vNOTES
vNOTES is a relatively novel procedure that many patients are entirely unfamiliar with. The concept of accessing the pelvis vaginally rather than through an abdominal incision requires careful explanation to achieve genuine informed consent.
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Systemic Gaps in the Informed Consent Pathway
Novel Procedure Unfamiliarity
vNOTES is sufficiently novel that many patients have never encountered the concept before their consultation. Without prior awareness, even a detailed verbal explanation of vaginal pelvic access can be difficult to conceptualise.
Complex Anatomical Pathway
Understanding that abdominal surgery can be performed through a vaginal access point requires spatial anatomical comprehension that text and diagrams struggle to convey.
Procedural Anxiety
The intimate nature of vNOTES, combined with unfamiliarity, generates significant anxiety. Patients who do not understand how a procedure works are more likely to experience heightened anxiety and less likely to achieve genuine informed consent.
Montgomery Compliance
As a procedure with unique risks distinct from conventional laparoscopic or open approaches, vNOTES requires clear communication of material risks under Montgomery standards.
Replacing static information with immersive understanding
Surgassists delivers a clinician authored immersive walkthrough of the vNOTES approach, giving patients a genuine visual and spatial understanding of vaginal pelvic access and what to expect.
Augmented Reality Overlay
AR projects life size anatomical structures into the consultation room via tablet or AR glasses, allowing the clinician and patient to explore anatomy together. No headset required.
Virtual Reality Mode
Using a standalone VR headset, patients are transported into a calm, 3D clinical environment with life size anatomical structures and narrated guidance through every stage of the procedure.
What Patients Experience
A guided journey through four immersive scenes preparing patients for every stage of the procedure.
Pelvic Anatomy Overview
Life size 3D pelvic anatomy contextualises the surgical target.
The vNOTES Approach
Patients follow the vaginal access pathway step by step.
Procedure Walkthrough
Narrated guide through the surgical procedure.
Recovery and Risks
Post operative expectations and potential complications presented clearly.
Designed for the Real Clinical World
7 Languages
Spanish, Italian, Polish, Punjabi, English, Romanian, and Arabic.
2 to 5 Minute Sessions
Designed to fit within a standard outpatient appointment or viewed at home.
Evidence Based
Developed in collaboration with NHS Hospitals and peer reviewed research.
Life Size Anatomy
Anatomically accurate, immersive structures that improve spatial comprehension.
Montgomery Compliant
Supports the legal standard for informed consent set out in Montgomery v Lanarkshire.
Improved Outcomes
Better informed patients make better decisions and have improved procedural tolerance.
Research Publications
See the vNOTES Module
Request a demonstration of our vNOTES consent module developed in collaboration with consultant gynaecologists.
Request Clinical Demo