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Transvaginal Notes for Adnexal Procedures: Technique Description

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Amélia Almeida
Paula Ramôa
Pedro Brandão


Natural orifice transluminal endoscopic surgery (NOTES):

  • scarless abdominal endoscopic operations

  • through a natural orifice (mouth, urethra, anus, vulva)

  • internal incision at the stomach, bladder, colon or vagina

Transvaginal NOTES seems to be safe and reliable for gynecological surgery
NOTES may be the next major paradigm shift in surgery, as laparoscopy was during the 1980s and 1990s

No scars | Fast recovery | Short Hospital Stay | Short Work Absence | Few Post-Op Analgesia |Few Complications | Good Patient Satisfaction

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