Intraoperative Cardiopulmonary Effects of Natural Orifice Translumenal Endoscopic Surgery (notes) Compared to Traditional Surgery

Introduction: Interest in natural orifice translumenal endoscopic surgery (NOTES) is fueled by the possibility that it may represent a less invasive method of abdominal surgery. To objectively evaluate this, we compared the intraoperative cardiopulmonary effects of NOTES versus traditional surgery.
Materials and Methods: Nine mongrel dogs undergoing bilateral inguinal herniorrhaphy (BIH) were used for this study. Three subjects underwent standard open BIH, three underwent laparoscopic intraperitoneal onlay mesh (IPOM) BIH and three had their bilateral IPOM mesh placed transgastrically (NOTES). Intraoperative monitoring included heart rate (HR), blood pressure (BP), oxygen saturation (SpO2), temperature (Temp) and airway pressures (AP).
Results: No statistically significant difference was noted among the groups in any of the evaluated parameters.
Conclusions: This study confirms that from a cardiopulmonary standpoint NOTES is not more stressful to the subject than either of the two standard surgical methods.

Session: Poster

Program Number: P262

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