In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia. 

First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like vNOTES.

TIMESTAMPS

00:00 - Introduction

00:32 - Concerns About Hernia Rates and Incisions

01:05 - Vaginal Incisions and Their Implications

02:35 - Vaginal Deliveries After vNOTES

03:55 - Dyspareunia After vNOTES

04:13 - Technical Details on Incision Placement

05:53 - Closing Techniques

06:45 - Advice for Surgeons Introducing vNOTES

CHECK OUT THE FULL EPISODE

BackTable OBGYN Ep 31: The vNOTES Procedure

https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure