IntroductionFlexible bipolar forceps might offer advantages over flexible clips delivered during NOTES, SILS or conventional laparoscopic cholecystectomy. Bipolar forceps allow multiple applications of energy and might be cheaper and quicker than clips. A new bipolar coagulation device, the BELA, 3.7 mm diameter, with insulated jaws limiting thermal spread, has been shown to be effective at […]
Introduction: Several recent reports suggest that self expanding endoluminal stents (SEES) may provide a less invasive and more effective method for managing foregut surgical complications. The objective of this study was to identify factors that might predispose to SEES migration and related complications.Methods: We retrospectively reviewed the EMR of all patients undergoing SEES placement after […]
Introduction: The actual trends in surgery are the application of minimally invasive techniques. Nowadays laparoscopy has become the conventional and choice procedure in the treatment of some pathologies such as cholelithiasis. More recently, looking for minimally invasion and “no scar” procedures, surgery has begun to use the natural orifices as entrance pathways. Some examples of […]
Background: Enteroscopy has improved more than any other form of flexible or rigid diagnostic endoscopy. Double balloon, single balloon, over-tube enhanced methods with stiffeners, spirals and design changes to push enteroscopes has made access to all areas of the small intestine much easier. These changes have improved diagnosis but have not led to changes in […]
IntroductionDoubts have been raised versus NOTES surgery concerning intra abdominal infectious complications. The aim of this study was to compare the postoperative course in open, laparoscopic and transgastric surgery, specially concerning infections and postop well being in a randomized porcine survival study. Methods & Procedures30 landrace pigs were randomized to open, laparoscopic or NOTES (transgastric) […]