Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is an evolving technique that offers the advantage of the excellent vision of laparoscopy with a minimally invasive vaginal approach. vNOTES has been described for pelvic surgeries including hysterectomy, myomectomy, and adnexectomy. This article describes a standardized step-by-step approach to ovarian cystectomy, using vNOTES. (J GYNECOL SURG 38:249)
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