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Natural orifice surgery: initial clinical experience.

Authors
  • Horgan, Santiago1
  • Cullen, John P
  • Talamini, Mark A
  • Mintz, Yoav
  • Ferreres, Alberto
  • Jacobsen, Garth R
  • Sandler, Bryan
  • Bosia, Julie
  • Savides, Thomas
  • Easter, David W
  • Savu, Michelle K
  • Ramamoorthy, Sonia L
  • Whitcomb, Emily
  • Agarwal, Sanjay
  • Lukacz, Emily
  • Dominguez, Guillermo
  • Ferraina, Pedro
  • 1 Department of Surgery, University of California San Diego, San Diego, CA 92103, USA.
Type
Published Article
Journal
Surgical Endoscopy
Publisher
Springer-Verlag
Publication Date
July 2009
Volume
23
Issue
7
Pages
1512–1518
Identifiers
DOI: 10.1007/s00464-009-0428-0
PMID: 19343435
Source
Medline
License
Unknown

Abstract

The limited initial evidence from this study demonstrates that NOTES is feasible and safe. The addition of an umbilical trocar is a bridge allowing safe performance of NOTES procedures until better instruments become available. The addition of a flexible long grasper through the vagina and a flexible operating platform through the stomach has enabled the performance of NOTES in a safe and easily reproducible manner. The use of a uterine manipulator has facilitated visualization of the cul de sac in women with a uterus to allow for safe transvaginal access.

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