Role of vaginal natural orifice transluminal endoscopic surgery (vnotes) for a morbidly obese patient with a previous classical cesarean section desiring permanent sterilization

To demonstrate the utility of vaginal natural orifice transluminal endoscopic surgery, or vNOTES, in a morbidly obese patient with previous classical Cesarean section and severe abdominal adhesive disease This is multiparous two sections, one which was at 28 weeks morbid obesity BMI 50 kg/m2, who presented desiring permanent sterilization. Here stepwise demonstration vNOTES bilateral salpingectomy narrated video footage describing technique, advantages performing this technique compared to traditional laparoscopy. can be considered safe effective route for opportunistic sterilization, should patients as well surgeries.