the techniques described require additional single‐use or advanced equipment.…”

Embarking on a brand new journey withGynecology and Obstetrics Clinical Medicine

“…3 Some articles have received wide attention and provide insight into the field of precision treatment for ovarian cancer 4 and natural orifice transluminal endoscopic surgery in gynaecology. 5 The accomplishment of these tasks would not have been possible without the dedication of our outstanding authors, reviewers and editors in the past years.…”