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New surgical technique holds promise for scarless operations.

Byline: ANI

Washington, June 3 (ANI): Scientists have made new advances in a technology-called Natural Orifice Translumenal Endoscopic Surgery (NOTES)-that could pave the way for scarless gastroenterology and surgery.

NOTES eliminates the need for incisions and allows for less pain and scarring associated with traditional laparoscopic surgery along with a much faster recovery time for the patient.

The researchers even made videos illustrating the most recent NOTES applications, including cholecystectomy Cholecystectomy Definition

A cholecystectomy is the surgical removal of the gallbladder. The two basic types of this procedure are open cholecystectomy and the laparoscopic approach.
, appendectomy Appendectomy Definition

Appendectomy is the surgical removal of the appendix. The appendix is a worm-shaped hollow pouch attached to the cecum, the beginning of the large intestine.
 and gastrectomy gastrectomy

Surgical removal of all or part of the stomach to treat peptic ulcers. It eliminates the cells that secrete acid and halts the production of gastrin, the hormone that stimulates them. Once a common operation, it is now a last resort.

"The potential of NOTES and near-NOTES procedures is being demonstrated. These latest studies show that surgeries that once subjected patients to significant pain and recovery time may become a thing of the past," said Dr. Michael L. Kochman.

NOTES is performed by passing an endoscope through a natural orifice, or opening, then through an internal incision in the stomach, vagina, bladder or colon, thus avoiding any external incisions or scars.

For the first time, NOTES was used for incisionless weight loss surgery known as Transoral Gastroplasty- the novel procedure, aimed at patients in need of intermediate weight loss.

It involves placing a device into the stomach that uses a vacuum to bring the sides of the stomach together and stapling them without the necessity of making incisions in the abdominal wall.

The use of NOTES also showed promise in performing transvaginal sleeve gastrectomy in morbidly obese patients, as researchers at University of California The University of California has a combined student body of more than 191,000 students, over 1,340,000 living alumni, and a combined systemwide and campus endowment of just over $7.3 billion (8th largest in the United States).  San Diego (UCSD UCSD University of California, San Diego (La Jolla, California)
UCSD User Centered System Design
UCSD Urbana-Champaign Sanitary District (Illinois)
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) claimed that the procedure could a far less painful and dangerous surgical weight loss option.

It requires surgeons to make two small incisions in the abdomen and one in the vagina to remove 70 percent of the patient's stomach.

The researchers claimed that appendectomies are the latest, successful use of NOTES, as initial results suggested that transvaginal appendectomy is a promising, emerging technique for acute appendicitis Appendicitis Definition

Appendicitis is an inflammation of the appendix, which is the worm-shaped pouch attached to the cecum, the beginning of the large intestine. The appendix has no known function in the body, but it can become diseased.

In the procedure, surgeons remove the appendix using the vagina as the port of entry to the peritoneal cavity. It requires only two small incisions, one in the abdomen and one in the vagina.

Researchers at Hospital Bocalandro at the University of Buenos Aires To enter any of the available programmes of study in the university, students who have successfully completed high school must pass a first year common to all faculties. This first year is called "CBC", which stands for "Ciclo Básico Común" (Common Basic Cycle).  have successfully performed cholecystectomy, or removal of the gallbladder, using ground breaking NOTES techniques.

The procedure allows access to the abdominal cavity and removal of organs without the need for visible incisions.

Using a hybrid NOTES technique including a laparoscopic Laparoscopic
A minimally-invasive surgical or diagnostic procedure that uses a flexible endoscope (laparoscope) to view and operate on structures in the abdomen.

Mentioned in: Obstetrical Emergencies
 control, videogastroscope and forceps, doctors successfully removed the gall bladder gall bladder, small pear-shaped sac that stores and concentrates bile. It is connected to the liver (which produces the bile) by the hepatic duct. When food containing fat reaches the small intestine, the hormone cholecystokinin is produced by cells in the intestinal  through the vagina in 21 of the 22 patients enrolled in the study. One patient could not complete the procedure due to pelvic adhesions.

All 21 patients healed successfully with no complications, were able to resume sexual activity without pain following the brief recovery period, and reported no change in sexual desire.

All the above uses of NOTES were presented in detail at the Digestive Disease Week 2009 (DDW)- the largest international gathering of physicians and researchers in the fields of gastroenterology, hepatology, endoscopy and gastrointestinal surgery. (ANI)

Copyright 2009 Asian News International The Asian News International (ANI) agency provides multimedia news to China and 50 bureaus in India. It covers virtually all of South Asia since its foundation and presently claims, on its official website, to be the leading South Asia-wide news agency.  (ANI) - All Rights Reserved.

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Publication:Asian News International
Date:Jun 3, 2009
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