vNOTES

vNOTES is a scarless, minimally invasive approach to hysterectomy performed entirely through the vagina using a small camera and specialized surgical instruments. This technique allows surgeons to access and visualize the pelvic and upper abdominal areas without making any abdominal incisions.

vNOTES is commonly used to remove the uterus, fallopian tubes, and ovaries during a hysterectomy. It can be especially beneficial for women with larger uteri caused by fibroids, as it allows surgeons to visualize the upper abdomen through the vaginal approach while performing the procedure safely and effectively.

The surgery is performed under general anesthesia and typically takes about 1–2 hours. Using a specialized surgical port placed through the vagina, surgeons are able to remove the uterus, tubes, or ovaries without external incisions.

Patients benefit from less postoperative pain, a lower risk of infection, and no visible scars. Recovery is often faster compared to traditional or robotic hysterectomy methods. Most patients return to normal daily activities within 1–2 weeks, though heavy lifting is usually restricted for about six weeks. Many patients are able to return home within 24 hours, and recovery often requires less need for narcotic pain medication.

In addition to faster recovery and improved comfort, vNOTES hysterectomy can also be more cost-effective than some other surgical approaches while still providing excellent outcomes.