Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery

Ram Elazary, Santiago Horgan, Mark A. Talamini, Avraham I. Rivkind, Yoav Mintz

Research output: Contribution to journalArticle

Abstract

Four years ago, a new surgical technique was presented, the natural orifice trans-luminal endoscopic surgery (NOTES). This technique provides an incisionless operation. The surgical devices are inserted into the peritoneal cavity through the gastrointestinal or the urogenital tracts. Today, a cholecystectomy can be performed using an advanced endoscope inserted through the stomach or the vagina. The advantages of NOTES are: reduced post operative pain, no hernias, no surgical wounds infections and better cosmetic results. The disadvantages are: difficulties in achieving safe enterotomy closure or a leak proof anastomosis, it necessitates performing more operations compared to open or laparoscopic operations in order to obtain the skills for performing these operations, and difficulties of acquiring satisfactory endoscopic vision due to lack of advanced technology. Several NOTES operations have already been performed in humans. However, many other surgical procedures were tested in laboratory animals. Development and improvement of surgical devices may promote this surgical modality in the future.

Original languageEnglish (US)
Pages (from-to)789-791
Number of pages3
JournalHarefuah
Volume147
Issue number10
StatePublished - Oct 2008
Externally publishedYes

Fingerprint

Surgical Wound Infection
Equipment and Supplies
Endoscopes
Peritoneal Cavity
Laboratory Animals
Cholecystectomy
Vagina
Hernia
Cosmetics
Stomach
Technology
Pain

Keywords

  • Cystic fibrosis
  • Lung transplantation
  • Organ donation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Elazary, R., Horgan, S., Talamini, M. A., Rivkind, A. I., & Mintz, Y. (2008). Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery. Harefuah, 147(10), 789-791.

Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery. / Elazary, Ram; Horgan, Santiago; Talamini, Mark A.; Rivkind, Avraham I.; Mintz, Yoav.

In: Harefuah, Vol. 147, No. 10, 10.2008, p. 789-791.

Research output: Contribution to journalArticle

Elazary, R, Horgan, S, Talamini, MA, Rivkind, AI & Mintz, Y 2008, 'Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery', Harefuah, vol. 147, no. 10, pp. 789-791.
Elazary R, Horgan S, Talamini MA, Rivkind AI, Mintz Y. Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery. Harefuah. 2008 Oct;147(10):789-791.
Elazary, Ram ; Horgan, Santiago ; Talamini, Mark A. ; Rivkind, Avraham I. ; Mintz, Yoav. / Natural orifice trans-luminal endoscopic surgery (NOTES) - A new era in general surgery. In: Harefuah. 2008 ; Vol. 147, No. 10. pp. 789-791.
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