Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) allows totally scarless adnexal surgery. Access in POD is achieved by a 3 cm posterior colpotomy. vNOTES glove port is placed. Decent triangulation of instruments is possible that is sufficient for doing ovarian cystectomy following the principles of minimally invasive surgery. Suyash Naval DNB FAGLS.
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