VNOTES HYSTERECTOMY: CAN IT BE CONSIDERED THE OPTIMAL APPROACH FOR OBESE PATIENTS?

Abstract

Vaginally assisted Natural Orifice Transluminal Endoscopic Surgery (vNOTES) is a recent and newly introduced technique which has a wide application in gynecologic surgery and other medical specialties [1]. This technique involves an endoscopic access creation in the vagina, through which abdominal and pelvic structures can be reached with appropriate devices. Moreover, it gained popularity since it is associated with short operative time, reduced post-operatory pain, lack of visible scars, and a better cosmetic result, using natural orifices to access the abdominal cavity. In this regard, vNOTES was considered eligible for hysterectomy and was firstly described in 2012. During the last decade, several pieces of evidence suggested the efficacy and feasibility of this novel approach. Nevertheless, few metanalyses and randomized controlled trials (RCTs) have been performed to evaluate vNOTES outcomes...