11/10/2025
Advancing Women's Health: Three Years of Transformative vNOTES Hysterectomies
By Perry Lin, MD FACOG, FACS, FRCSC– November 10, 2025
In the ever-evolving landscape of gynecologic surgery, few innovations have promised—and delivered—as much as vNOTES (va**nal natural or***ce transluminal endoscopic surgery) hysterectomy. This minimally invasive technique, which accesses the uterus and the adjacent ovaries and tubes through the va**nal canal without abdominal incisions, has revolutionized what was once a routine but often burdensome procedure for millions of women worldwide. As a surgeon dedicated to pushing the boundaries of patient-centered care, I'm gratified to share an update on my practice's successful journey with our vNOTES program over the past three years at Coffeyville Regional Medical Center (CRMC) in Coffeyville, KS: more than 270 cases that underscore its safety, efficiency, and life-changing potential.
A Milestone of Excellence: 270+ Cases and Unparalleled Outcomes:
Since the vNOTES inception at CRMC in late 2022, we, the surgical team, performed over 270 hysterectomies using this approach, including patients with complex pathologies that would typically default to traditional open surgery. The results reflect the technique's reliability:
• Rapid Recovery and Discharge: 99% of patients were discharged the same day, allowing them to return home mere hours after surgery avoiding further hospitalization.
• Pain Management Benefit: 90% required no narcotic medications beyond the first week, minimizing the risks of dependency and side effects while accelerating return to normal life.
• Efficiency in the OR: Average operating time clocks in at just 60 minutes, a testament to refinement of technique and surgical team’s now excpetional experience ensuring safe and reproducible results.
Proof of concept results: In the initial 100 cases, we encountered three cystotomies (bladder injuries), all repaired intraoperatively without the need for a large incision—highlighting vNOTES' intrinsic safety compared to othe rapproaches. There has been only one readmission, for bleeding managed with transfusion; and zero infection, zero other bleeding cases, and zero reoperations. Critically, not a single case needed conversion to open surgery or laparoscopy, even among the most challenging patients.
Complex cases included women with three or more prior C-sections, enlarged uteri, uteri without prolapse, extremely narrow pelvises, extensive adhesions from prior surgeries, endometriosis, and uterine anomalies. What began as a promising tool has evolved into a robust, reproducible standard in my hands, thanks to extensive refinements in technique—from optimized instrumentation and enhanced visualization protocols gleaned over the past 3 years. These tweaks ensure consistent, excellent outcomes, regardless of anatomical challenges.
Patient feedback? Near-universal satisfaction, hovering at 100%. Women consistently report feeling empowered, not sidelined, by their recovery—with refain of sentiments like, "I was back to my usual routines in days, not weeks."
The Enduring Benefits of vNOTES: Why It Stands Above the Rest
At its core, vNOTES isn't just a procedure; it's a paradigm shift. By leveraging the natural va**nal route, it sidesteps the abdomen entirely, yielding benefits that culminate through every phase of care:
• Minimal Pain: No incisions mean no abdominal wall trauma, translating to dramatically reduced postoperative discomfort—often described as "a heavy period at worst."
• Shorter Surgical Times: That 60-minute average isn't hyperbole; it's 50% faster than laparoscopic or robotic alternatives, sparing patients and healthcare systems alike.
• Lower Complication Rates: Our zero-infection rate and negligible bleeding align with broader data showing vNOTES cuts risks of wound issues, adhesions, and organ injury by at least 50% compared to abdominal/robotic/laparoscopic approaches.
• No Visible Scars: The cosmetic outcome is impeccable—zero abdominal marks, preserving body confidence for beach days, weddings, or simply mirror moments.
• Lightning-Fast Recovery: Same-day discharge isn't the exception; it's the rule. Most women resume light activities within 48 hours and full routines in 1-2 weeks, reclaiming their lives with minimal interruption.
In head-to-head comparisons, vNOTES outshines abdominal (high pain and infection risk), laparoscopic/robotic (longer times, incision-related issues, incisional pain), and even traditional va**nal hysterectomy (limited by visualization and access to tubes/ovaries in narrow pelvises). It's not hype—it's evidence-based validation.
Addressing the Unfair Burden: Empowering Women Through Superior Care
Humanistically as well: Women endure a disproportionate load of reproductive health challenges—from debilitating periods and endometriosis to the cumulative toll of pregnancies and menopause—issues that men simply don't face or misunderstand. Hysterectomy, performed on over 600,000 American women annually (currently still less than 1% Vnotes annually), should be a straightforward choice in alleviating suffering, not a source of added trauma. Yet too often, it's mired in outdated methods that prolong pain, extend hospital stays, and disrupt careers, families, and joys.
This is where vNOTES—and surgeons who master it—steps in as an unequivocal advancement. Women deserve the 21st certury gold standard: ultrasmodern techniques/instruments honed by experience to alleviate pain and disruption, paired with the most skilled teams to navigate complexities. By minimizing downtime, we don't just heal bodies; we restore vitality. A mother back at school pick-up, a professional sealing deals without wincing, a partner dancing at family gatherings—these ripple outward, strengthening families, workplaces, and society at large.
Empowerment starts with information. When women learn that vNOTES offers superior recovery and safety over legacy options, they can advocate fiercely for themselves. No more settling for "good enough." Demand the best—because your health isn't negotiable.
Looking Ahead: A Call to Reclaim Your Tomorrow
Three years and 270 cases in, vNOTES has proven itself not as a “new fangled” perfunctory novelty, but as the future of hysterectomy—accessible, effective, and transformative. If you're navigating uterine health concerns, consult a vNOTES specialist today. Knowledge is power; the right choice is yours.
For more on vNOTES or to discuss your options, reach out—let's write your success story next.
Dr. Perry Lin is a board-certified gynecologist and reproductive endocrinologist specializing in minimally invasive surgery. This update reflects outcomes from 3 years’s experince with Vnotes hysterectomy at Coffeyville Regional Medical Center in Coffeyville, KS, November 2025. 1-620-252-2401, 1-620-252-1720, 1411 W 4th Street, Coffeyville, KS 67337.
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