vNotes

What is vNOTES and why it matters

vNOTES, or vaginal natural orifice transluminal endoscopic surgery, is a revolutionary, minimally invasive technique used for gynecologic procedures such as hysterectomies and removal of ovaries or fallopian tubes. Unlike traditional laparoscopic or open surgeries, vNOTES uses the vaginal canal as a natural entry point, leaving no external incisions — and no visible scars.

‍

‍

At Raveco Medical, we are proud to be one of the few practices in Queens offering this advanced option. vNOTES provides faster recovery, less postoperative pain, and fewer complications. It’s a game-changer for patients who want the most advanced care with minimal disruption to their daily lives.

‍

Benefits of vNOTES at Raveco

No External Scarring – The procedure leaves no visible marks on the abdomen.
Faster Recovery – Most patients go home the same day and recover more quickly.
Minimal Pain – Less trauma to the body means reduced discomfort.
Lower Risk of Infection – Avoids abdominal incisions that may lead to complications.
Shorter Hospital Stay – Often performed as an outpatient procedure.
Highly Precise – Enables excellent visibility and control for your surgeon.

‍

‍

What You Can Expect

During your consultation, your OB/GYN will assess whether vNOTES is right for you, based on your condition, anatomy, and health history. This method is commonly used for hysterectomies, salpingectomies, oophorectomies, and some diagnostic procedures.

‍

The procedure is performed under general anesthesia. Your surgeon accesses the surgical area through the vaginal canal using specialized endoscopic tools. Because no incisions are made in the abdomen, there’s less trauma to surrounding tissues and a lower risk of complications. Most patients are discharged within hours and experience significantly less postoperative pain than with traditional techniques.

‍

Recovery typically takes a few days to a week, and many patients return to daily activities much sooner than expected. Follow-up appointments ensure healing is progressing well and that you're feeling your best.

‍

See How vNOTES Works

Want a clearer understanding of what vNOTES looks like in action? Watch this short animated video that illustrates how the procedure is performed — and why it's a game-changer for gynecologic care.

‍

Why Raveco for vNOTES

Expertise in Advanced GYN Surgery – Our OB/GYNs are specially trained in vNOTES.
Minimally Invasive Leaders – We stay at the forefront of innovation in women’s surgery.
Patient-Centered Approach – We help you understand your options and decide what’s best.
State-of-the-Art Technology – Performed in modern, accredited facilities.
Quicker Recovery, Better Results – Most of our patients resume activities within a few days.

Book a Consultation

100%

Client satisfaction

4.8/5

Average Rating

Testimonials

What Our Greatest patients Say About Us

Patient

Tiana Korsgaard

“Lorem ipsum dolor sit amet consectetur. Fringilla mattis etiam tincidunt a accumsan eu proin risus. Non amet ut egestas orci at lacus nulla. Sed id consequat sed at. Felis ut parturient id amet ac. Suscipit nullam commodo nulla enim tristique ut ac etiam.”

Patient

Wilson Botosh

Patient

Marilyn Herwitz

Patient

Heather Davies

Patient

Tiana Korsgaard

Patient

Arzoo Hussain

I cannot recommend Raveco Medical enough! Throughout my high-risk pregnancy, Dr. Steven Ravins, Dr. Claudia Ravins, and Nicole Boucicaut, PA, were an incredible team who supported me every step of the way.

Patient

Leidy Caba

It was a great sperience. Dr Raving was a super supportive doctor and professional.

I recently have a baby and I have to do the Epidural because of the size. Now he is in perfect condition and myself.

Patient

Sharea Smith

Oh my lord, my delivery was so CRAZY but thank God for the epidural because there are some things that just can’t be done without assistance. No matter how tough you think you are. Ladies PLEASE DONT LISTEN to anybody not planning on walking in your shoes or anyone who hasn’t already. If you want that epidural GET IT !!!

Patient

Alejandra Garcia

Dr. Ravins and the team at Raveco Medical provided exceptional care throughout my pregnancy and labor. From the start, they were attentive, kind, and professional, always taking the time to address my concerns and make me feel confident and informed. When it came time for labor, Dr. Ravins and his team were incredible at the hospital, ensuring I was comfortable and calm.

Patient

Kelly Figueroa

Amazing experience having Dr. R as my Doctor. He did my C section. From the moment I met him before my procedure, I felt comfortable and confident. He was all about making me comfortable, listening and answering questions, along with reassuring regarding all my concerns. He has a great personality like you’ve known him forever and just that was very welcoming.

Patient

Rose Edmond

Dr Ravins is such an incredible and awesome surgeon. My C section went so smoothly that I barely had pain afterwards. I was up walking, taking care of my baby the next day. Staff members, anesthesiologists, nurses were so professional, carrying.

Patient

Liza Gorham

The care provided at Raveco Medical is definitely the treatment every pregnant woman deserves. I will never forget my first prenatal appointment with Dr. Steven Ravins, after he became aware that I was above advance maternal age his exact words were "we are going to take care of you" and that's what Dr. Ravins and Dr. Olkowski did.

