Magnetic Retraction for NOTES Transvaginal Cholecystectomy
Introduction: Natural orifice surgery (NOTES) has the potential to decrease the burden of an operation on a patient. Limitations of the endoscopic platform require innovative solutions to provide retraction and create an operation comparable to the gold standard, laparoscopic cholecystectomy. Methods: Four patients underwent transvaginal cholecystectomy. All procedures were performed under laparoscopic vision to ensure… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES: Transvaginal Cholecystectomy with Assisting Articulating Instruments
Introduction: Transvaginal cholecystectomy has been performed at several institutions using the hybrid NOTES techniques. Methods: The patient is a 42 year old female with symptomatic cholelithiasis. After obtaining informed consent, the patient was taken to the operating room for transvaginal cholecystectomy. A single 5 mm laparoscope was placed at the umbilicus, followed by a 15mm… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Trangastric access to the chest: opening a new vista?
Introduction:The NOTES approach to the peritoneal cavity is well established today and procedures in humans have already been performed. The next question to be addressed is whether this access can be extended further. This video shows the feasibility of feasibility of transgastric access to the thoracic cavity in the porcine model.Materials and methods:A series of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Hybrid Transvaginal Sleeve Gastrectomy in a Porcine Model.
INTRODUCTION – The authors describe the first transvaginal sleeve gastrectomy with an additional trocar in umbilicus in a porcine model. Our purpose is prove that bariatric procedures can be realized by NOTES (Natural Orifice Translumenal Endoscopic Surgery). METHODS AND PROCEDURES – A female pig with 50 pounds was underwent to a general anesthesia. Pneumoperitoneum and… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The First Human Abdominal Surgery in Prone Position: An Example of How NOTES Can Be Used to Perform Unique Procedures
NOTES has been touted as the next step in minimally invasive surgery. As such, most of the effort to perform NOTES has been focused on reproducing surgical procedures in a manner similar to how they are accomplished laparoscopically. It seems, however, that a potential advantage for NOTES is to allow surgeons to perform operations in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
A Computer-Assisted Endoscope to facilitate access and support surgical tasks in the abdomen: Animal experience
Objective: Natural orifice transluminal endoscopic surgery has potential benefits for patients and clinicians. Many improved tools have been developed in the last few years, but access, navigation and orientation, especially in the upper abdomen for procedures such as diaphragmatic pacing and Nissen fundoplication, remain an unsolved challenge. NeoGuide has developed a computer-controlled multi-segmented endoscope with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
The Impact of Proton Pump Inhibitors on Intra-peritoneal Sepsis:
Study Aim: Proton pump inhibitors (PPI) are commonly given for the treatment of GERD and ulcer disease. In many non-operative cases of perforated ulcer disease, it is standard of care. During transgastric NOTES procedures there is an iatrogenic perforation of the gastric wall with leakage of gastric contents into the peritoneal cavity. Our study aim… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoluminal suturing for weight loss following Roux en Y Gastric Bypass
BackgroundCurrently millions of patients have undergone Roux en Y Gastric Bypass (RYGBP) and a large percentage of these have not obtained a BMI Session: Poster Program Number: P231 Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Early Post Procedure Fever After Radiofrequency Ablation of Barrett\’s Esophagus Using the Halo® Procedure.
Introduction: Barrett’s esophagus, or intestinal metaplasia of the esophagus, is a premalignant condition related to Gastro-Esophageal Reflux Disease. The presence of Barrett’s Esophagus leads to an increased risk of development of esophageal adenocarcinoma. The incidence of esophageal adenocarcinoma is increasing, while its cure rate has changed little in recent years. The Halo® procedure is an… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Is NOTES mesh placement safe? Results of a randomized blinded trial comparing NOTES and laparoscopy
Background: Ventral hernia repair with mesh is a frequently performed procedure and the Natural Orifice Translumenal Endoscopic Surgery (NOTES) concept might be adaptable for hernia repairs avoiding incision in the abdominal wall. The risk for infection in mesh placement is of concern. We compared abdominal wall mesh placement via NOTES with the laparoscopic mesh placement.Hypothesis:… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Randomized blinded trial comparing NOTES with laparoscopy reveals no difference in immunologic parameters
Background: Natural Orifice Transluminal OrificeSurgery (NOTES) is being investigated for human use as a new minimally invasive procedure. We compared NOTES with the current gold standard laparoscopy.Hypothesis: Animals undergoing NOTES will reveal greater hemodynamic instability due to uncontrolled insufflation pressures. No difference in the immunologic impact as measured by Interleukin-1b will be realized.Design: Randomized blinded… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Durability of an Endoscopic Endolumenal Gastric Plication
Objectives: The goal of our study was to determine the safety and durability of an endolumenal plication of the stomach. Methods and Procedures: Ten 25-kg female swine underwent standard upper endoscopy, during which a single, 12 mm intragastric laparoscopic trocar was placed. Using the EndoStitch device (U.S. Surgical), an 8cm gastric sleeve was created by… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Feasibility of NOTES in a Porcine Model for Lysis of Adhesions and Appendectomy
Introduction: Appendectomy and small bowel enterolysis for adhesions are commonly performed general surgical procedures. Our lab aimed to assess the feasibility of natural orifice translumenal endoscopic surgery (NOTES) for appendectomy and lysis of adhesions (LOA) using a live porcine model.Methods: The bicornuate uterus of the female swine has been used previously as a model for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A safe and easy method of gastrotomy creation and closure for NOTES
Introduction:As a foundation for transgastric NOTES, we aimed to develop an easy and fast method to create and close a gastrotomy without the use of endoluminal suturing devices.Methods:Four pigs, mean weight 36 kg, were used for this survival study. Pigs were anesthetized and received preoperative IV antibiotics. The stomach was endoscopically irrigated with saline, followed… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endolumenal gastro-gastrostomy for astomia complicating Roux-En-Y Gastric Bypass.
A 45 year old female underwent an uncomplicated laparoscopic (divided) gastric bypass with circular stapled gastro-jejunostomy. Two years later, she developed a marginal ulcer which perforated and was treated with open Graham patch repair. Within 2 weeks post operatively, she developed progressive dysphagia. EGD and UGIS revealed a tight anastamotic stricture not amenable to dilation.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES