BackTable Brief: vNOTES IV with Dr. Jan Baekelandt

In this BackTable OBGYN Brief, host Dr. Mark Hoffman interviews Dr. Jan Baekelandt from Belgium about vNOTES (vaginal natural orifice transluminal endoscopic surgery) incision placement to allow future vaginal deliveries and prevent dyspareunia.  First, Dr. Hoffman discusses the nuances of laparoscopy, particularly the preference for smaller incisions to reduce hernia rates and postoperative pain. The conversation covers the specifics of performing colpotomy and the risks associated with different types of incisions, including vaginal and abdominal. Dr. Baekelandt emphasizes the importance of proper training and starting with simpler cases when introducing new surgical techniques like vNOTES. TIMESTAMPS 00:00 - Introduction 00:32 - Concerns About Hernia Rates and Incisions 01:05 - Vaginal Incisions and Their Implications 02:35 - Vaginal Deliveries After vNOTES 03:55 - Dyspareunia After vNOTES 04:13 - Technical Details on Incision Placement 05:53 - Closing Techniques 06:45 - Advice for Surgeons Introducing vNOTES CHECK OUT THE FULL EPISODE BackTable OBGYN Ep 31: The vNOTES Procedure https://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure

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