Endoskopie 2009; 18(2): 61-63

NOTES (Natural orifice transluminal endoscopic surgery) in gyneacology

MUDr. Petr Valha, MUDr. Eduard Kučera CSc

Ústav pro péči o matku a dítě, Praha-Podolí

NOTES is an innovative surgical methodology approach that uses natural body orifices, i. e. without abdominal wall incision, to access

organ that undergoes surgery. NOTES is applicable to all areas of medicine. Unlike the other medical branches that keep seeking an ideal

access path, in gyneacology is an advantage in well known transvaginal access. Out of the other well known approaches it is worth to

mention transgastritic, transcolonal, transvesical etc.

The main purpose of this new method, until recently considered experimental, is to reduce negative effects of classical surgery. NOTES,

sometimes reffered to as „scarless surgery“ eliminates possible complications due to abdominal wall incison, healing process, hernia

formation, scar inflammation, reduces postoperative pain that results in decreased analgetics usage and shortens reconvalescence intervals.

It appears to be an ideal surgical method for obese patients suffering from internal polymorbiditis whose treatment by laparotomic

or laparoscopic approaches has its practical constraints. Spectra of surgeries carried out by NOTES technique is continuously widening

and it is only a matter of time until it reaches commonpractice.

Keywords: NOTES, transvaginal access, natural body orifice.

Published: September 1, 2009  Show citation