Background: the development of NOTES procedures and its clinical application raise issues regarding the ways of access to the abdominal cavity. The transvaginal access through posterior colpotomy has been widely used by gynecologists for the treatment of several conditions and eliminates the disadvantages associated with other NOTES approaches ( transgastric, transrectal and trans-vesical). Objective: assessment […]
Objectives: Transvaginal NOTES is a new diagnostic and potentially therapeutic method of surgical endoscopy, and clinical experience is still limited. A preliminary experience with NOTES transvaginal method for cholecystectomy is described.Methods: IRB approval was obtained at the institution for transvaginal NOTES clinical trials. The technique of transvaginal NOTES cholecystectomy was clinically applied in 15patients with […]
Background: Megachannel™ is a new colonic access system that was originally developed for colonoscopic appendectomy. Once in place, the reinforced wall protects the colon from perforation risks during rapid, multiple passes of the colonoscope to the right colon. The 20mm working channel allows the rapid and safe delivery of bulky instruments such as EUS, banders, […]
INTRODUCTION: Endoscopic four-quadrant forceps biopsy of esophageal dysplasia can be inaccurate due to sampling of Session: Podium Presentation Program Number: S080
PHYSIOLOGIC IMPACT OF PROLONGED INTRA-LUMINAL INSUFFLATION.Cedric S.F. Lorenzo MD, Thai H. Pham MD, Kyle A. Perry MD, Blair A. Jobe MD, John G. Hunter MD, Charles R. Phillips MD, Robert O’Rourke MD. Department of Surgery; Oregon Health and Science University, Portland, OR.Introduction: Prolonged intra-luminal and intra-peritoneal insufflation with gas is a critical component of endoluminal […]