TITLE

Transvesical Peritoneoscopy: Initial Clinical Evaluation of the Bladder as a Portal for Natural Orifice Translumenal Endoscopic Surgery

AUTHOR(S)
Gettman, Marthew T.; Blum, Michael L.
PUB. DATE
July 2007
SOURCE
Mayo Clinic Proceedings;Jul2007, Vol. 82 Issue 7, p843
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abdominal surgery has traditionally been performed through large Incisions Into the peritoneal cavity. In the past decade, traditional open surgery has been Increasingly replaced by minimally invasive laparoscopic and robotic techniques. In comparison to open surgery, these approaches can decrease postoperative pain, shorten the convalescence period, and Improve cosmesis. