vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery)

What is vNOTES?

vNOTES (vaginal natural orifice transluminal endoscopic surgery) is an advanced minimally invasive gynecologic surgery that combines the benefits of the laparoscopic and vaginal approaches to gynecologic surgery. The vNOTES specialized instruments are placed through the vagina into the pelvic cavity, giving access to the uterus, fallopian tubes and ovaries without the need for abdominal skin incisions. This allows complex surgery to be performed without visible incisions with faster recovery and return to normal activities.

What are the conditions we treat with vNOTES at UCLA Health?

• Ovarian cysts
• Fibroids
• Tubal sterilization 
• Abnormal uterine bleeding
• Adenomyosis

What are the vNOTES procedures we do at UCLA Health?

• Hysterectomy – the removal of the uterus
• Salpingectomy – the removal of one or both fallopian tubes
• Oophorectomy – the removal of one or both ovaries
• Removal of ovarian cysts

What are the benefits of vNOTES? 

• Shorter hospital stay (often less than 24 hours)
• Less postoperative pain
• Less pain medication
• No visible scarring 

UCLA Health Expertise

The UCLA Department of Obstetrics and Gynecology has providers with specialized training and extensive experience in minimally invasive gynecologic surgery for the management of a range of women’s health conditions. 

Schedule an Appointment

To discuss the vNOTES procedure to determine if it is the right choice for your condition, please call us at 310-794-7274 to make an appointment with one of the following expert providers:

• Dr. Sukrant Mehta
• Dr. Ram Parvataneni
• Dr. Michelle Tsai

For more information about the procedure, please see the patient brochure (PDF) >