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
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
National Study of Higher Surgical Trainees As Endoscopists –
IntroSurgical training in England is once again in the midst of a vast upheaval. The introduction of the European Working Time Directive (EWTD) combined with shortened training time poses problems with regards to sufficient exposure to procedures for surgical trainees. This clearly has implications with regards to the role of the surgeon as an endoscopist,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
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
Natural Orifice Transluminal Endoscopic Surgery (notes) in the Setting of Acute Abdomen:
OBJECTIVE:Laparoscopy has provided a means to assist in the decision-making process for patients with acute abdominal pain. Conditions such as appendicitis, diverticulitis, cholecystitis, small bowel obstruction, perforated viscous, endometriosis, and ovarian cysts can now be safely diagnosed and treated via laparoscopy. With Natural Orifice Transluminal Endoscopic Surgery(NOTES) considered as the next frontier in minimally invasive… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Approach to Endoscopic Gastropexy: Feasibility Study in Dogs
NOTES procedures are more invasive than traditional endoscopy because they involve exiting the lumen of a hollow organ, tissue manipulation, and closure of the access site. We proposed that a novel endoscopic gastropexy utilizing a NOTES approach results in secure adhesions with few complications. To further study the impact of NOTES, we chose to evaluate… 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
NOTES Nephrectomy: Searching for the Best Path
Introduction:Laparoscopic nephrectomy is replacing open radical nephrectomy as the standard of care and it can be performed by a transperitoneal and retoperitoneal approach.Data remain scanty as to whether any objective difference exists between the two approaches.NOTES may shift the decisional paradigm between the two techniques.In the attempt to establish the best way to approach the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Retroperitoneal Transvaginal Total and Partial Right Nephrectomy
IntroductionAdvantages of transperitoneal and retroperitoneal laparoscopic nephrectomy in comparison to open nephrectomy are well established. The vagina is a viable route for kidney retrieval following laparoscopic nephrectomies. Conceivably, nephrectomy performed through a natural orifice could enhance cosmesis and patients recovery.Aim: to explore trans-vaginal retroperitoneal NOTES total and partial nephrectomy in the porcine model.Materials and methodsTotal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
NOTES Specimen Retrieval Using Novel Endoscopic Instrumentation
INTRODUCTION: Currently, there is no ideal specimen retrieval bag for NOTES. This study tested the efficacy and reliability of a novel through-the- scope (TTS) retrieval bag.METHODS: Eleven NOTES retrieval bags (Ethicon Endo Surgery) 5.5x2.5cm in size and 3.6mm in diameter were used for these experiments. The impermeable bags have a 3.5cm wire-supported articulating/rotating opening with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Transgastric Cholecystectomy: One-year Follow-up
OBJECTIVE: Natural orifice translumenal endoscopic surgery (NOTES) is still a new and investigative technique. To date, published short-term outcomes have been promising. Little is known about the long term effects of novel access routes for standard surgeries. Here we present long-term data of the first human transgastric cholecystectomies performed one year ago. METHODS: Four patients… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Novel Approach to NOTES Gastrotomy Creation Using the Endoscopic Cap Suction Technique
BACKGROUND: Numerous methods have been described for gastrotomy creation during Natural Orifice Translumenal Endoscopic Surgery (NOTES). These techniques are often blind, difficult to perform, or require temporary placement of a gastrostomy tube. The objective of this study is to create a safer method of NOTES gastrotomy creation.METHODS: A novel endoscopic cap suction technique was used… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Novel OTSC system for NOTES gastrotomy closure: An ex vivo comparison study
NOVEL OVER-THE-SCOPE CLIP SYSTEM FOR NOTES GASTROTOMY CLOSURE: AN EX VIVO COMPARISON STUDY R.P. Voermans1,2 MD, M.I. van Berge Henegouwen2 MD, PhD, C-N. Ho3, W.A. Bemelman2 MD, PhD, P. Fockens1 1 Dept. of Gastroenterology and Hepatology, 2Dept. of Surgery , Academic Medical Center, Amsterdam, the Netherlands 3OVESCO Endoscopy AG, Tuebingen, Germany Introduction: Secure translumenal closure… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Per Oral Stapled Fundoplication with the Medigus Srs Device
We are presenting a one year follow up of the initial experience with a transoral method for creating an anterior fundoplication (Dor-Thal) using the MediGus endoscopic stapling system (SRS)The device is a stand alone single use flexible endoscope, which incorporates an ultrasonic range finder and a surgical stapler. The stapler fires a quintuplet of standard… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Peritoneal Inflammatory Response of Natural Orifice Translumenal Endoscopic Surgery (notes) Versus Laparoscopy with Carbon Dioxide and Air Pneumoperitoneum
Background: The immunologic and physiologic effects of NOTES are poorly understood when compared to traditional surgical approaches. Previous experimental models have shown NOTES and laparoscopy share similar acute-phase systemic inflammatory cytokine profiles, except for a possible late phase TNF-a depression in NOTES. The local immunologic peritoneal reaction and immunomodulatory influence of pneumoperitoneum agents are also… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES