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Re: Ferro R, Hurni Y, Seidler S, Huber D. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecological emergencies. Eur J Obstet Gynecol Reprod Biol 2024 X 20 (2023) 100261.
Eur J Obstet Gynecol Reprod Biol
May 2024
Department of Obstetrics and Gynaecology, North Middlesex University Hospital, United Kingdom. Electronic address:
Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecological emergencies.
Eur J Obstet Gynecol Reprod Biol X
December 2023
Department of Gynecology and Obstetrics, Valais Hospital, Av. du Grand-Champsec 80, 1951 Sion, Switzerland.
Objective: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is an emerging minimally invasive approach increasingly applied to perform many gynecological procedures. Despite a still limited level of evidence, compared to conventional laparoscopy, vNOTES seems to be associated with reduced blood loss, shorter operative time, less postoperative pain, shorter hospitalization time, better cosmetic results and decreased postoperative morbidity. Although growing evidence supports the effectiveness of vNOTES for elective adnexal surgeries, there is still limited knowledge regarding its feasibility and safety in emergency settings.
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