A Systematic Review of Vaginal Natural Orifice Transluminal Endoscopic Surgery ( <scp>vNOTES</scp> ) versus Laparoscopic Salpingectomy in the Management of Ectopic Pregnancy

vNOTES salpingectomy for ectopic pregnancy appears to be a safe and feasible procedure, with high levels of patient satisfaction and low pain scores. The heterogeneity of data of the control groups is acknowledged and patients undergoing vNOTES versus conventional laparoscopic salpingectomy had reductions in length of stay but similar duration of surgery, while vNOTES salpingectomy versus laparoendoscopic single-site surgery incurred similar duration of surgery and length of stay. Procedural standardization and larger randomized clinical trials to assess long-term outcomes are crucial if vNOTES salpingectomy should become widely used for surgical treatment of ectopic pregnancy.