Safe Sigmoid Access for Natural Orifice Transluminal Endoscopic Surgery (NOTES)

One of the main challenges in transluminal surgery is sterile and safe access. For many interventions, a transanal approach would be ideal but it is considered too risky because of contamination and the danger of secondary leakage. A new safe and sterile transanal access was developed, combining fou...

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Veröffentlicht in:Colorectal disease 2011-11, Vol.13 (s7), p.55-58
Hauptverfasser: Feussner, H., Fiolka, A., Schneider, A., Gillen, S., Kranzfelder, M., Friess, H., Wilhelm, D.
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container_end_page 58
container_issue s7
container_start_page 55
container_title Colorectal disease
container_volume 13
creator Feussner, H.
Fiolka, A.
Schneider, A.
Gillen, S.
Kranzfelder, M.
Friess, H.
Wilhelm, D.
description One of the main challenges in transluminal surgery is sterile and safe access. For many interventions, a transanal approach would be ideal but it is considered too risky because of contamination and the danger of secondary leakage. A new safe and sterile transanal access was developed, combining four basic principles: (i) the creation of a decontaminating hydroperitoneum, (ii) the use of an overtube, (iii) defining the entry point with ultrasound and (iv) dedicated closure technique. Applicability and reliability was first proven in extensive animal experiments. Feasibility of the concept in humans was subsequently demonstrated in cadavers.
doi_str_mv 10.1111/j.1463-1318.2011.02782.x
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For many interventions, a transanal approach would be ideal but it is considered too risky because of contamination and the danger of secondary leakage. A new safe and sterile transanal access was developed, combining four basic principles: (i) the creation of a decontaminating hydroperitoneum, (ii) the use of an overtube, (iii) defining the entry point with ultrasound and (iv) dedicated closure technique. Applicability and reliability was first proven in extensive animal experiments. 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subjects Anal Canal
Animals
Cadaver
Endoscopes, Gastrointestinal
endoscopic
Endoscopy, Gastrointestinal - adverse effects
Endoscopy, Gastrointestinal - instrumentation
Endoscopy, Gastrointestinal - methods
Humans
natural orifice
Natural Orifice Endoscopic Surgery - adverse effects
Natural Orifice Endoscopic Surgery - instrumentation
Natural Orifice Endoscopic Surgery - methods
Rectum - diagnostic imaging
Rectum - surgery
sigmoid access
Swine
transluminal
transrectal
Ultrasonography
title Safe Sigmoid Access for Natural Orifice Transluminal Endoscopic Surgery (NOTES)
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