vNOTES (vaginal natural orifice transluminal surgery) gynecologic procedures in morbidly and super-morbidly obese women: five year experience.

Purpose: To analyze our experience with vNOTES gynecologic procedures in women with morbid and super morbid obesity to determine feasibility and compare outcomes with standard minimally invasive techniques.

Methods: Gynecologic procedures performed by three surgeons on women with a body mass index (BMI) ≥ 40 kg/m from 2017 to 2023. A subset of women with a BMI ≥ 50 kg/m was also analyzed.