INTRODUCTION: This study was conducted to identify the incidence and types of complications related to gastrotomy creation with the needle knife puncture and balloon dilatation technique for NOTES access to the peritoneal cavity.METHODS AND PROCEDURES: Between May 2007 and August 2008, 113 NOTES experiments were performed at a single institution with transgastric endoscopic access achieved […]
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 […]
Background: Complex surgery requires precise, independent coordination of two instruments that can perform multiple tasks such as traction and counter traction, precise dissection, and tissue approximation. All of these are difficult to achieve with standard dual channel scopes, which have been used for most of the human NOTES cases today. The development of a multitasking […]
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 […]
1. Objective of the study: The success of natural orifice translumenal endoscopic procedures requires reliable, accurate tissue dissection and suture cutting comparable to current laparoscopic tools. A prototype flexible endoscopic scissor for tissue biopsy, dissection, enterotomy creation and suture cutting was evaluated.2. Description of the methods: Acute study in 2 domestic pigs. Laparoscopic access provided […]