Instrumentation and surgical technique for an innovative safe sigmoid approach for NOTES.
نویسندگان
چکیده
A set of new instruments was designed to establish an access to the abdominal cavity for NOTES via the rectosigmoid. It comprehends a metal overtube which is positioned using a modified TEM device. The entry point is targeted by transrectal ultrasound and secured by a purse-string suture. Closure is achieved by means of a linear stapler application. The applicability of the system could already be confirmed in animal survival studies.
منابع مشابه
An innovative, safe and sterile sigmoid access (ISSA) for NOTES.
BACKGROUND AND STUDY AIMS The use of a transcolonic approach for natural orifice transluminal endoscopic surgery (NOTES) offers relevant advantages compared with a transgastric procedure. However both techniques are still limited by specific shortcomings that need to be resolved before the transluminal approach can be translated to human applications. In this article we describe an innovative m...
متن کاملTransanal Endoscopic Video-Assisted Excision: Application of Single-Port Access
BACKGROUND Transanal endoscopic microsurgery is a safe and efficacious surgical approach for local excision of benign adenomas and early-stage rectal cancer. However, utilization of the technique has been limited due to the unavailability of high-priced specialized instrumentation at many institutions and the technically demanding training required. To avoid these obstacles, we have explored an...
متن کاملTotally Transanal Laparo-Endoscopic Single-Site ProctoColectomy-Ileoanal J-Pouch (TLPC-J): An Experimental Study of a Novel Approach
Background: The natural orifice transluminal endoscopic surgery (NOTES) has become a commonly considered novel approach in the surgical field. The NOTES provide possibility of operation through the natural orifice and decreases the intentional puncture of the systemic organ and subsequent complications. Totally transanal laparo-endoscopic single-site proctoColectomy-Ileoanal J-Pouch (TLPC-J) is...
متن کاملAN INNOVATIVE SURGIC AL TECHNIQUE FOR CONTINUOUS SUTURING OF PROSTHESIS IN MITR AL VALVE REPL A CEMENT
Mitral valve replacement (MVR) is usually performed in two methods of running and interrupted suturing. In running method, the suturing of the valve is usually with some traction on the annulus and also there is a risk of aortic valve injury. This study was conducted to evaluate a new technique for suturing to avoid these complications and decrease the time of cardiac arrest. One hundred an...
متن کاملAn Innovative System for Full-Management of CB Using Current Injection Method
In this article, an innovative supervision system will be proposed that can observe and analyze health of Circuit Breaker’s trip coil. The proposed design also logs changes in the coil's quality and informs network supervisor in case of Circuit Breaker (CB) failure. This system injects small direct currents to the Circuit Breaker connections and the trip coil to compute CB’s health and characte...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
دوره 17 6 شماره
صفحات -
تاریخ انتشار 2008