What is the vNOTES technique?
Vaginal surgery is a minimally invasive approach in which the procedure is carried out entirely via the vaginal route, avoiding any visible external incisions. The vNOTES technique (transvaginal endoscopic surgery) represents an advanced development of this approach, enabling laparoscopic procedures to be performed through the vaginal canal and combining the benefits of both vaginal and laparoscopic surgery.
Recommended for
Hysterectomies (removal of the uterus)
Treatment of genital prolapse
Ovarian or fallopian tube surgery accessible via the vaginal route
Certain types of gynaecological cancer in the early stages
Preparation before surgery
Fast for at least six hours
Carry out vaginal antiseptic preparation if advised
Temporarily stop certain medications under medical guidance
Attend a pre-anaesthetic assessment
What to expect during surgery
The procedure is performed under general or regional (spinal) anaesthesia
Surgery is carried out entirely via the vaginal route
When using the vNOTES technique, a laparoscopic camera is introduced through the vagina to guide the operation
No abdominal incisions are required, leaving no visible scars
Recovery and postoperative progress.
Most patients are discharged within 24 hours
Postoperative discomfort is usually minimal
Light vaginal bleeding may occur for a few days
Normal daily activities can generally be resumed within 5 to 10 days
Results (15 to 20 days): You will be contacted by telephone to discuss the results of tissue sample analysis.
Postoperative follow-up (45 days): A routine follow-up appointment is scheduled approximately 45 days after surgery, unless your case requires earlier review.
Avoid sexual intercourse for four weeks
Don’t use tampons or vaginal douches
Maintain intimate hygiene with gentle, non-irritating products
