Natural Orifice Transluminal Endoscopic Surgery
Scarless surgery,
advanced together.
iNOTESs connects surgeons from different specialties who share an interest in natural orifice surgery. We train, research and set standards so that NOTES is implemented safely worldwide.
5th International iNOTESs Congress
Lisbon
3 May 2027
Programme, faculty and registration: [REGISTRATION OPENS – DATE]
Membership
Membership gives you full access to vNOTEShub.
vNOTEShub is the members’ platform of iNOTESs: expert video, structured training, a forum and a community of vNOTES surgeons in one place.
€120 per year · €50 residents, nurses and low-income countries · €10 nursing membership
Expert video library
Step-by-step procedures by iNOTESs experts, organised per topic.
Community forum
Discuss techniques, cases and complications with vNOTES surgeons worldwide.
vNOTES online course
The complete structured vNOTES course, included in your membership.
Journal Club
Authors of new vNOTES publications present their findings in short videos.
Certificate and surgeon map
An iNOTESs membership certificate and a listing on Find a vNOTES Surgeon.
For OR nurses and teams
Nursing membership, nurses’ section and team packages for hospitals.
Research
Special interest groups that meet every month.
Each group brings together members with expertise in one field of NOTES. They evaluate new developments and conduct research following the IDEAL framework for safe surgical innovation.
iNOTESs Case Registry
Register every NOTES procedure anonymously, with or without a complication. Contributing surgeons are invited to co-author registry publications.
Hysterectomy Complication Risk Calculator
Estimate a patient’s complication risk before hysterectomy with the iNOTESs risk calculator.
Hands-on training
Advanced vNOTES cadaver courses.
One-day courses in small groups of 4 to 8 surgeons at ORSI Academy, Belgium, operating under direct expert supervision.
vNOTES for Endometrial Cancer
Retroperitoneal access, pelvic and para-aortic lymph nodes, patient selection and complication management.
Next course: 19 December 2026
Advanced Urogynaecology
Ligament suspensions, retroperitoneal dissection and autologous mesh techniques for prolapse and incontinence.
Next course: [DATE]
Vaginal Mesh Removal
Mesh types and locations, vNOTES access to the retroperitoneum, and stepwise removal of slings.
Next course: on request
Faculty
Pioneers who introduced NOTES in their countries.
Jan Baekelandt
Belgium
Amadeus Hornemann
Germany
Alexander F. Burnett
United States
Xiaoming Guan
United States
Hsuan Su
Taiwan
Juan Liu
China
Aslam Mansoor
France
Lior Lowenstein
Israel
Jean Dubuisson
Switzerland
Suyash Naval
India
Pedro A. Leão
Portugal
Cüneyt Kayaalp
Turkey
Andrea Stuart
Sweden
For patients
Surgery without visible scars.
With vNOTES, the surgeon operates through a small opening at the top of the vagina, instead of through cuts in the abdominal wall. Besides leaving no visible scars, it can mean fewer wound infections, less pain and a quicker recovery.