Gironde Hospital’s Groundbreaking Patient Care
- LANGON, France (AP) — The Sud-Gironde hospital center in Langon, Gironde, performed its first surgery using the vNOTES (vaginal natural transluminal endoscopic surgery) technique on March 20, 2025.
- VNOTES is a minimally invasive surgical approach utilizing natural orifices, specifically the vagina, to access the abdominal cavity.This eliminates the need for conventional abdominal incisions.
- Tissot trained in the vNOTES technique under Professor Aslam Mansoor, a gynecologist from the Issoire hospital center, and Dr.
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Scarless Laparoscopy: South Gironde Hospital Pioneers vNOTES Technique
LANGON, France (AP) — The Sud-Gironde hospital center in Langon, Gironde, performed its first surgery using the vNOTES (vaginal natural transluminal endoscopic surgery) technique on March 20, 2025. Dr. Hélène Tissot,an obstetrician-gynecologist and department head,led the procedure,which leaves no visible scars.
What is vNOTES?
VNOTES is a minimally invasive surgical approach utilizing natural orifices, specifically the vagina, to access the abdominal cavity.This eliminates the need for conventional abdominal incisions.
Tissot trained in the vNOTES technique under Professor Aslam Mansoor, a gynecologist from the Issoire hospital center, and Dr. Rachel Brones from Rouen. Dr. Marie stal is also slated to receive training in the procedure.
The vNOTES procedure is suitable for patients requiring tubal sterilization, treatment for adnexal pathologies (affecting the ovaries and tubes), and even hysterectomies.
We have developed a modern technique to reduce operating time.
Faster Recovery, Less Pain
The first two patients who underwent the vNOTES procedure at Sud-Gironde were discharged the same day, highlighting the technique’s potential for faster recovery times.
“We have developed a modern technique to reduce operating time,” Tissot said. “It is the same principle as celioscopy, but instead of intervening through the abdomen, we operate vaginally. A small incision is made behind the uterus, and we place the camera and operate on the ovaries and tubes, in the case of ovarian cysts, for example, or to remove the uterus. We are proud to offer this technique to patients.”
Benefits of vNOTES
One key advantage of vNOTES is the reduction of post-operative pain. The technique combines the benefits of both vaginal and laparoscopic surgery.
This minimally invasive approach can be used for:
- Salpingectomies (removal of a fallopian tube)
- Annexectomies (removal of the ovary and fallopian tube)
- Ovarian drilling (for polycystic ovary syndrome)
- Ovarian cystectomies (removal of ovarian cysts)
- Hysterectomies (removal of the uterus)
“Compared to abdominal laparoscopy,” Tissot added, “the advantages are the absence of a skin scar, faster post-operative recovery, a decrease in pain, and an increase in the rate of ambulatory surgery.”
The reduced recovery time allows the hospital to treat more patients efficiently.
VNOTES: A Closer Look
VNOTES, or Vaginal Natural Transluminal Endoscopic Surgery, has been in growth as the 2010s. According to Dr. Jean-Baptiste Thoumas at the Mont-Saint-aignan Hospital Center, it combines the optimal visualization of anatomical structures offered by celioscopy with the benefits of vaginal surgery, such as no visible scar, decreased post-operative pain, and faster recovery.
The primary request of vNOTES is hysterectomy, often combined with the removal of tubes and ovaries. It is not used for cancer treatment.
The procedure involves general anesthesia. The surgeon makes an incision in the vagina around the uterus and inserts a device to inflate the abdomen with carbon dioxide, creating space for the operation.The gas pressure required is lower than in conventional celioscopy,further reducing post-operative pain.
growing Interest in vNOTES
“I am from the old generation in gynecology,” Tissot said. “We have a vision either by the abdomen or naturally. I already operate naturally. I do vaginal and laparoscopy interventions. This new vNOTES technique combines both. For an overweight patient, this is a better solution.”
On March 20, Tissot and Brones jointly performed the first two vNOTES procedures on patients from South gironde.
“it went well,” Tissot said. “They were on an outpatient basis and then returned to their homes. A dozen patients are already registered for this technique. It is indeed on the rise among gynecologists.”
Another advantage for the Sud-Gironde hospital center is that surgeons do not need new,specialized equipment. “We have celioscopy equipment, camera, pliers. we must have the Gelpoint® V-path for single use.”
Range of Pathologies Treated
The Sud-Gironde Langon-La Reole Hospital Center addresses various pathologies, including infertility, endometriosis, cancer, obstetrics, gynecological surgery, and urinary incontinence.