Patient

Camila

This was an amazing hospital the nurse was very attentive, the whole team was supportive and knowledgeable. They walked me through my whole experience and supported me throughout my labor experience. I would encourage to do the epidural if you are in extreme pain because Dr.Khan was phenomenal and walked me through everything.

Patient

Brigitte De Paz

Dr. Ravins helped me and my partner during the whole process of delivering my baby and he offered me the epidural. It was amazing I felt no pain and I recommend you get the epidural to make the delivery much easier.

Patient

Sara Porchetta

My c section was everything I had hoped for and more. Dr. Ravins was highly recommended by my OB/GYN when I became aware that I would potentially be getting a c section. Dr. Ravins came in before the surgery and was very thorough with my husband and I, to alleviate any concerns and explain the procedure.

Patient

Ava Max

Patient

Weiwei Lively

I want to tell you all that Dr. Ravins is an amazing doctor! He and his team were incredible! They provided me with tremendous encouragement. I completed the entire labor in just 30 minutes, using the breathing techniques he taught me and pushing in the right way.

Patient

Kee Kee

Dr Olkowski is my OB I absolutely love him. I had the pleasure of meeting and having my baby delivered by Dr Ravin he is amazing. I had my support system with me but Dr Ravin is so encouraging and supportive. I thought I couldn't get that baby out but he ensured me I was doing amazing and he was going to help me get this baby out and together my Logan was born.

Patient

Halyna Mykyta

All my family is so grateful to Raveco Medical staff. My first pregnancy turned out to such a wonderful experience with full guidance and support along the way. Can’t thank enough Doctor Steven Ravins for an incredible delivery.

Patient

Ava Max

Patient

Elizabeth Shawn

Patient

Emily Clawn

Patient

James Hope

Patient

Ava Max

Get the Clarity You Deserve

What You Should Know About vNotes

What is vNOTES?

Empowering patients with choices in their surgical journey, vNOTES represents a significant advancement in minimally invasive surgery. Unlike traditional surgical approaches, vNOTES eliminates the need for visible abdominal incisions, offering a more minimally invasive alternative for patients undergoing hysterectomy. Through specialized instruments inserted via the vagina, the skilled surgeons at Raveco Medical gain access to the uterus, fallopian tubes, and ovaries with minimal scarring.

What are the benefits of a vNOTES procedure?

Choosing vNOTES for your hysterectomy can offer a range of benefits compared to traditional laparoscopic approaches:

‍

Shorter hospital stay: Patients undergoing vNOTES typically experience shorter hospital stays, allowing for a quicker return to the comfort of their home.
Less postoperative pain: With vNOTES, patients often report experiencing less postoperative pain, contributing to a more comfortable recovery process.
Reduced pain medication: With less postoperative pain, vNOTES supports a smoother recovery with minimal need for pain medication.
Faster recovery time: vNOTES allows for a faster recovery than traditional surgeries, enabling patients to resume their daily activities sooner.

No visible scarring: vNOTES eliminates the need for incisions in the abdomen, avoiding visible scarring that results from traditional hysterectomy procedures.

What is the vNOTES procedure like?

Prior to your vNOTES procedure, your surgeon at Raveco Medical will guide you through any necessary pre-surgical preparations, including tests and instructions regarding eating, drinking, and medication.

The vNOTES procedure is performed under general anesthesia, ensuring your comfort throughout. A small incision is made in the vagina, through which specialized vNOTES instruments are inserted to access the uterus and/or fallopian tubes and ovaries.

To create a space for your surgeon to view and perform treatment, the abdomen is gently inflated with carbon dioxide gas, similar to traditional laparoscopic surgery. Utilizing advanced imaging technology and specialized instruments, your surgeon performs the necessary procedures with meticulous care and precision.

Once the surgery is complete, the vNOTES device is removed, the gas is released, and internal incisions are closed.

Following your vNOTES procedure, you may be discharged on the same day. Your surgeon will provide personalized guidance for your recovery and schedule a follow-up appointment to monitor your progress.

While vNOTES offers numerous benefits, it's essential to consult with a trained doctor to determine if it's the right choice for you. Your doctor will discuss potential risks and considerations associated with vNOTES, ensuring a well-informed decision tailored to your individual needs.

Experience the next evolution in minimally invasive surgery with vNOTES at Raveco Medical. Call the offices today to schedule your consultation and discover how vNOTES can transform your hysterectomy experience.

vNotes

What is vNOTES and why it matters

Benefits of vNOTES at Raveco

What You Can Expect

See How vNOTES Works

Why Raveco for vNOTES

What It’s Like to Be Treated at Raveco

Why Women Choose Raveco

What Our Greatest patients Say About Us

What You Should Know About vNotes

Other Services

Ready to Prioritize Your Health?