Transgastric and Transvaginal Endoscopic Cholecystectomy in Human Beings
TRANSGASTRIC AND TRANSVAGINAL ENDOSCOPIC CHOLECYSTECTOMY IN HUMAN BEINGS Gustavo Salinas MD, Lil Saavedra MD, Hellen Agurto MD, * Jeffrey M. Marks MD, Edwin Ramírez MD, José Grande MD, Juan Tamayo MD, Victoria Sánchez MD. Minimally Invasive Surgery. Avendaño Clinic, Lima, Peru, * University Hospitals Case Medical Center INTRODUCTION: The abdominal procedures have been performed for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Cholecystectomy Using the Endosamurai – A Novel Endoscopic Operating Platform
One of the basic operating tenets in surgery is the principle of traction/countertraction. This ability is significantly hampered when performing NOTES procedures using standard flexible endoscopes with parallel instrument channels. New technologies must be developed to obtain the dexterity offered by laparoscopic surgery. We demonstrate a transgastric cholecystectomy in a porcine model using a prototype… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Bloodles Liver Resection Using Radiofrequency Thermal Energy. An Experimental Study
Obsective: To assess the feasibility and safety of transgastric endoscopic assisted hepatectomy using percutaneous radiofrequency thermal energy(PRF) in a porcine model.Methods: Fourteen domestic male white pigs with a mean weight of 17.6 kg (range 15 to 21 kg) were used. Under general anesthesia a standard upper double-lumen endoscope was advanced perorally into the stomach A… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy Does Not Lead to Increased Risk of Infectious Complications
Introduction: As the field of natural orifice transluminal endoscopic surgery (NOTES) develops it remains important to determine the risk of clinically significant bacterial contamination and infectious complications of the peritoneal cavity. We report herein the bacterial contamination of the peritoneum in patients undergoing transgastric endoscopic peritoneoscopy (TEP) during laparoscopic roux-en-y gastric bypass (LRYGB) to perform… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy for Evaluation of the Abdominal Wall, Adhesiolysis and Direction of Trocar Placement in the Morbidly Obese
OBJECTIVE(S): Diagnostic transgastric endoscopic peritoneoscopy (DTEP) has been used as a staging tool to evaluate the abdomen via a natural orifice. Visualization of the abdominal wall is excellent after transgastric endoscopic access. We now present our experience with transgastric endoscopic peritoneoscopy (TEP) to direct trocar placement and adhesiolysis in patients undergoing laparoscopic roux-en-y gastric bypass… 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 Diagnostic Peritoneoscopy in Women with Pelvic Pain
Purpose: Chronic pelvic pain affects many women in reproductive age in the US and laparoscopy is common in the diagnostic algorithm. In the realm of NOTES, a transvaginal approach would be a natural approach to reduce incision sites, postoperative pain and improve cosmesis in this patient population. This is the first report of transvaginal diagnostic… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Endoscopic Appendectomy in Humans: An Unique Approach to N.o.t.e.s – Our Initial Case Series
Background: NOTES is the newest technique emerging in the field of surgery. We describe the transvaginal approach for endoscopic appendectomy in humans, probably the world’s first report. Materials and Methods: Out of a total of 6 patients, a totally endoscopic transvaginal appendectomy was successfully performed for 1 patient. Pneumoperitoneum was achieved via a Veress needle… Continue Reading
- Type:
- Posters
- 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
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
Transvaginal NOTES Partial Gastrectomy for Gastric Submucosal Tumors: Early Experience in Humans
Introduction: Transvaginal endoscopic gastric surgery is one of the cutting edge procedures in the field of natural orifice translumenal endoscopic surgery (NOTES). Its feasibility has been shown sporadically in bariatric cases, however, not in oncologic conditions. We report our early experience with hybrid transvaginal NOTES gastrectomy for gastric submucosal tumors (SMTs).Methods: Two female patients with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Transvaginal Repair of a Chronic Porcine Ventral Hernia Using Synthetic Mesh.
Background In the era of laparoscopic surgery ventral incisional hernias still remain a common surgical problem. Natural orifice transluminal endoscopic surgery (NOTES) may enable intraperitoneal access without the need for abdominal wall incisions with possible faster recovery and less complications. We tested the feasibility of transvaginal placement of a large synthetic mesh (Proceed, Ethicon Inc.)… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Using a Flexible Robotic Endoscopic NOTES Platform Transgastrically in a Cadaver to Test Access, Navigation, Maneuverability and Stability
OBJECTIVE: The advancement of NOTES highly depends on the availability of suitable platforms and instruments. A NOSCAR working group has identified access, navigation, maneuverability and stability to withstand instrument forces as essential requirements for a successful NOTES platform. No platform used for NOTES to date can adequately achieve all four of these key capabilities. Here… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Using External Magnet Guidance and Endoscopically Placed Magnets to Create Suture-free Gastro-enteral Anastomoses
PURPOSE: To facilitate endolumenal and natural orifice procedures, we evaluated a novel technique using external and endoscopically placed magnets in forming suture-free gastro-enteral anastomoses. METHODS: Seven anesthetized adult swine underwent endoscopic placement of differently sized magnets into the small bowel and stomach. Using external magnets, the endoscopically placed internal magnets were brought into opposition under… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Who\’s Afraid of Natural Orifice Translumenal Endoscopic Surgery (notes)?
Introduction: Intraabdominal surgery using a flexible endoscope combines the skills of both gastroenterologists (GI) and minimally invasive surgeons (MIS). Deficiencies in each of these standard training models include the lack of familiarity with complex intraabdominal maneuvers, for physicians with a GI background, and difficulty operating without a fixed horizon, for those with an MIS background.Materials… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES