Introduction: Traditional natural orifice translumenal endoscopic surgery (NOTES) involves entry through a pre-existing orifice such as the mouth, anus or vagina. A surgically created “orifice” such as a gastrostomy can also be used as an access site, performing a reverse NOTES surgery. This video describes such reverse access to treat a complete esophageal occlusion following […]
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. […]
INTRODUCTION: Natural orifice translumenal endoscopic surgery (NOTES) has been used for a number of technically straightforward surgical procedures. However, to date, no one has reported using NOTES technique for small bowel resection and anastomosis in a survival model.METHODS AND PROCEDURES: All studies were conducted in accordance with Institutional Animal Care and Use Committee (IACUC) protocols. […]
Background: The immunologic and physiologic effects of NOTES are poorly understood when compared to traditional surgical approaches. Previous experimental models have shown NOTES and laparoscopy share similar acute-phase systemic inflammatory cytokine profiles, except for a possible late phase TNF-a depression in NOTES. The local immunologic peritoneal reaction and immunomodulatory influence of pneumoperitoneum agents are also […]
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 […]