Hybrid NOTES Sleeve Gastrectomy for Morbid Obesity
BACKGROUND: Sleeve gastrectomy is increasingly used for the treatment of morbid obesity. Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a novel technique in the field of modern surgery. While awaiting technological refinements, necessary for realizing true NOTES procedures, “hybrid” NOTES and single port techniques have been increasingly reported. In this study, we describe our preliminary… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Hybrid Transvaginal Cholecystectomy
Purpose : Natural orifice transluminal endoscopy surgery is a ideal technique that aim at reducing skin incision and post operative care. The purpose of this study was to analyse operative and long term results of a series of hybrid transvaginal cholecystectomy. Material & Methods : Between May 2007 & June 2009, transvaginal NOTES cholecystectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Initial Experience in Ecores (endoscopic Colorectal Surgery)
Objectives of the study & technique Local resection of colorectal lesions can be achieved through various techniques for instancetransanal endoscopic microsurgery (TEM). The resulting specimen contains the lesion totally, allowing evaluation of radicality. Complication rates are low and irradicality is rare. TEM’s straight instruments limits its applicability to the first 25cm from the linea dentata.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Laparoendoscopic Single-site (less) Cholecystectomy: Results of a Pilot Randomized Trial
At present time the four-port approach to laparoscopic cholecystectomy is the gold standard treatment of gallstones. In the last 2 years new designed technologies made feasible the accomplishment of laparoscopic cholecystectomy through a single access. Such a scar-less procedure has several potential benefits (lesser pain, improved QoL, better cosmetics, reduced LoS) and almost none of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Magnetic Cautery Dissector Suitability for Traditional or Single Site Laparoscopic Cholecystectomy in Human Cadaver Models
INTRODUCTION: Magnetic Anchoring and Guidance System (MAGS) instruments consist of an internal surgical device coupled across the abdominal wall and manipulated using an external handheld magnet. We have performed NOTES and laparoscopic procedures in porcine models using a prototype MAGS cautery dissector. The purpose of this study was to determine the suitability of the MAGS… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Surgery: Initial Brazilian Experience Utilizing the Stomaphyxtm Device to Reduce Gastric Pouches and Gastrojejunostomy Anastomosis (stoma) After Roux-en-Y Gastric Bypass
Introduction: Weight gain after bypass can occur in up to 10% of patients 5 years following and in about 20% of patients 10 years following surgery. This phenomenon has been studied extensively, but there is often no one reason this occurs. Once psychological and dietary reasons have been investigated, revisional surgery may be the only… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Translumenal Endoscopic Surgery (notes): A Technical Review
Introduction: NOTES is an evolving field in minimally invasive surgery. This review quantifies the published NOTES experience to date and reports the most common techniques for access, dissection, extraction, and closure. Methods: We performed a search of the MEDLINE database using PubMed for all articles describing human NOTES cases. Articles providing a technical description of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
New Platform for a Hybrid N.o.t.e.s.trans-vaginal Sleeve Gastrectomy
The Laparoscopic Sleeve Gastrectomy is being performed as a primary bariatric operation with increasing frequency. This is the first human study reporting the results of 5 hybrid N.O.T.E.S. trans-vaginal sleeve gastrectomy operations using the new Steerable Flexible Trochar, (SFT), from Ethicon. The SFT was used to provide a stable trans-vaginal access platform for visualization during… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES-Assisted Trasvaginal Splenectomy: The Next Step for the Minimal Invasive Approach to the Spleen
Laparoscopic splenectomy (LS) is the gold standard for treatment of normal-medium sized spleens, but spleen morcellation and removal requires an enlargement of the wound port, specially for extraction of the intact spleen. Transvaginal extraction of the resected spleen was described in early 90’, but rarely used, and it didn’t avoid the use of multiple large… Continue Reading
- Topic:
- Endolumenal / NOTES
NOTES in Emergency
Aims. Evaluation of the efficiency and reproductibility of hybrid transvaginal endoscopic surgery in non-elective surgical procedures to treat intraabdominal infections caused by acute cholecystitis, appendicitis or tubo-ovarian infection. Methods. Prospective non-randomized clinical series of ten selected female patients with acute intraabdominal infection caused by acute cholecystitis (n=6), appendicitis (n=2) and pelvic infection of tubes or… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Peritoneoscopy with Co2 Insufflation Shows Similar Physiologic Stress As Standard Laparoscopy in a Swine Model.
Introduction: Previous studies have reported less acidemia and decreased intraoperative stress during NOTES procedures using endoscopic air insufflation compared to standard laparoscopy in a porcine model. Insufflation gas (Co2 vs air) and pneumoperitoneal pressure may contribute to these findings. Objectives: 1-To evaluate the effects of CO2 versus intraabdominal pressure on intraoperative acidosis. 2-To compare the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES® Stapled Cystgastrostomy -a Novel Approach for Surgical Management of Pancreatic Pesudocysts
Background:Traditional approach for surgical management of mature pancreatic pseudocysts is by internal drainage by cystgastrostomy or cystjejunostomy via open or laparoscopic approaches. Endoscopic drainage procedures have been described; however, they require multiple interventions and are sometimes not definitive. We describe NOTES® (Natural Orifice Translumenal Endoscopic Surgery) stapled cystgastrostomy as a less invasive surgical procedure for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Patients and Surgeons Perceptions of Natural Orifice Transluminal Endoscopic Surgery (notes), a Southamerican Point of View.
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a surgical approach in development which appears as less invasive than laparoscopic surgery and supposes aesthetic, analgesic and potentially economic benefits. There are a large number of reports detailing surgical procedures and technologic development surrounding NOTES, but there are only a few reports about patients and surgeons… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Peroral Endoscopic Submucosal Pyloromyotomy in In Animal Model for a New Concept of Minimally Invasive Surgery for Pyloric Stenosis
BACKGROUND: In current therapeutic strategies, pyloric stenosis is managed by open or laparoscopic myotomy. Thanks to recent improvements in flexible endoscopic instrumentation and techniques, totally peroral endoscopic approaches could reduce the invasiveness of the procedure. The aim of this study is to establish the feasibility and efficacy of endoscopic submucosal pyloromyotomy in a nonsurvival porcine… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Preoperative Ultrasound As a Predictor of Gallbladder Extraction During Transgastric NOTES Cholecystectomy
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) has emerged as a promising minimally invasive surgical approach. Extracting the gallbladder through an endoscopic overtube during NOTES cholecystectomy avoids potential obstruction or injury to the esophagus. This study sought to determine whether preoperative ultrasound findings could be used to predict successful passage of a gallbladder specimen through… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES