In NOTES, it is mandatory to maintain a high bacterial clearance level in the gastrointestinal tract, the route of access to intraperitoneal cavity. In NOTES that is conducted through the lower gastrointestinal tract that is convenient among routes of access to intraperitoneal cavity, it is very difficult to obtain a bacterial clearance level at which […]
IntroSurgical training in England is once again in the midst of a vast upheaval. The introduction of the European Working Time Directive (EWTD) combined with shortened training time poses problems with regards to sufficient exposure to procedures for surgical trainees. This clearly has implications with regards to the role of the surgeon as an endoscopist, […]
Introduction: Natural orifice translumenal endoscopic surgery (NOTES) is a developing area of minimally invasive surgery. Fundamental challenges of NOTES include development of safe ways to perform translumenal access and maintaining visualization and spatial orientation using a stable operating platform. This study examines the functionality of a new rotary access needle (RAN) device and technique for […]
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 […]
Aim: NOTES represents an emerging technology, including under its umbrella a variety of approaches and combinations. We present 2 human patients who underwent transgastric cholecystectomy. Methods: In April 2008, 2 patients underwent transgastric cholecystectomy at our institute. The procedure entailed the use of a double-channel endoscope, a 3-mm umbilical port for retraction of gall bladder […]