September 21, 2026 · Journal of minimally invasive gynecology · DOI: 10.1016/j.jmig.2026.09.013

A Structured Two-Phase Workflow for Transvaginal Natural Orifice Transluminal Endoscopic Sacrocolpopexy: A 24-Case Consecutive Feasibility Series

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The authors aimed to evaluate the feasibility and perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy using a structured two-phase workflow. In a series of 24 cases, they found that the procedure was completed successfully in 23 patients, with a low complication rate and no mesh-related issues during a median follow-up of 12.2 months. The study suggests that this approach is feasible, but further research is needed to assess comparative effectiveness and long-term outcomes.

Yun Seok Yang, Jinyu Lee, Seong Hee Kim, Chul Kwon Lim, Jae Young Kwack, Jun-Hyeok Kang, Kwan Young Oh

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