NOTES Transvaginal Sleeve Gastrectomy

Sleeve gastrectomy has become one of the most commonly performed operations in the world. Given the difficulties with incisions in morbidly obese patients, strategies to reduce the number of incisions (and thus potential complications) could be beneficial. NOTES has gained the interest of surgeons as the next evolution in minimally invasive surgery. Using a NOTES approach for sleeve gastrectomy, specifically for organ extraction, has the potential to reduce postoperative pain and incisional hernias after sleeve gastrectomy.