scholarly journals Is the scar-less hysterectomy with Natural Orifice Transluminal Endoscopic Surgery (NOTES) the future of benign gynecological surgery? A Review of the literature

2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Rebecca Karkia ◽  
T Giachino ◽  
H Ahmed
Keyword(s):  
Postoperative Pain ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Recovery Time ◽  
Surgical Approaches ◽  
Gynecological Surgery ◽  
Review Of The Literature ◽  
Natural Orifice ◽  
Traditional Methods ◽  
Minimally Invasive Surgical

As the tide advances towards minimally invasive surgical approaches which are favourable over open methods in terms of patient analgesia requirements and recovery time, Natural Orifice Transluminal Endoscopic Surgery (NOTES) has emerged as a technique within gynaecology which uses laparoscopic instruments and methods without the need for abdominal incisions. NOTES surgery has been conducted within gynecology via a vaginal colpotomy to perform procedures such as adnexectomy, hysterectomy, myomectomy and urogynecological procedures. This review summarises the available literature data on NOTES surgery with preliminary results showing reduced postoperative pain, improved cosmesis, and the potential for faster patient recovery and hospital discharge as compared to traditional methods. Larger, more robust data is needed to truly compare the efficacy of gynecological NOTES over traditional methods, however initial literature suggests this may be a promising innovation emerging in the field of gynecology.

Minimally Invasive Surgical Approaches to Kidney Stones in Children

2012 ◽  
Vol 13 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Hasan Serkan Dogan ◽  
Serdar Tekgul
Keyword(s):  
Minimally Invasive ◽  
Kidney Stones ◽  
Surgical Approaches ◽  
Minimally Invasive Surgical

Minimally Invasive Surgical Approaches to Colon Cancer

2018 ◽  
Vol 27 (2) ◽  
pp. 303-318 ◽  
Author(s):  
Jean F. Salem ◽  
Sriharsha Gummadi ◽  
John H. Marks
Keyword(s):  
Colon Cancer ◽  
Minimally Invasive ◽  
Surgical Approaches ◽  
Minimally Invasive Surgical

Performance of a Multifunctional Robot for Natural Orifice Transluminal Endoscopic Surgery

2018 ◽  
Vol 25 (4) ◽  
pp. 364-373 ◽  
Author(s):  
Tao Shen ◽  
Dietric Hennings ◽  
Carl A. Nelson ◽  
Dmitry Oleynikov
Keyword(s):  
Endoscopic Surgery ◽  
Recovery Time ◽  
Practical Application ◽  
Natural Orifice ◽  
Trade Off ◽  
Trade Offs ◽  
Surgical Field ◽  
Articulated Robots ◽  
Bimanual Robot ◽  
Animal Tests

Natural orifice transluminal endoscopic surgery (NOTES) has gained attention as a revolutionary technique with its potential advantages in eliminating skin incisions, shortening recovery time, and decreasing postoperative complications; however, its practical application is still constrained by the complexity of navigation through the surgical field and paucity of available instruments. Current progress on NOTES focuses on designing flexible articulated robots or fully inserted bimanual robots to address the limitations. However, the lack of multitasking tools, trade-offs between size and power, and lack of sufficient surgical force are too often neglected. The authors designed a bimanual robot with a multifunctional manipulator, which can realize on-site instrument-change according to surgeon needs. An articulated drive mechanism with 2 independent curvature sections was designed to deliver the robot to the surgical site. A corresponding reconfiguration operation sequence was formulated to ease insertion and thereby decrease the design trade-off between size and power. This article presents 3 benchtop and animal tests to evaluate the robotic surgery approach and demonstrate the effectiveness of the robot.

scholarly journals Design of a Multifunctional Forceps for Use in Endoscopic Surgery

2010 ◽  
Vol 4 (2) ◽  
Author(s):  
Andrew Rau ◽  
Mary Frecker ◽  
Abraham Mathew ◽  
Eric Pauli
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Minimally Invasive Surgical Procedures ◽  
Ex Vivo ◽  
Catastrophic Failure ◽  
Minimally Invasive Surgical ◽  
Design Characteristics ◽  
Fail Safe ◽  
Ex Vivo Testing ◽  
Good Agreement

This paper presents a 3.0 mm diameter endoscopic forceps design for use in minimally invasive surgical procedures, which require significant grasping and spreading forces. Models of the proposed design predict considerable improvements in the opening range (140%) and force application (87%) for both grasping and spreading when compared with currently used endoscopic forceps. Several of the tool’s design characteristics promote fail-safe malfunctions, including locking before catastrophic failure and the decreased likelihood in detached parts. Initial benchtop testing showed good agreement between prototype performance and model prediction. Frictional losses experienced during testing were found to depend on load orientation. A surgical prototype is currently being manufactured for ex vivo testing.

