Abstract
Endoscopic surgery through natural orifices, known as NOTES (natural orifice translumenal endoscopic surgery), is an emerging surgical modality that uses endoscopic instruments through hollow viscera to enter the peritoneal cavity and allow surgical procedures without incisions. Fundamentally, the entrances are the mouth, anus, vagina, and urethra. Any surgical procedure involves the manipulation, repair, or removal of certain tissues and organs. Two decades ago we saw the progression from the traditional open surgery to laparoscopic surgery. The minimal abdominal incision was a significant improvement in postoperative recovery, analgesic requirements, hospital stay, recovery of routine activity, and the possibility of hernias. With improved technologies and the development of new techniques, the concept of scarless surgery has emerged in an attempt to treat certain diseases, obviating the need for incisions to access the peritoneal cavity, resulting in a direct benefit to patients, offering an improvement in quality of life and an advantage over conventional laparoscopy. Laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery (NOTES) are evolutions of laparoscopy, but they are complementary techniques that should be included in this new concept.
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© 2013 Springer-Verlag London
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Caparros, M.J.R., Asensio, A.A. (2013). Access: Transvaginal. In: Rane, A., Cadeddu, J., Desai, M., Gill, I. (eds) Scar-Less Surgery. Springer, London. https://doi.org/10.1007/978-1-84800-360-6_10
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DOI: https://doi.org/10.1007/978-1-84800-360-6_10
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