14006: Natural Orifice Surgery Masterclass: Vaginal Surgery and vNOTES for the Modern Gynaecologic Surgeon

Saturday, November 14, 2026
10:15 am - 12:15 pm

Room: 310

Chair: Jan Baekelandt
Co-Chair: Supuni Kapurubandara

Faculty: Jimmy Nomura, Hsuan Su

Description:
This course will provide a practical and evidence-based overview of the vaginal surgical principles that underpin safe and effective vaginal natural orifice transluminal endoscopic surgery (vNOTES).

The course will begin with essential vaginal anatomy, patient selection, vaginal entry and vaginal hysterectomy principles before progressing to vNOTES-specific operative strategies. Faculty will discuss the current evidence for vNOTES hysterectomy, advanced and emerging indications, prevention and management of complications, and practical approaches to troubleshooting difficult surgical scenarios.

Through focused presentations, operative videos and case-based discussion, participants will develop a structured approach to integrating established vaginal surgical principles with contemporary vNOTES practice.

Learning Objectives: At the end of this course, the participant will be able to: 1) Describe the vaginal anatomy, surgical entry techniques and vaginal hysterectomy principles that form the foundation of safe vNOTES surgery; 2) Select appropriate patients for vNOTES using clinical, anatomical and procedural considerations, while recognizing relative contraindications and risk factors for operative difficulty; and 3) Apply practical strategies to prevent, recognize and manage complications and troubleshoot challenging vNOTES cases.

Course Outline

10:15 AM Welcome, Introduction and Course Overview
J. Baekelandt

10:20 AM The Vaginal Route Revisited: Evidence, Technique, Indications and Outcomes
S. Kapurubandara

10:40 AM Safe Entry: Vaginal Access Reimagined
H. Su

11:00 AM The Difficult Hysterectomy Conquered Through Vaginal and vNOTES Strategies
J. Baekelandt

11:20 AM Restoring the Apex Via Vaginal and vNOTES Surgery
J. Nomura

11:40 AM When Things Don't Go to Plan: Managing Complications
All Faculty

12:00 PM Discussion Questions & Answers

12:15 PM Adjourn