Welcome to The SAGES Surgical WIKI

SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.

As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:

  • It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
  • If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
  • Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.

Recommended Wiki: Bariatric Surgery: Endoluminal Techniques

Introduction Obesity surgery is perhaps the most logical application for incisionless surgery as it is characterized by a high incidence of incisional hernias. Using a laparoscopic approach reduces the frequency of this complication, but does not render it absent. Only the use of natural orifices can eliminate the risk of incisional hernias. Subcutaneous fat is a substantial hurdle in weight loss surgery. This thick, fatty layer significantly impedes swift manipulation of laparoscopic tools since it reduces the mobility of the trocars which harbour the instruments needed for dissection. This limitation is in addition to the already reduced number of degrees of freedom that characterize laparoscopy. Fat accumulation is also mainly located in the peritoneal cavity, the mesentery, and the omentum, but typically not inside the viscera. Therefore, an endoscopic approach very logically avoids the limitations caused by subcutaneous and intraperitoneal fat. Several recent technological developments allow the application of endoscopic… Continue Reading »