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Activity Description:

This educational activity introduces healthcare professionals to Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES), an innovative minimally invasive surgical approach that utilizes the vaginal canal as a natural access route for endoscopic procedures. Participants will explore the fundamental principles, clinical applications, and advantages of V-NOTES compared to traditional minimally invasive techniques. The session will examine patient selection criteria, technical considerations, and potential challenges while showcasing real-world case examples through video demonstrations. This comprehensive overview aims to enhance understanding of V-NOTES as a valuable addition to the gynecologic surgeon's armamentarium, emphasizing its potential to reduce patient morbidity while maintaining surgical efficacy.

07.11.25_Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES)_Soroush AalipourMD.pdf

Target Audience: 

This course is designed for hospitalists, nurse practitioners, physician assistants, advance practice nurses, registered nurses, allied health professionals, physicians and residents.

Learning Objectives:

• Describe the fundamental principles and technique of V-NOTES surgery, including anatomical considerations, instrumentation requirements, and the step-by-step procedural approach for accessing the peritoneal cavity through the vaginal route.
• Evaluate appropriate patient selection criteria and clinical indications for V-NOTES procedures, demonstrating ability to identify suitable candidates while recognizing contraindications and limitations of this surgical approach.
• Compare the advantages and potential complications of V-NOTES versus traditional laparoscopic surgery, including analysis of patieSnt outcomes, recovery times, cosmetic benefits, and technical challenges to inform evidence-based surgical decision-making.
   

Moderator:

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies.*

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Accreditation:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of HCA Healthcare Continental Division and HCA Healthcare Gulf Coast Division. HCA Healthcare Continental Division is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation:

The HCA Healthcare Continental Division designates this live activity for a maximum of 1.0 AMA PRA Category 1^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support:  

This Activity was developed without support from any ineligible company.*The ACCME defines ineligible companies as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Note: The ACCME does not consider providers of clinical service directly to patients to be commercial interests – unless the provider of clinical services is owned, or controlled by, and ACCME defined ineligible company.

Disclosure: 

The HCA Healthcare Continental Division is committed to providing CME that is balanced, objective, and evidenced-based. In accordance with the Accreditation Council for Continuing Medical Education Standards for Integrity and Independence all parties involved in content development are required to disclose all conflicts of interest with ACCME defined ineligible companies. The HCA Healthcare Continental Division has identified, reviewed, and mitigated all conflicts of interest that speakers, authors, course directors, planners, peer reviewers, or relevant staff disclose prior to the delivery of any educational activity. The CME planning committee who are in a position to control the content of this CME Activity, have no relevant financial relationships with ineligible companies to disclose.