Pioneering case: Robotic single port (SP) transvaginal NOTES (RSP-vNOTES) for hysterectomy in ten steps

Xiaoming Guan, Daniel Y. Lovell, Emily Sendukas
In: Intelligent Surgery · 2023 · vol. 7 , pp. 1–6 · doi:10.1016/j.isurg.2023.11.003 · W4389137778
article OA: gold CC0
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This case report details the first transvaginal robotic single-port NOTES hysterectomy using the DaVinci SP system, demonstrating its feasibility and a successful, same-day discharge outcome for a patient with adenomyosis and endometriosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) has become popular since its inception in 2012, offering advantages by combining vaginal surgery principles with laparoscopic instruments for procedures like hysterectomy and myomectomy. The DaVinci Xi robotic system has been used successfully in over 300 cases, including advanced surgeries like sacrocolpopexy and endometriosis procedures. The new DaVinci SP platform, designed for single-port surgery, was employed in the first-ever transvaginal NOTES hysterectomy on November 11, 2023, at Baylor College of Medicine. The surgical steps and outcomes of the procedure are detailed in this case report, showcasing the feasibility and success of utilizing the DaVinci SP system for transvaginal NOTES. The patient was discharged on the same day with an unremarkable post-operative course, and pathology results revealed adenomyosis and endometriosis after the comprehensive surgery.

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (4)

References (22)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK