ABSTRACT
Natural orifice transluminal endoscopic surgery (NOTES) is a new, evolving, minimally invasive surgical technique that aims to reduce the impact of surgical access by eliminating abdominal wounds together.1, 2 In this innovative technique, the abdominal cavity is accessed with a flexible endoscope through a natural body orifice (e.g. the mouth, anus, or vagina) to perform diagnostic and therapeutic procedures. NOTES has potential benefits over conventional laparoscopic surgery that include less pain, quicker recovery, fewer wound complications, fewer adhesions, and better cosmesis. The concept of NOTES has been tested in animal models since 2004, and many experimental studies have shown the potential for application of this technique to various surgical procedures. Recently, human applications of NOTES have been introduced.
