In this BackTable OBGYN Brief, host Dr. Mark Hoffman speaks with Dr. Jan Baekelandt about the specific challenges and complications associated with vNOTES, as well as contraindications to be mindful of.They discuss the nuances of uterine artery management and the benefits and risks of the Alexis ring, especially for hemostasis. The doctors go on to discuss contraindications for vNOTES, including complex endometriosis and pelvic scarring. Dr. Baekelandt also shares insights on avoiding ureteric and bladder injuries and future direction of vNOTES.TIMESTAMPSCHECK OUT THE FULL EPISODEBackTable OBGYN Ep 31: The vNOTES Procedurehttps://www.backtable.com/shows/obgyn/podcasts/31/the-vnotes-procedure