The pure-transvaginal NOTES OHE technique was feasible in small or medium-size bitches.
The development of the pure-NOTES OHE was based on the principles of the sigle-port video-assisted OHE technique (SILVA et al.
The use of a standard operative laparoscope for the NOTES OHE in bitches turned this technique into an attractive option for surgical contraception.
It is believed that the pure-NOTES technique could be one of the less invasive surgical approaches for OHE in bitches, which requires no wound care and may produce less painful stimuli during the surgery and on the early post-op period.
One of the disadvantages of the pure-NOTES OHE is the lack of compatibility between the size of the instruments and the animals' biometry.
Therefore, pure-NOTES OHE may not be applicable in bitches whose vagina does not fit an 11mm or thicker trocar.