Natural orifice transluminal endoscopic surgery#State of research

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| caption = Endoscopic surgery trocar inserted through the vaginal fornix. The uterus is visible directly above the trocar.

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| specialty = gastroenterology

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Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique whereby "scarless" abdominal operations can be performed with an endoscope passed through a natural orifice (mouth, urethra, anus, vagina, etc.) then through an internal incision in the stomach, vagina, bladder or colon, thus avoiding any external incisions or scars.{{cite journal |vauthors=Halim I, Tavakkolizadeh A |title=NOTES: The next surgical revolution? |journal=International Journal of Surgery |volume=6 |issue=4 |pages=273–6 |date=August 2008 |pmid=18614409 |doi=10.1016/j.ijsu.2007.10.002|doi-access=free }}{{cite journal |author=Baron TH |title=Natural orifice transluminal endoscopic surgery |journal=The British Journal of Surgery |volume=94 |issue=1 |pages=1–2 |date=January 2007 |pmid=17205508 |doi=10.1002/bjs.5681|doi-access=free }} Memic's hominis robotic system is the first and only FDA-authorized surgical robotic platform for NOTES procedures. The system is currently at use for transvaginal hysterectomies through the rectouterine pouch - the removal of the uterus, along with one or both of the fallopian tubes and ovaries, in cases where there is no cancer present, as well as with the removal of ovarian cysts {{cite web|url=https://www.fda.gov/news-events/press-announcements/fda-authorizes-first-robotically-assisted-surgical-device-performing-transvaginal-hysterectomy|title=FDA authorization for first robotically assisted surgical device performing transvaginal hysterectomy|website=Food and Drug Administration }}