Are the growing capabilities of therapeutic flexible endoscopy leading to a new era in treatment of gastrointestinal conditions? Are the most important areas for initial NOTES study safe peritoneal access and secure gastric closure, intraperitoneal contamination, image display and maintenance of spatial orientation, development of stable working platforms, physiologic perturbations, and tissue approximation methods?
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…In one of the very first operation of its kind, surgeons at the New York-Presbyterian Hospital and Columbia University Medical Center in United States removed a woman’s gall bladder successfully without making any type of external incisions.
The procedure was actually a part of the clinical research trial, which involved insertion of an endoscope via a one-inch incision made behind the uterus and then into the woman’s body cavity. The surgeons then detached the gall bladder using the scope and removed it through the incision, which they made behind the uterus.
This new technique also known as Natural Orifice Transluminal Endoscopic Surgery (NOTES) has a lot of advantages over the traditional endoscopic surgery, since it included lesser pain, absence of visible scarring and quicker recovery.
According to Dr. Marc Bessler, who is the director of laparoscopic surgery in the Center for Obesity Surgery at NYP Hospital/CU, this procedure of surgery provides greater safety and reduces the recovery time to a great extent.
The new clinical trial of NOTES is also suggested for abdominal exploration, appendix removal and biopsy. As of now, this new technique can be implemented only through the uterus. However, surgeons hope to perform the procedure through the rectum or mouth in future and also making the new technology available for men.