Chairs: Bernard Chern

Faculty: Ala' U’wais, Ichnandy A. Rachman, Chyi-Long Lee

Description: This panel will delve into the cutting-edge advancements of Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in the field of minimally invasive gynecology. The focus will be on achieving optimal patient outcomes through a scarless surgical approach while enhancing ergonomics and efficiency for surgeons.

Our speakers will provide insightful presentations on the benefits and perspectives of vNOTES, including practical tips for training, patient selection, case preparation, and procedural steps for integrating vNOTES into daily clinical practice. A structured, safe, and stepwise technique for initiating vNOTES hysterectomy will be highlighted. The speakers will also explore the application of vNOTES in complex surgical cases and its integration with other advanced technologies, such as robotics and ablative systems.

Each panelist will share valuable insights from their respective training centers, covering aspects such as setup, instrumentation, and procedural nuances. This session aims to empower attendees with the knowledge and skills to confidently adopt and expand the vNOTES technique in their practice, improving both patient care and surgical workflow.

Learning Objectives: At the end of this course, the participant will be able to:

1. Objective Understand the benefits of vNOTES for both patients and surgeons, emphasizing improved outcomes and enhanced surgical ergonomics;
2. Objective Identify key tips and techniques for training, patient selection, case preparation, and performing vNOTES procedures in routine practice; and
3. Objective Develop a personal learning curve for vNOTES implementation and explore ways to integrate it with existing technologies available in their centers.

Course Outline

2:00 PM Welcome, Introduction and Course Overview

B. Chern

2:05 PM Safe Peritoneal Entry in Abnormal Pelvic Anatomy

A. U’wais

2:20 PM vNOTES for Large Fibroids: Step-By-Step Hysterectomy

I. Rachman

2:35 PM Future Perspectives of vNOTES

C. Lee

2:50 PM Discussion Questions & Answers

2:00 PM Adjourn