Natural Orifice Surgery Using the Stomaphyx™ Endoplicator to Treat Pouch Dilitation and Gastrogastric Fistula After Open, Non-divided Rygb
Introduction: Natural orifice surgery using the StomaphyX™ endoplicator is an alternative approach to revisional gastric bypass surgery when post-op complications such as dilatation of the gastrojejunostomy, gastrogastric (GG) fistula, and gastric pouch dilation occur.Case Report: A 45-year-old white female presented 12 years after an open, non-divided RYGB. Over the past six months, she no longer… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES (natural Orifice Translumenal Endoscopic Surgery) Inguinal Hernia Repair: A Survival Model
Background: Many of the characteristics of inguinal hernia repair are especially well suited to the transgastric approach. The repair is inline with the transgastric scope vector, bilateral defects are adjacent and the intraperitoneal onlay mesh (IPOM) technique does not require significant manipulation or novel instrumentation. The purpose of this study was to evaluate the safety… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Evaluation of a Viscerotomy Formation and Closure Device for Natural Orifice Surgery in a Survival Model
Introduction: The most challenging of the many hurdles surgeons must overcome to safely perform NOTES is viscerotomy closure. The perfect device must be easy to deploy, can be used on any viscera, and will create a rapid, reliable and durable closure. To date, new devices created for this purpose have fallen well short of these… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transvaginal Endoscopic Tubal Sterilization – Case Report
Introduction: Tubal sterilization is one of the most widely used options for female contraception. It can be performed by laparotomy, mini-laparotomy, colpotomy, laparoscopy, and hysteroscopy. In this paper we report the use of the transvaginal endoscopic approach to perform tubal ligation.Methods and Procedures: The access to the abdomen was obtained by a 1.5-cm colpotomy. The… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Who\’s Afraid of Natural Orifice Translumenal Endoscopic Surgery (notes)?
Introduction: Intraabdominal surgery using a flexible endoscope combines the skills of both gastroenterologists (GI) and minimally invasive surgeons (MIS). Deficiencies in each of these standard training models include the lack of familiarity with complex intraabdominal maneuvers, for physicians with a GI background, and difficulty operating without a fixed horizon, for those with an MIS background.Materials… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
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.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Development and Testing of New Rigid and Flexible Fixation Staplers for NOTES Applications
Background:Many of the devices used in early human NOTES procedures were originally designed for intralumenal work and are therefore limited in functionality due to constraints imposed by current flexible endoscopes. The invention of large diameter flexible trocars, however, has opened the door for delivery of true surgical capabilities such as stapling. Additionally, the transvaginal approach… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
N.o.t.e.s. Sentinel Node Biopsy Combined with Endoscopic Submucosal Dissection of the Sigmoid Colon
Background: Endoscopic submucosal dissection (ESD) is proving effective in the resection of selected early stage gastrointestinal cancers. Its application and appropriateness could be extended if a means of determining lymphatic dissemination could be provided without recourse to conventional operation. Here we demonstrate the performance of companion sentinel node biopsy (SNB) by Natural Orifice Translumenal Endoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Transvaginal Diagnostic Peritoneoscopy in Women with Pelvic Pain
Purpose: Chronic pelvic pain affects many women in reproductive age in the US and laparoscopy is common in the diagnostic algorithm. In the realm of NOTES, a transvaginal approach would be a natural approach to reduce incision sites, postoperative pain and improve cosmesis in this patient population. This is the first report of transvaginal diagnostic… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Development and Testing of a Tethered, Independent Camera for NOTES and Single-site Laparoscopic Procedures
Background:“Tunnel vision” associated with flexible endoscopes used in NOTES and rigid laparoscopes used in Single Site Laparoscopic (SSL) procedures can present the surgeon with a disorienting view of familiar surroundings. Because the working tools are in-line with the view in these approaches, it is also difficult to achieve adequate instrument triangulation, a critical component of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic Myotomy of the Lower Esophageal Sphincter – A Model for Gastroesophageal Reflux.
1. Objective of the study: A reproducible animal model for gastroesophageal reflux would aide in advancing endoscopic intralumenal therapies for GERD. In this study we performed a full thickness myotomy through the lower esophageal sphincter (LES) onto the gastric cardia incorporating our submucosal endoscopy with mucosal safety flap (SEMF) technique in efforts to establish a… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transesophageal Mediastinal Lymph Node Sampling.
1. Objective of the study: Improved minimally invasive lymph node sampling for cancer staging and diagnosis of mediastinal lymphadenopathy is desirable. Natural orifice approaches may offer improved minimally invasive options. We have previously reported on the technical feasibility and the potential low risk of transesophageal mediastinoscopy using the submucosal endoscopy with mucosal flap safety valve… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Magnetic Retraction of the Gallbladder During NOTES Transvaginal Cholecystectomy in a Porcine Model: A Novel Technique
Introduction: As the advent of the NOTES era dawns, novel techniques for tissue retraction may be necessary to allow for safe surgical procedures to be performed. There have been multiple case reports of magnets being used to help with retraction during NOTES procedures. Most of these reports employ some type of metallic object placed on… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Diagnostic Efficacy of Natural Orifice Translumenal Endoscopic Surgery (notes): Is There a Role in the Intensive Care Unit?
Background: Evaluation of a potential source of abdominal sepsis in a critically ill patient can be challenging. With flexible endoscopy being readily available in this setting, we sought to evaluate the diagnostic efficacy of a trans-gastric NOTES peritoneoscopy vs. laparoscopic exploration in the identification of common intra-abdominal pathology in a porcine model.Methods: In this acute… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Survival Study of NOTES Rectosigmoid Resection Using Transanal Endoscopic Microsurgery (tem) with or Without Transgastric Endoscopic Assistance in a Swine Model
INTRODUCTION: Our group has previously demonstrated the feasibility of NOTES rectosigmoid resection in a swine cadaver model using TEM alone or in combination with transgastric endoscopic assistance to extend the length of colon mobilization. METHODS: A survival study of transanal endoscopic rectosigmoid resection with stapled coloanal anastomosis was conducted in swine using TEM (n=8) and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES