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Category Archives: Hybrid and endoluminal treatment options

As America Gets Bigger > Serious social and psychological dimensions > National Eating Disorder > Centers for Disease Control and Prevention CDC > Call to Action to Prevent and Decrease Overweight and Obesity > National Health and Nutrition Examination Survey NHANES > Diabetes mellitus > Cardiovascular disease > Hypertension and stroke > Certain forms of cancer > Increased risk of premature death > Serious chronic conditions > Reduced overall quality of life

Friday, May 30, 2008

Is surgical treatment for obesity a good and effective treatment for preventing the life-threatening complications and serious degenerative problems associated with pathological obesity? Do drug and medical device companies cash in to unprecedented degrees? Will overweight- and obesity-attributable spending continue to increase and government will continue to finance a sizable portion?

IIP > read on here […]

Filed in Intestinal bypass operation, General and gastrointestinal surgery, Non-surgical option, Laparoscopic Surgical Procedures, Hybrid Intervention, natural orifice, less or no post-operative pain, no scars to remind of the operation, Lowering complications after a shorter surgical procedu, Lower mortality, GI conditions, Gastrotomy closure, Industry Giants Push, For the treatment of upper gastrointestinal conditions, GI video endoscopes, Lower costs, Natural Orifice training course, colon, Natural orifices tranlumenal endosurgery NOTES, Improved cosmesis, Psychological advantage for patients, Leak-proof closure, Natural Orifice Trans Umbilical Surgery NOTUS, Bridge between laparoscopic and transluminal surgery, Medical device business incubators, AcroMIS LLC, Secure closure of gastric or colonic incisions, Single-port laparoscopic appendectomies, Gastroenterology, Incisionless operation, Introduction of a flexible endoscope, Liability suits, Concerns about litigation, Landmark ruling by U.S. Supreme Court, Device’s design has been ruled safe and effective by , Obesity Surgery, Gastric banding, National Eating Disorder, Centers for Disease Control and Prevention CDC, Prevent and Decrease Overweight and Obesity, Serious social and psychological dimensions, Obesity is a complex condition, Improving patient care, Excess of energy intake over energy expenditure, National Health and Nutrition Examination Survey NHANES, Diet-related noncommunicable diseases, Serious chronic conditions, Reduced overall quality of life, Physicians Committee for Responsible Medicine PCRM, Increased risk of premature death, Hypertension and stroke, Diabetes mellitus, Cardiovascular disease, Informed balanced conversation, Industry marketing campaign, NOSCAR research for safe adoption, Minimally Invasive Surgery MIS, Laparoscopy Laparoscopic, Improved patient care, Improved quality of care, General and bariatric surgery, Gastrointestinal health, Innovative products focused on cardiac surgery, Low risk profile, Innovative medical solutions, Industry-leading product lines, Long-term Results, NOSCAR Natural Orifice Surgery Consortium for Assessmen, Licenses Incisionless Surgery Technology, Laparoscopic approach to colorectal cancer resection, Colon cancer, US Healthcare is the largest industry in the United Sta, Re-engineering healthcare, Treatment Of Obesity, Obesity, home by the day after surgery, Body mass index, Hybrid and endoluminal treatment options, Potential to replace or augment current techniques, Orientation for the gastric access puncture, scar-free surgery, No visible skin scar, Incisionless Surgical Technique, Reduces Size of Stomach Pouch, Incisionless Natural Orifice Surgery, Weight Re-gain After Gastric Bypass, Medical Device Company, Reduced post-operative pain, One Port Umbilicus Surgeries OPUS, Natural Orifice Transgastric Endoscopic Surgery NOTES, Laparoscopy, Natural orifice transluminal endoscopic surgery, Bodies' natural orifices, Incision-less solutions, Hybrid, No Scar Surgery, Laparoscopy Laparoscopic, Natural Orifice Transluminal Endoscopic Surgery, Natural orifices such as the mouth rectum or vagina, Food and Drug Administration FDA, No Scar Group SAGES, Risk factor obesity, Natural Orifice Transluminal Endoscopic Surgery NOTES, Hybrid procedures combining endoscopy and laparoscopy, FDA regulators, Significantly reduced level of pain and discomfort, No scar anti reflux procedure, Patients Who Gain Weight After Bariatric Surgery, NoScarSurgeons.com, Cost efficient reform programs, National Academy of Engineering, Need for partnership of engineering and healthcare, Increased incidence of disease and disability, Aging western societies, New treatment methods and devices, Increased patient populations, Six goals of the 21st-century healthcare system, Safe effective patient-centered timely efficient equita, Increased incidence of disease and disability, Complexity and cost of healthcare system, Improvements in services, Aging population, Severe shortages in skilled healthcare workers, Institute of Medicine IOM Washington DC, Rapid changes in medical technology and practice, Partnership of engineering and healthcare, Healthcare USA, Gastric bypass pouch and stoma reduction, Pouch enlargement or dilatation of the gastrojejunostom, Metabolic Diseases, Investigational device, Surgical obesity intervention, Morbid obesity, Body mass index of greater than 50, Nutrition Disorders, Overweight, LAGB banding costs $17,000 in the USA, Other bariatric weight loss operations cost $25,000 in , Diabetes is killing about 73,000 people in the U.S. eac, Laparoscopic Adjustable Gastric Banding LAGB, Randomized patient blinded prospective study, Overnutrition, Interventional, Hybrid Endoluminal Endolumenal Laparoscopic MIS | Comments Off

Surgery without scars > NOTES > NOSCAR > No longer far-fetched > Mouths and other orifices offer better pathway to internal organs > Minimizing risks > Lee Swanstrom > Oregon Clinic

Monday, April 21, 2008

Does the Notes approach have many potential advantages such as no external scars, cause less pain, and faster recovery?  Is NOSCAR surgery the natural evolution of endoscopic surgery? If a patient is offered a surgical option that would leave no scar, versus one with a little scar, which option would be chosen? IIP > Read on […]

Filed in Natural orifices tranlumenal endosurgery NOTES, advanced flexible endoscopy, no scars to remind of the operation, Hybrid Intervention, Laparoscopic endoscopic hybrid surgeries, Foregut, Hybrid transvaginal cholecystectomy, Incisionless operation, Improved cosmesis, Bridge between laparoscopic and transluminal surgery, Psychological advantage for patients, Secure closure of gastric or colonic incisions, Gastroenterology, Single-port laparoscopic appendectomies, needle-knife cautery and balloon dilation, Gallbladders taken out through their mouths, No slow down in Obesity epidemic, Gastrotomy closure, Advanced medical devices, General and bariatric surgery, NOSCAR research for safe adoption, Adoption rates for laparoscopic surgery, Gastric closure, For the treatment of upper gastrointestinal conditions, Advanced Laparoscopic Procedures, Non-surgical option, Advance Natural Orifice Surgery NOS, Future of incisionless surgery, Flexible Videoendoscopes for laparoscopic GI procedures, GI video endoscopes, NoScarSurgeons.com, Incisionless Natural Orifice Surgery, No Scar Group SAGES, Standard endoscopic accessories, endoscopic band ligation of esophageal varices, endoscopic gastric reduction, endoscopic truncal vagotomy, endoscopic vertical band gastroplasty, Endoscopic ultrasound (EUS), Hybrid procedures combining endoscopy and laparoscopy, No Scar Surgery, Hybrid Endoluminal Endolumenal Laparoscopic MIS, No-scar abdominal surgery, Incision-less solutions, No scar anti reflux procedure, Significantly reduced level of pain and discomfort, endoscopic suturing device, endoscopic gastric pouch, endoscopic submucosal dissection ESD, Advanced endoscopic non-NOTES procedures, scar-free surgery, No visible skin scar, Incisionless Surgical Technique, Reduced post-operative pain, Hybrid and endoluminal treatment options, Endoscopic suturing, endoscopically restrictive pouch similiar to surgery, endoscopic stapling system, endoscopic gasrojejunostomy and cholecystogastrostomy, Endoscopy Endoscopic, Capsule Endoscopy, Potential to replace or augment current techniques, Ideas For Surgery News | Comments (0)

FDA Update > Based on the latest information supplied by Medtronic > Mortality rate associated with the initial stent-graft surgery of 2.3 % > Not 1.5% originally calculated for the AneuRx stent-graft patient > Greater than with open AAA surgery > Risk-benefit profile for stent-graft patients

Thursday, March 20, 2008

What will be the recommendation of your AAA surgeon based on these findings? Is the FDA recommendation that the AneuRx® Stent Graft be used only in patients who can be treated in accordance with the instructions for use and who meet the appropriate risk-benefit profile? Do most stent-graft patients underestimate the effort it takes to […]

Filed in Keep the graft in place, Endoleaks, Hybrid and endoluminal treatment options, Benefit from screening, Life Line Screening, Medtronic, Stent grafts have a tendency to migrate, Fixation of stent grafts, Hybrid procedures combining endoscopy and laparoscopy, Scanning and visualizing the aorta, Stapling may replace stitching, Stent Stapler, Stent graft fixation product, Lombard Medical Technologies, GORE EXCLUDER AAA Endoprosthesis, Surgical revision, Men in England are to be offered AAA screening, Complication of stent-graft repair, Bridge between laparoscopic and transluminal surgery, Improved cosmesis, Hybrid Intervention, Psychological advantage for patients, Paraplegia secondary to spinal cord ischaemia, Endovascular techniques prone to similar complications, Lombard Medical, Aorfix Dacron stent-graft, Stent graft migration following endovascular aneurysm r, Type I endoleaks, Keyhole surgery, Aneurysm rupture, Screen the aorta, Welcome to Medicare physical, Albert Einstein, Sudden severe back or abdominal pain, Treatment of aneurysms, Watchful waiting, Surgical aneurysm repair, Open aneurysm repair, Risk of developing AAA, Silent killer, Hybrid, Minimally Invasive Surgery MIS, Rupture of an abdominal aortic aneurysm, Ultrasound screening, Endovascular stent graft, Abdominal aortic aneurysm AAA, Elective surgical treatment of AAA, Endoaneurysmorrhaphy, Subsidiary of a major stent-graft company, Warning letter, Stent-graft technology under serious scrutiny, Simple $50 ultrasound scan, Free screening for AAA, Ascending aortic aneurysm, AAA stent-graft device, Food and Drug Administration FDA, Larger aneurysms can leak or rupture, Totally laparoscopic AAA replacement, Hand-assisted laparoscopic surgery HALS, Endovascular stenting, Long-term graft performance, Need for reintervention, Hybrid Endoluminal Endolumenal Laparoscopic MIS | Comments (0)

Laparoscopic surgery device development > Take concepts from nature and apply them to needs > Develop surgical adhesive tape > Avoids difficulties inherent in suturing > Ideal for tightly confined space > NOTES > Endoluminal applications > Scientists mimick gravity-defying pattern > Proof of principle

Monday, March 3, 2008

Will the clinical evaluations show that two segments of intestine can be glued to each other? Will the device provide a good seal that doesn’t leak? Does the concept need more development and incubation?

IIP > Read on here…
…Geckos have millions of hair-like structures on each foot pad, which allow them to “stick” on […]

Filed in single port laparoscopic pediatric surgery, Gastrotomy Closure in NOTES, Belly-button access, Single Incision, Single Port Laparoscopic SPL, Instruments inserted through a single access port, single Port, Single Port Access SPA, Scarless single port procedures SPA, Natural Orifices transgastric endoscopic surgery NOTES, Natural orifice surgery appendectomy, Improved cosmesis, Psychological advantage for patients, Secure closure of gastric or colonic incisions, Bridge between laparoscopic and transluminal surgery, Move a device idea from the research phase to the marke, Medical device business incubators, AcroMIS LLC, Massachusetts medical device industry, NOTES and hybrid NOTES procedures, Recovery-free surgery, Way of the future, Initial applications of NOTES, Intentionally making gastrotomy for a cholecystectomy, NOTES fundoplication procedure, NOTES, Hybrid, Hybrid Endoluminal Endolumenal Laparoscopic MIS, Laparoscopy Laparoscopic, NOTES & NEWS, Laparoscopic vascular surgery instruments, NOTES techniques, Limited direct access to the abdomen, Single incision, Hybrid and endoluminal treatment options, Laparoscopic technique, Laparoscopy, Laparoscopic tools, Hybrid procedures combining endoscopy and laparoscopy, International Conference on NOTES, Ideas For Surgery News | Comments (0)

Hybrid procedures > Bridge between laparoscopic and transluminal surgery > Natural Orifice Trans Umbilical Surgery NOTUS > Trans Umbilical Endoscopic Surgery TUES > Trans Umbilical Laparoscopic Assisted TULA > New ways how to minimize bodily trauma > Improved cosmesis > Psychological advantage for patients

Wednesday, February 27, 2008

What are the benefits of performing a cholecystectomy through a 20mm umbilical port that might increase the risk of abdominal wall complications? Will it be possible to reduce the size of the instruments and scopes to make them suitable for a smaller umbilical port? What role have flexible scopes with operative channels and endoscopic instruments?

IIP […]

Filed in One Port Umbilicus Surgeries OPUS, Single-Port Laparoscopic Radical Prostatectomy, Instruments inserted through a single access port, Single Port Laparoscopy, No visible skin scar, Reduced post-operative pain, Single-Port Laparoscopic Radical Cystectomy, Single Port Laparoscopic SPL, Endosuturing, Repositionable nitinol fixation stapler, Incisionless Surgical Technique, single port laparoscopic pediatric surgery, Single small umbilical incision, Single Port Retroperitoneal Kidney Surgery, scar-free surgery, Trans-umbilical, Reduced risk of adhesions, Recovery-free surgery, home by the day after surgery, Endoscopic Laparoscopic And Vaginal Procedures, Anthony N Kalloo, Hybrid and endoluminal treatment options, NOTES and hybrid NOTES procedures, OPUS procedure, OPUS Laparoscopic Cholecystectomies, Scarless single port procedures SPA, Single Port Access SPA, Umbilicus, single Port, STAT Self-approximating Transluminal Access Technique, Closure of full thickness of the gastric wall, Trans Umbilical Endoscopic Surgery TUES, Improved cosmesis, Trans Umbilical Laparoscopic Assisted TULA, Natural Orifice Trans Umbilical Surgery NOTUS, B Dallemagne, Bridge between laparoscopic and transluminal surgery, Psychological advantage for patients, Umbilical port, Micro-instrumentation, Single-port laparoscopic appendectomies, Secure closure of gastric or colonic incisions, Leak-proof closure, Peritoneal cavity, S Perretta, J Marescaux, Jacques Marescaux, Belly-button access, NoScarSurgeons.com, Transoral gastric pouch reduction, Gastrotomy Closure in NOTES, Incisionless Natural Orifice Surgery, Single Incision, multi port, Natural orifice surgery appendectomy, Hôpitaux Universitaires de Strasbourg, Anchor plications, Transoral endoscopic anchor placement system, Natural Orifices transgastric endoscopic surgery NOTES, Single incision, Likely to be widely adopted, Transgastric placement of diaphragm pacing leads, Medical Universities Research Institutes Med Societies, Transgastric surgery, Intentionally making gastrotomy for a cholecystectomy, Viscera Stomach Colon Vagina Bladder, Initial applications of NOTES, NOTES fundoplication procedure, Transoral treatment method, Using transoral access, Incision-less solutions, Pioneer in Natural Orifice Surgery, Leader in natural orifice surgery NOS, Serosa-to-serosa fusion, T fasteners, Per vagina, Bodies' natural orifices, Hybrid, Natural orifice transluminal endoscopic surgery, Lee Swanstrom, NOTES & NEWS, Natural Orifice Transluminal Endoscopic Surgery, No Scar Surgery, NOTES, transgastric cholecystectomy, translumenal organ resections, transgastric appendectomies, No-scar abdominal surgery, transgastric peritoneoscopy, Way of the future, Small skin incisions, NOTES techniques, transgastric appendectomy, transgastric retroperitoneal for pancreatic debridement, transgastric endoscopic splenectomy, transgastric tubal ligation, TEM, transgastric biliary endosurgery, Natural Orifice Transgastric Endoscopic Surgery NOTES, per-oral transgastric, Limited direct access to the abdomen, Orientation for the gastric access puncture, Navigation inside the stomach and abdominal cavity, Orientation, per-anal transcolonic, Transanal endoscopic microsurgery TEM, Innovative Hybrid T-fasteners, New suture anchor, Substantial learning curve, Knotless technique, Significantly reduced level of pain and discomfort, Removal of the appendix or gallbladder via the stomach, Multi-center trial of a NOTES system, Trendsetter for minimally invasive surgery, Hybrid procedures combining endoscopy and laparoscopy, Transgastric appendectomy, Flexible Suture Passer, Transluminal translumenal procedures, No Scar Group SAGES, International Conference on NOTES, Hybrid Endoluminal Endolumenal Laparoscopic MIS | Comments (0)

Endovascular vs Open Repair of Abdominal Aortic Aneurysms in the Medicare Population > The largest study to date with 45,000 Medicare recipients > Search is on for new treatment options > Endovascular endoluminal repair limited and complex > Less invasive and permanent way to repair AAA might be hybrid > Endo Vascular Laparoscopic Surgery EVLS

Thursday, January 31, 2008

How does the Centers for Medicare and Medicaid Services in Baltimore PC evaluate the continued failure rates of stent-graft repair? Why do most practitioners feel that choosing between endovascular repair with endoleaks or EVAR graft migration and open surgical repair is a toss up considering the complexity of EVAR? Is it time for a combination […]

Filed in Surgical revision, Aorfix Dacron stent-graft, The Oregon Clinic, Medical Device Company, Entrepreneurs and investors, Lombard Medical, Stent graft migration following endovascular aneurysm r, More rapid recovery and lower cost, Keyhole surgery,