NOTES sigmoid resection
Bakground:NOTES Colonic resection is difficult to perform because of the need for exposure, dissection, vascular control and anastomosis. The aim of the present study was to evaluate the feasibility and early results of combined transgastric-transrectal NOTES sigmoidectomy.Materials and Methods:A two-week survival study was undertaken to evaluate the combined trangastric-transrectal approach for sigmoidectomy in 5 mini-pigs.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
An Endosurgical Operating System: Initial Human Experience in Endolumenal and NOTES Procedures
Background: Minimally invasive surgery is rapidly evolving with the promise of new endolumenal and translumenal surgical procedures performed with few or no external incisions. We describe our early human experience with a flexible platform technology that provides stable access and visualization, force transmission, two-handed tissue manipulation and durable tissue approximation. The EndoSurgical Operating System (EOS),… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic Endoluminal Radiofrequency Ablation of Barrett’s Esophagus: Initial Results and Lessons Learned
Background: Ablating Barrett’s epithelium may reduce the risk of developing esophageal adenocarcinoma. This study reports the initial experience of a single surgeon using an endoscopic endoluminal device delivering radiofrequency energy (the BARRx device) in ablating Barrett’s esophagus.Methods: All patients who underwent ablation of Barrett’s epithelium with the BARRx system were reviewed for length of Barrett’s… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Women’s Perceptions of Trans-Vaginal NOTES Surgery
Two decades ago, Minimally Invasive Surgery (MIS) was introduced and led to a revolution in modern surgery; currently MIS procedures are the standard of care for many surgical interventions and patients often seek out surgeons with special training in MIS. Today, Natural Orifice Translumenal Endoscopic Surgery (NOTES) appears to be on the threshold of another… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Natural Orifice Transesophageal Mediastinoscopy and Thoracoscopy: A Survival Series in Swine
Introduction: Mediastinoscopy (MX) and thoracoscopy (TX) are common procedures with painful incisions and prominent scars. A natural orifice transesophageal endoscopic surgery (NOTES) approach could reduce pain, eliminate intercostal neuralgia, provide access to the posterior mediastinal compartment or hilum, and improve cosmesis. The purpose of this study is to create a survival animal model for NOTES… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES Pancreatic Pseudocystgastrostomy: a Human NOTES Anastomosis
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a technique where an operation is performed across the lumen of a hollow viscus without the aid of an abdominal incision. Much of the early work in NOTES has utilized a transgastric approach due to ease of endoscope passage through the mouth. Pancreatic pseudocysts have long been… Continue Reading
- Type:
- Podium Presentations
- 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
Colonic Sterilization for NOTES Procedures – a Comparison of Two Decontamination Protocols
Introduction:In the 2005 White Paper, prevention of infection was named as one of the ten potential barriers to performing NOTES surgery. The aim of this study was to evaluate the effect of two different sterilization protocols on the bacterial counts in the swine colon while preparing for NOTES surgery.Methods:After placing a proximal colon balloon, 16… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Natural Orifice Translumenal Endoscopic Surgery with a Miniature in Vivo Surgical Robot
Introduction: The application of flexible endoscopy tools for Natural Orifice Translumenal Endoscopic Surgery (NOTES) is constrained due to limitations in dexterity, instrument insertion, navigation, visualization, and retraction. Miniature endolumenal robots that are not constrained by the natural orifice can mitigate these constraints through providing a stable platform for visualization and dexterous manipulation. This video demonstrates… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES: Cadaveric Rendezvous Hybrid Small Bowel Resection
Natural Orifice Translumenal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery that is driving the development of new technology and techniques. Before NOTES gains widespread popularity, it must be proven to be a safe and efficacious technique. There are several proposed benefits of the NOTES approach. Among these benefits are a potentially… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Natural Orifice Translumenal Endoscopic Drainage for Pancreatic Abscesses
INTRODUCTION: Endoscopic pseudocyst drainage is well documented, but few series describe endoscopic drainage of pancreatic abscesses. Abscesses are complications of pancreatitis, presenting with sepsis and/or peritonitis. We report the feasibility and efficacy of natural orifice translumenal endoscopic surgery for pancreatic abscesses. METHODS: We reviewed consecutively treated patients (1994-2007). Approaches alone or in combination were: (1)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Endolumenal Anastomosis Creation with Magnets
Objective: Creation of a safe endolumenal gastro-jejunal anastomosis with neodymium magnets.Background: This paper describes a new technique for performing an endolumenal gastro-jejunal anastomosis using neodymium magnets.Methods: An experimental survival study was conducted in seven swine with open translumenal placement of variable shaped magnets in the stomach and jejunum. An anastomosis was created between magnets in… Continue Reading
- Type:
- Podium Presentations
- 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
Transanal endoscopic microsurgery (T.E.M) treatment of rectal cancer: A comparision of outcomes with and without neoadjuvant radiation therapy
Introduction: Improved tumor downstaging and complete response rates of rectal cancer treated with neoadjuvant therapy have been observed. There has been concern that the detrimental, local effect of radiation makes this approach unsuitable for excision. We compared 2 groups of patients undergoing comparable TEM surgery, with and without neoadjuvant radiation. Methods: All patients undergoing TEM… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Gastric Pouch and Stoma Reduction Using a Novel Endoscopic Device: The Endosurgical Operating System (eos)
GASTRIC POUCH AND STOMA REDUCTION USING A NOVEL ENDOSCOPIC DEVICE: THE ENDOSURGICAL OPERATING SYSTEM (EOS) DK Mullady1, D Herron2, D Lautz1, D Birkett3, and CC Thompson11Division of GastroenterologyBrigham and Women’s Hospital, Boston, MA2Mount Sinai Hospital, New York, NY3Lahey Clinic, Burlington, MA Introduction: Roux-en-Y gastric bypass is an effective treatment for severe obesity. However, many patients… Continue Reading
- Topic:
- Endolumenal / NOTES