Vnotes: tips and tricks for success with vaginal laparoscopy

The objective of this video is to describe steps for improved efficiency with vaginal laparoscopy hysterectomy and native tissue apical suspension. This highlights tips success via the vNOTES (vaginal natural orifice transluminal endoscopic surgery) procedure. Common challenges including ring placement, exposure, suture management are identified overcoming these obstacles outlined. We provide detailed videographic photographic examples equipment that we have found useful completing complex prolapse repair technique. Pelvic anatomy from a vantage point highlighted direct view during crucial points surgery provided. demonstrates helpful techniques improving advantages increased visualization difficult surgery.