Minimally Invasive Resection of Benign Gastric Tumors in Challenging Locations: Prepyloric Region or Gastroesophageal Junction

2013 ◽  
Vol 79 (10) ◽  
pp. 968-972 ◽  
Author(s):  
Christopher Armstrong ◽  
Alana Gebhart ◽  
Brian R. Smith ◽  
Ninh T. Nguyen
Keyword(s):  
Minimally Invasive ◽  
Perioperative Complications ◽  
Wedge Resection ◽  
Gastroesophageal Junction ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Anatomic Resection ◽  
Submucosal Tumors ◽  
Gastric Tumors ◽  
Minimally Invasive Surgical

Benign gastric tumors in a prepyloric location or within 3 cm adjacent of the gastroesophageal junction (GEJ) are often challenging to resect using minimally invasive surgical techniques. The aim of this study was to examine the outcomes of patients who underwent minimally invasive enucleation or resection of benign gastric tumors at these difficult locations. The charts of patients undergoing minimally invasive resection of benign-appearing submucosal gastric tumors between June 2001 and December 2012 were reviewed. Data on tumor size and location, type of minimally invasive surgical resection, perioperative complications, 90-day mortality, pathology, and recurrence were collected. A total of 70 consecutive patients underwent laparoscopic resection of benign-appearing submucosal gastric tumors; there were 24 patients with lesions close to the GEJ and nine patients with lesions close to the prepyloric region. All lesions were successfully resected laparoscopically. For prepyloric tumors, surgical approaches included enucleation (n = 1), wedge resection (n = 2), and distal gastrectomy with reconstruction (n = 6). For tumors close to the GEJ, surgical approaches included enucleation (n = 16), wedge resection (n = 3), and esophagogastrectomy (n = 5). Complications in this series of 33 patients included late strictures requiring endoscopic dilation in three patients who underwent esophagogastrectomy. The 90-day mortality rate was zero. There were no recurrences over a mean follow-up of 15 months (range, 1 to 86 months). Minimally invasive enucleation or formal anatomic resection of submucosal tumors located adjacent to the GEJ or at the prepyloric region is safe and carries a low risk for tumor recurrence. Submucosal gastric lesions adjacent to the GEJ are amenable to laparoscopic enucleation or wedge resection unless they extend proximally into the esophagus. Prepyloric lesions often require formal anatomic resection with reconstruction.

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.

scholarly journals Minimally Invasive Surgical Approaches for Broad Ligament Fibroids

2020 ◽  
Vol 27 (7) ◽  
pp. S93
Author(s):  
N. Tamhane ◽  
E. Mikhail
Keyword(s):  
Minimally Invasive ◽  
Broad Ligament ◽  
Surgical Approaches ◽  
Minimally Invasive Surgical

scholarly journals Transorbital Endoscopic Surgery for Sphenoid Wing Meningioma: Long-Term Outcomes and Surgical Technique

2020 ◽  
Vol 81 (04) ◽  
pp. 357-368
Author(s):  
N. Goncalves ◽  
D.E. Lubbe
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Case Series ◽  
Surgical Approaches ◽  
Benign Tumors ◽  
Long Term Outcomes ◽  
Invasive Approach ◽  
Visual Outcomes ◽  
Presenting Symptoms

AbstractSphenoid wing meningiomas are benign tumors that can result in proptosis, visual impairment, and pain. Traditional open surgical approaches are associated with significant morbidity. Transorbital endoscopic surgery has been developed as a minimally invasive approach to gain access to these tumors and address the main presenting symptoms. Case series reporting transorbital endoscopic resection of sphenoid wing meningiomas using combined endonasal, pre-caruncular, and extended superior eyelid approaches have demonstrated stable and/or improved short- and medium-term visual outcomes. Earlier medial optic nerve decompression appears to result in more favorable long-term visual outcomes. Transorbital endoscopic surgery therefore represents an emerging minimally invasive alternative to deal with these challenging lesions.

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