The Issoire hospital center, near Clermont-Ferrand, where Professor Aslam Mansoor practices, is a pioneer in celioscopy and has trained numerous surgeons.
“Anything that reduces hospitalization time is advocated by public health bodies,” Tissot said. “This new and modern technique is now offered to patients in the local hospital, the
Scarless Laparoscopy: South Gironde Hospital Pioneers vNOTES Technique
LANGON, France (AP) — The Sud-Gironde hospital center in Langon, Gironde, performed its first surgery using the vNOTES (vaginal natural transluminal endoscopic surgery) technique on March 20, 2025. Dr.Hélène Tissot,an obstetrician-gynecologist and department head,led the procedure,which leaves no visible scars.
What is vNOTES?
VNOTES is a minimally invasive surgical approach utilizing natural orifices, specifically the vagina, to access the abdominal cavity.This eliminates the need for conventional abdominal incisions.
Tissot trained in the vNOTES technique under Professor Aslam Mansoor, a gynecologist from the Issoire hospital center, and Dr. Rachel Brones from Rouen. Dr. Marie stal is also slated to receive training in the procedure.
The vNOTES procedure is suitable for patients requiring tubal sterilization, treatment for adnexal pathologies (affecting the ovaries and tubes),and even hysterectomies.
We have developed a modern technique to reduce operating time.
faster Recovery, Less Pain
The first two patients who underwent the vNOTES procedure at Sud-Gironde were discharged the same day, highlighting the technique’s potential for faster recovery times.
“We have developed a modern technique to reduce operating time,” tissot said. “It is indeed the same principle as celioscopy,but rather of intervening through the abdomen,we operate vaginally. A small incision is made behind the uterus, and we place the camera and operate on the ovaries and tubes, in the case of ovarian cysts, for example, or to remove the uterus. We are proud to offer this technique to patients.”
Benefits of vNOTES
One key advantage of vNOTES is the reduction of post-operative pain. The technique combines the benefits of both vaginal and laparoscopic surgery.
This minimally invasive approach can be used for:
- Salpingectomies (removal of a fallopian tube)
- annexectomies (removal of the ovary and fallopian tube)
- Ovarian drilling (for polycystic ovary syndrome)
- Ovarian cystectomies (removal of ovarian cysts)
- Hysterectomies (removal of the uterus)
“Compared to abdominal laparoscopy,” Tissot added, “the advantages are the absence of a skin scar, faster post-operative recovery, a decrease in pain, and an increase in the rate of ambulatory surgery.”
The reduced recovery time allows the hospital to treat more patients efficiently.
VNOTES: A Closer Look
VNOTES, or Vaginal Natural Transluminal Endoscopic Surgery, has been in growth as the 2010s. According to Dr. Jean-Baptiste Thoumas at the Mont-Saint-aignan Hospital Center, it combines the optimal visualization of anatomical structures offered by celioscopy with the benefits of vaginal surgery, such as no visible scar, decreased post-operative pain, and faster recovery.
the primary request of vNOTES is hysterectomy, often combined with the removal of tubes and ovaries. It is not used for cancer treatment.
The procedure involves general anesthesia. The surgeon makes an incision in the vagina around the uterus and inserts a device to inflate the abdomen with carbon dioxide, creating space for the operation.The gas pressure required is lower than in conventional celioscopy,further reducing post-operative pain.
growing Interest in vNOTES
“I am from the old generation in gynecology,” Tissot said.“We have a vision either by the abdomen or naturally.I already operate naturally. I do vaginal and laparoscopy interventions. This new vNOTES technique combines both. For an overweight patient, this is a better solution.”
On March 20, Tissot and Brones jointly performed the first two vNOTES procedures on patients from South gironde.
“it went well,” Tissot said. “They were on an outpatient basis and then returned to their homes. A dozen patients are already registered for this technique. It is indeed on the rise among gynecologists.”
Another advantage for the Sud-Gironde hospital center is that surgeons do not need new,specialized equipment.“We have celioscopy equipment, camera, pliers. we must have the Gelpoint® V-path for single use.”
Range of Pathologies Treated
The Sud-Gironde Langon-La Reole Hospital Center addresses various pathologies, including infertility, endometriosis, cancer, obstetrics, gynecological surgery, and urinary incontinence.
The Issoire hospital center, near clermont-Ferrand, where Professor Aslam Mansoor practices, is a pioneer in celioscopy and has trained numerous surgeons.
