scholarly journals Natural Orifice Transesophageal Endoscopic Surgery: State of the Art

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
João Moreira-Pinto ◽  
Aníbal Ferreira ◽  
Carla Rolanda ◽  
Jorge Correia-Pinto
Keyword(s):  
Endoscopic Surgery ◽  
State Of The Art ◽  
Skin Incision ◽  
Therapeutic Interventions ◽  
Wound Infections ◽  
Natural Orifice ◽  
Current State ◽  
Cosmetic Outcomes ◽  
Endoscopic Myotomy ◽  
Per Oral

The main goal of Natural Orifice Transluminal Endoscopic Surgery (NOTES) is performing surgery avoiding skin incisions. Theoretical advantages of NOTES include decreased postoperative pain, reduction/elimination of general anesthesia, improved cosmetic outcomes, elimination of skin incision-related complications such as wound infections and hernias, and increased overall patient satisfaction. Although various forms of port creation to accomplish thoracic NOTES procedures have been proposed, transesophageal NOTES has been shown to be the most reliable one. The evolution of endoscopic submucosal transesophageal access resulted in the development of per-oral endoscopic myotomy (POEM), which had a fast transition to clinical practice. The authors present a review of the current state of the art concerning transesophageal NOTES, looking at its potential for diagnostic and therapeutic interventions as well as the hurdles yet to be overcome.

Anesthetic Implications of Natural Orifice Translumenal Endoscopic Surgery (NOTES) and Single-Incision Laparoscopic Surgery (SILS)

2018 ◽  
Author(s):  
Mark A. Gromski ◽  
Kai Matthes
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Natural Orifice ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Current State ◽  
Field Notes

This chapter introduces the concepts of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS). The field of NOTES has evolved over the past decade, and this developmental framework is also outlined to help better understand the current state of the field. NOTES describes a minimally invasive approach to surgical diseases in which instruments are passed transluminally to achieve access to the desired body. SILS is a minimally invasive approach carried out as an extension of traditional laparoscopic surgery. The anesthetic implications of NOTES and SILS are explained, including potential complications that are unique to each. Finally, future directions in developmental endoscopy are discussed to give a sense of what types of procedures may become available or commonplace in the coming decade.

Surgical Endoscopy: Future Directions

2018 ◽  
Vol 02 (04) ◽  
pp. 383-387
Author(s):  
Megan Sippey ◽  
Wanda Lam ◽  
Ahmed Ali ◽  
Jeffrey Marks
Keyword(s):  
Endoscopic Surgery ◽  
Diagnostic Tool ◽  
Therapeutic Interventions ◽  
Surgical Endoscopy ◽  
Imaging Modalities ◽  
Natural Orifice ◽  
Endoscopic Imaging ◽  
Future Directions ◽  
Therapeutic Tools ◽  
Made In

AbstractSince the introduction of the modern endoscope in 1957, numerous advances have been made in its use. The endoscope has transitioned from a primarily diagnostic tool at its inception, to now offering a plethora of therapeutic interventions including Natural Orifice Transluminal Endoscopic Surgery (NOTES). Advances in the endoscope, endoscopic imaging modalities, and therapeutic tools and platforms have contributed to recent, and upcoming, progression in NOTES. Current states of these advancements are reviewed.

scholarly journals Robotics for Natural Orifice Transluminal Endoscopic Surgery: A Review

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Xiaona Wang ◽  
Max Q.-H. Meng
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Endoscopic Surgery ◽  
Surgical Procedure ◽  
State Of The Art ◽  
Abdominal Cavity ◽  
Natural Orifice ◽  
Robotic Platforms ◽  
Flexible Instruments ◽  
Natural Orifices

Natural Orifice Transluminal Endoscopic Surgery (NOTES) involves accessing the abdominal cavity via one of the bodies’ natural orifices, for example, mouth, anus, or vagina. This new surgical procedure is very appealing from patients’ perspectives because it eliminates completely abdominal wall aggression and promises to reduce postoperative pain, in addition to all other advantages brought by laparoscopic surgery. However, the constraints imposed by both the mode of access and the limited technology currently available make NOTES very challenging for the surgeons. Redesign of the instruments is imperative in order to make this emerging operative access safe and reproducible. In this paper, we survey on the state-of-the-art devices used in NOTES and introduce both the flexible instruments based on improvement of current endoscopic platforms and the revolutionary concept of robotic platforms based on the convergence of communication and micromechatronics technologies. The advantages and limitations of each category are addressed. Potential solutions are proposed to improve the existing designs and develop robust and stable robotic platforms for NOTES.

Current state of the art for use of pacemakers and defibrillators in patients with congenital cardiac malformations

2006 ◽  
Vol 16 (S3) ◽  
pp. 151-156 ◽  
Author(s):  
Elizabeth A. Stephenson ◽  
Jonathan R. Kaltman
Keyword(s):  
Cardiac Disease ◽  
State Of The Art ◽  
Therapeutic Interventions ◽  
Implantable Cardioverter Defibrillators ◽  
Cardiac Malformations ◽  
Current State ◽  
Congenital Cardiac Disease ◽  
History Of ◽  
Key Features ◽  
Cardioverter Defibrillators

As patients with congenital cardiac malformations increasingly survive therapeutic interventions, and our understanding of primary electrical diseases increases, the landscape of paediatric and congenital electrophysiology is expanding. Electrophysiologic abnormalities, both tachycardic and bradycardic, are commonly seen in post-operative patients with congenital cardiac disease, as well as being part of the natural history of congenital malformations and cardiomyopathies. Disturbances of rhythm represent an increasing morbidity in this population, and therapies using devices in the form of pacemakers and implantable cardioverter-defibrillators have taken on a correspondingly important role. In this review, we discuss some of the key features and recent advances in pacing for bradycardia, resynchronization pacing, anti-tachycardia pacing, and use of implantable cardioverter-defibrillators.

The State of The Art in Per-Oral Endoscopic Myotomy

2016 ◽  
Vol 28 (1) ◽  
pp. 137-146 ◽  
Author(s):  
Stavros N. Stavropoulos ◽  
Rani Modayil ◽  
David Friedel
Keyword(s):  
State Of The Art ◽  
The State ◽  
Per Oral Endoscopic Myotomy ◽  
Endoscopic Myotomy ◽  
Per Oral

ROBOTICS IN NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY

2013 ◽  
Vol 13 (02) ◽  
pp. 1350044 ◽  
Author(s):  
YUE ZHOU ◽  
HONGLIANG REN ◽  
MAX Q.-H. MENG ◽  
ZION TSZ HO TSE ◽  
HAOYONG YU
Keyword(s):  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
System Development ◽  
Abdominal Cavity ◽  
Recovery Period ◽  
Skin Incision ◽  
Surgical Instruments ◽  
Natural Orifice ◽  
The Arts ◽  
Post Operative Pain

Natural orifice translumenal endoscopic surgery (NOTES) is the latest surgery paradigm in which the abdominal cavity is accessed via the body's natural orifice, e.g., vagina, mouth, etc. Compared with traditional laparoscopic surgery, NOTES completely eliminates the skin incision and therefore benefits the patients in several aspects such as less post-operative pain, shorter recovery period, fewer complications, etc. Due to the unique characteristics of NOTES, instruments for traditional laparoscopic surgery are not suitable for NOTES and hence novel hardware design is necessary for facilitating system development. This paper gives an overview of the state of the arts in the development of surgical instruments for NOTES, particularly with a focus on the promising robotic endoscopes.

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