BACKGROUND: Natural orifice translumenal endoscopic surgery (NOTES), although in its embryonic phase, is currently experiencing important developments. The technique has been successfully applied for cholecystectomies and appendectomies. However, several doubts exist as to the technical limitations and feasibility of NOTES in other clinical settings. METHODS: The authors have performed totally transvaginal colon resections in a sheep model. Although completion of the surgery was possible through the transvaginal route, the addition of a transumbilical laparoscope was used as an added safety measure. RESULTS: Totally transvaginal resection of the sigmoid colon was performed for two sheep with no intra- or postoperative complications. CONCLUSION: Totally transvaginal resection of the colon (pure NOTES) is feasible in a sheep model.
BACKGROUND: Natural orifice translumenal endoscopic surgery (NOTES), although in its embryonic phase, is currently experiencing important developments. The technique has been successfully applied for cholecystectomies and appendectomies. However, several doubts exist as to the technical limitations and feasibility of NOTES in other clinical settings. METHODS: The authors have performed totally transvaginal colon resections in a sheep model. Although completion of the surgery was possible through the transvaginal route, the addition of a transumbilical laparoscope was used as an added safety measure. RESULTS: Totally transvaginal resection of the sigmoid colon was performed for two sheep with no intra- or postoperative complications. CONCLUSION: Totally transvaginal resection of the colon (pure NOTES) is feasible in a sheep model.
Authors: Marc Bessler; Andrew A Gumbs; Luca Milone; John C Evanko; Peter Stevens; Dennis Fowler Journal: Surg Endosc Date: 2010-02-23 Impact factor: 4.584
Authors: Santiago Horgan; John P Cullen; Mark A Talamini; Yoav Mintz; Alberto Ferreres; Garth R Jacobsen; Bryan Sandler; Julie Bosia; Thomas Savides; David W Easter; Michelle K Savu; Sonia L Ramamoorthy; Emily Whitcomb; Sanjay Agarwal; Emily Lukacz; Guillermo Dominguez; Pedro Ferraina Journal: Surg Endosc Date: 2009-04-03 Impact factor: 4.584
Authors: Dirk R Bulian; Norbert Runkel; Jens Burghardt; Wolfram Lamade; Michael Butters; Markus Utech; Klaus-Peter Thon; Rolf Lefering; Markus M Heiss; Heinz J Buhr; Kai S Lehmann Journal: Int J Colorectal Dis Date: 2014-05-07 Impact factor: 2.571