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
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
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
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
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
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
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
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
Hybrid NOTES Cholecystectomy: Prospective Human Series
Introduction. Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. It is not yet possible at the present time to perform these interventions without the help of abdominal wall entryways, so these procedures are hybrids, a fusion of minilaparoscopy… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Scarless One Port Transumbilical Laparoscopic Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy is usually performed using several trocars. We report a case of a single port sleeve gastrectomy in a 42 year-old, female morbidly obese with a BMI of 42 kg/m2. Through a 2-cm single transumbilical incision Triport® was inserted and roticulator instruments were used. To retrieve the specimen we partially used the device… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Human Gallbladder Measurements and Implications for Natural Orifice Surgery
Background: Natural orifice translumenal endoscopic surgery (NOTES) introduces a paradigm shift in minimally invasive surgery that may benefit patients with decreased post-operative pain, faster recovery, better cosmesis, and less surgical morbidity by reducing abdominal incisions. While several NOTES and hybrid-NOTES cholecystectomies have been performed throughout the world, much research is needed to refine the technique,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Uterine Horn Resection Using a Novel NOTES Toolbox
Introduction: Natural orifice translumenal endoscopic surgery (NOTES) is a developing area of minimally invasive surgery. In order for NOTES to be performed efficiently and safely, there are several fundamental challenges that need to be addressed. These include a safe method for peritoneal access, maintenance of visualization and spatial orientation, design of instruments that provide articulation… Continue Reading
- Topic:
- Endolumenal / NOTES
Transvaginal Minilaparoscopic-Assisted Rectosigmoid Resection
Introduction: Natural orifice transluminal endoscopic colorectal surgery is not yet ready for widespread clinical use. Meanwhile, hybrid minilaparoscopic-assisted/natural orifice approach using available laparoscopic instruments may provide patient benefits minimizing wound-related complications, postoperative pain, hospital stay and improving cosmesis. The aim of this study is to assess our initial experience with the transvaginal minilaparoscopic-assisted rectosigmoid resection.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Pure NOTES Cholecystectomy
Initial excitement for Natural Orifice Transluminal Endoscopic Surgery (NOTES) has been partly tempered by the reality that a NOTES procedure without laparoscopic or needleoscopic-assistance has not been widely performed. After safely performing laparoscopically-assisted transvaginal cholecystectomy in an IACUC-approved porcine model, we embarked on an IRB-approved protocol to ultimately perform a pure NOTES cholecystectomy.We describe our… Continue Reading
- 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