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 |
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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. Feasibility of the concept in humans was subsequently demonstrated in cadavers.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2011.02782.x</identifier><identifier>PMID: 22098520</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Colorectal disease, 2011-11, Vol.13 (s7), p.55-58</ispartof><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4072-f5ad9d0ea9403dcdea7302e7bfcdcc5f382b9e01bfbaa6c02cd1d9866ff77e0d3</citedby><cites>FETCH-LOGICAL-c4072-f5ad9d0ea9403dcdea7302e7bfcdcc5f382b9e01bfbaa6c02cd1d9866ff77e0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1463-1318.2011.02782.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1463-1318.2011.02782.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22098520$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Feussner, H.</creatorcontrib><creatorcontrib>Fiolka, A.</creatorcontrib><creatorcontrib>Schneider, A.</creatorcontrib><creatorcontrib>Gillen, S.</creatorcontrib><creatorcontrib>Kranzfelder, M.</creatorcontrib><creatorcontrib>Friess, H.</creatorcontrib><creatorcontrib>Wilhelm, D.</creatorcontrib><title>Safe Sigmoid Access for Natural Orifice Transluminal Endoscopic Surgery (NOTES)</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><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.</description><subject>Anal Canal</subject><subject>Animals</subject><subject>Cadaver</subject><subject>Endoscopes, Gastrointestinal</subject><subject>endoscopic</subject><subject>Endoscopy, Gastrointestinal - adverse effects</subject><subject>Endoscopy, Gastrointestinal - instrumentation</subject><subject>Endoscopy, Gastrointestinal - methods</subject><subject>Humans</subject><subject>natural orifice</subject><subject>Natural Orifice Endoscopic Surgery - adverse effects</subject><subject>Natural Orifice Endoscopic Surgery - instrumentation</subject><subject>Natural Orifice Endoscopic Surgery - methods</subject><subject>Rectum - diagnostic imaging</subject><subject>Rectum - surgery</subject><subject>sigmoid access</subject><subject>Swine</subject><subject>transluminal</subject><subject>transrectal</subject><subject>Ultrasonography</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE2P0zAQhi0EYj_gLyDfgEPC2Pmwc0FalVIWrZpDy8fNcuzxyiVpunYj2n-_yXbpmbnMyH7nGekhhDJI2VifNinLyyxhGZMpB8ZS4ELy9PCCXJ4_Xj7NPJEVgwtyFeMGgJWCydfkgnOoZMHhktQr7ZCu_H3Xe0tvjMEYqesDXer9EHRL6-CdN0jXQW9jO3R-Oz7Ot7aPpt95Q1dDuMdwpB-W9Xq--viGvHK6jfj2uV-TH1_n69m35K5e3M5u7hKTg-CJK7StLKCucsissahFBhxF44w1pnCZ5E2FwBrXaF0a4MYyW8mydE4IBJtdk_cn7i70DwPGvep8NNi2eov9EFUFFZdSQDkm5SlpQh9jQKd2wXc6HBUDNdlUGzVJU5M0NdlUTzbVYVx993xkaDq058V_-sbA51Pgr2_x-N9gNau_3E7jCEhOAB_3eDgDdPijSpGJQv1aLhT8_J4vinymfmeP-YeSzQ</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Feussner, H.</creator><creator>Fiolka, A.</creator><creator>Schneider, A.</creator><creator>Gillen, S.</creator><creator>Kranzfelder, M.</creator><creator>Friess, H.</creator><creator>Wilhelm, D.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Safe Sigmoid Access for Natural Orifice Transluminal Endoscopic Surgery (NOTES)</title><author>Feussner, H. ; Fiolka, A. ; Schneider, A. ; Gillen, S. ; Kranzfelder, M. ; Friess, H. ; Wilhelm, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4072-f5ad9d0ea9403dcdea7302e7bfcdcc5f382b9e01bfbaa6c02cd1d9866ff77e0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anal Canal</topic><topic>Animals</topic><topic>Cadaver</topic><topic>Endoscopes, Gastrointestinal</topic><topic>endoscopic</topic><topic>Endoscopy, Gastrointestinal - adverse effects</topic><topic>Endoscopy, Gastrointestinal - instrumentation</topic><topic>Endoscopy, Gastrointestinal - methods</topic><topic>Humans</topic><topic>natural orifice</topic><topic>Natural Orifice Endoscopic Surgery - adverse effects</topic><topic>Natural Orifice Endoscopic Surgery - instrumentation</topic><topic>Natural Orifice Endoscopic Surgery - methods</topic><topic>Rectum - diagnostic imaging</topic><topic>Rectum - surgery</topic><topic>sigmoid access</topic><topic>Swine</topic><topic>transluminal</topic><topic>transrectal</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feussner, H.</creatorcontrib><creatorcontrib>Fiolka, A.</creatorcontrib><creatorcontrib>Schneider, A.</creatorcontrib><creatorcontrib>Gillen, S.</creatorcontrib><creatorcontrib>Kranzfelder, M.</creatorcontrib><creatorcontrib>Friess, H.</creatorcontrib><creatorcontrib>Wilhelm, D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feussner, H.</au><au>Fiolka, A.</au><au>Schneider, A.</au><au>Gillen, S.</au><au>Kranzfelder, M.</au><au>Friess, H.</au><au>Wilhelm, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safe Sigmoid Access for Natural Orifice Transluminal Endoscopic Surgery (NOTES)</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2011-11</date><risdate>2011</risdate><volume>13</volume><issue>s7</issue><spage>55</spage><epage>58</epage><pages>55-58</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>One of the main challenges in transluminal surgery is sterile and safe access. 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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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