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Minimally Invasive Gynecological Surgery: State of the Art and the Perspectives

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 25 July 2025 | Viewed by 614

Special Issue Editor


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Guest Editor
Department of Gynecology, Gynecological Oncology and Reproduction, National Medical Institute of the Ministry of Interior and Administration, 02-507 Warszawa, Poland
Interests: minimally invasive gynecological procedures; reproductive endocrinology; robotic surgery; gynecological oncolgy surgery

Special Issue Information

Dear Colleagues,

Minimally invasive gynecological surgery (MIGS) has transformed the landscape of women's health, offering safer, more efficient, and patient-centered alternatives to traditional open procedures. In recent decades, groundbreaking advancements in technology and surgical techniques have led to signifcant progress in this field. Robotic-assisted surgery, high-definition imaging, and cutting-edge laparoscopic tools have significantly enhanced precision while minimizing surgical risks. Additionally, innovative approaches such as single-port laparoscopy and transvaginal natural orifice transluminal endoscopic surgery (vNOTES) are tranforming the landscape of treatment, offering even less invasive solutions and improving patient outcomes.

It is with great enthusiasm that I announce this Special Issue of JCM, entitled “Minimally Invasive Gynecological Surgery: State of the Art and the Perspectives”. This Special Issue will serve as a comprehensive platform via which to showcase the latest advancements, clinical applications, and innovations shaping the future of gynecological care.

We invite researchers, clinicians, and industry experts to contribute original articles and reviews to this Special Issue, whose scope includes, but is not limited to, the following topics:

  • Advances in laparoscopic and robotic surgical techniques. 
  • Emerging technologies and innovations in gynecological procedures. 
  • Trends and future directions in minimally invasive gynecology. 

We look forward to receiving your valuable contributions to this Special Issue, which aims to foster the exchange of knowledge and inspire ongoing advancements in this transformative field.

Prof. Dr. Artur Jakimiuk
Guest Editor

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Keywords

  • robotic surgery
  • laparoscopy
  • hysteroscopy
  • gynecological oncolgy surgery
  • minimally invasive gynecological procedures
  • reproductive endocrinology
  • urinary incontinence
  • endometriosis
  • advance laparoscopic surgery

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Published Papers (1 paper)

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Review

13 pages, 698 KiB  
Review
Vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) in Risk-Reducing Gynecologic Cancer Surgery: A New Frontier in Hereditary Cancer Prevention
by Victor Bogdan Buciu, Denis Mihai Șerban, Dorin Novacescu, Larisa Tomescu, Sebastian Ciurescu, Nicoleta Nicolae, Adrian Ratiu, Elena Lavinia Rusu, Sebastian Olariu, Mihai Ionac and Ioan Sas
J. Clin. Med. 2025, 14(12), 4018; https://doi.org/10.3390/jcm14124018 - 6 Jun 2025
Viewed by 392
Abstract
Background: Hereditary cancer syndromes such as BRCA1/2 and Lynch syndrome significantly increase the lifetime risk of ovarian, fallopian tube, and endometrial cancers. Risk-reducing salpingo-oophorectomy (RRSO) and hysterectomy are standard preventive strategies. Vaginal natural orifice transluminal endoscopic surgery (vNOTES) has recently emerged as a [...] Read more.
Background: Hereditary cancer syndromes such as BRCA1/2 and Lynch syndrome significantly increase the lifetime risk of ovarian, fallopian tube, and endometrial cancers. Risk-reducing salpingo-oophorectomy (RRSO) and hysterectomy are standard preventive strategies. Vaginal natural orifice transluminal endoscopic surgery (vNOTES) has recently emerged as a minimally invasive, scarless alternative that may enhance patient acceptance while maintaining oncologic safety. Objective: This narrative review aims to synthesize the current evidence regarding the role of vNOTES in risk-reducing gynecologic surgery for women with hereditary cancer syndromes, focusing on surgical feasibility, technical considerations, oncologic safety, and patient-reported outcomes. Methods: A structured literature search was conducted in PubMed and Web of Science for studies published between January 2000 and April 2025, using terms related to vNOTES, prophylactic gynecologic surgery, BRCA mutations, and Lynch syndrome. Inclusion criteria focused on studies reporting outcomes of vNOTES in risk-reducing or oncologic contexts. A total of eight studies were included for qualitative synthesis. Results: vNOTES has demonstrated technical feasibility and favorable surgical outcomes in risk-reducing procedures such as RRSO and hysterectomy in BRCA and Lynch syndrome carriers. Comparative studies report lower postoperative pain, faster recovery, and high patient satisfaction, with oncologic standards maintained through specimen containment, peritoneal inspection, and adherence to the SEE-FIM protocol. Limitations include the learning curve and restricted access to the upper abdomen, which may necessitate hybrid approaches in selected cases. Conclusions: vNOTES offers a promising, patient-centered surgical approach for hereditary cancer prevention, combining oncologic safety with enhanced recovery and cosmetic benefits. Further research is needed to standardize protocols, evaluate long-term outcomes, and define its role within broader personalized cancer prevention strategies. Full article
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