“anything that reduces hospitalization time is advocated by public health bodies,” Tissot said. “This new and modern technique is now offered to patients in the local hospital, the.
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Scarless Laparoscopy: South Gironde Hospital Pioneers vNOTES Technique
LANGON, France (AP) — The Sud-Gironde hospital center in Langon, Gironde, performed its first surgery using the vNOTES (vaginal natural transluminal endoscopic surgery) technique on March 20, 2025. Dr. Hélène Tissot,an obstetrician-gynecologist and department head,led the procedure,which leaves no visible scars.
What is vNOTES?
VNOTES is a minimally invasive surgical approach utilizing natural orifices, specifically the vagina, to access the abdominal cavity.This eliminates the need for conventional abdominal incisions.
Tissot trained in the vNOTES technique under Professor Aslam Mansoor, a gynecologist from the Issoire hospital center, and Dr. Rachel Brones from Rouen. Dr. Marie stal is also slated to receive training in the procedure.
The vNOTES procedure is suitable for patients requiring tubal sterilization, treatment for adnexal pathologies (affecting the ovaries and tubes), and even hysterectomies.
We have developed a modern technique to reduce operating time.
Faster Recovery,Less Pain
The first two patients who underwent the vNOTES procedure at Sud-Gironde were discharged the same day,highlighting the technique’s potential for faster recovery times.
“We have developed a modern technique to reduce operating time,” Tissot said. “It is the same principle as celioscopy, but instead of intervening through the abdomen, we operate vaginally. A small incision is made behind the uterus, and we place the camera and operate on the ovaries and tubes, in the case of ovarian cysts, such as, or to remove the uterus. We are proud to offer this technique to patients.”
Benefits of vNOTES
One key advantage of vNOTES is the reduction of post-operative pain. The technique combines the benefits of both vaginal and laparoscopic surgery.
This minimally invasive approach can be used for:
- Salpingectomies (removal of a fallopian tube)
- Annexectomies (removal of the ovary and fallopian tube)
- Ovarian drilling (for polycystic ovary syndrome)
- Ovarian cystectomies (removal of ovarian cysts)
- Hysterectomies (removal of the uterus)
“Compared to abdominal laparoscopy,” Tissot added, “the advantages are the absence of a skin scar, faster post-operative recovery, a decrease in pain, and an increase in the rate of ambulatory surgery.”
The reduced recovery time allows the hospital to treat more patients efficiently.
VNOTES: A Closer Look
VNOTES, or Vaginal Natural Transluminal Endoscopic Surgery, has been in growth as the 2010s. According to Dr. Jean-Baptiste Thoumas at the Mont-Saint-aignan Hospital Center, it combines the optimal visualization of anatomical structures offered by celioscopy with the benefits of vaginal surgery, such as no visible scar, decreased post-operative pain, and faster recovery.
The primary request of vNOTES is hysterectomy,often combined with the removal of tubes and ovaries. It is not used for cancer treatment.
The procedure involves general anesthesia. The surgeon makes an incision in the vagina around the uterus and inserts a device to inflate the abdomen with carbon dioxide, creating space for the operation.The gas pressure required is lower than in conventional celioscopy,further reducing post-operative pain.
growing Interest in vNOTES
“I am from the old generation in gynecology,” Tissot said. “We have a vision either by the abdomen or naturally. I already operate naturally. I do vaginal and laparoscopy interventions. This new vNOTES technique combines both. For an overweight patient, this is a better solution.”
On March 20, Tissot and Brones jointly performed the first two vNOTES procedures on patients from South gironde.
“it went well,” Tissot said. “They were on an outpatient basis and then returned to their homes. A dozen patients are already registered for this technique. It is indeed on the rise among gynecologists.”
Another advantage for the Sud-Gironde hospital center is that surgeons do not need new,specialized equipment. “We have celioscopy equipment, camera, pliers. we must have the Gelpoint® V-path for single use.”
Range of Pathologies Treated
The Sud-Gironde Langon-La Reole Hospital Center addresses various pathologies, including infertility, endometriosis, cancer, obstetrics, gynecological surgery, and urinary incontinence.
The Issoire hospital center,near Clermont-Ferrand,where Professor Aslam mansoor practices,is a pioneer in celioscopy and has trained numerous surgeons.
“Anything that reduces hospitalization time is advocated by public health bodies,” Tissot said. “this new and modern technique is now offered to patients in the local hospital, the.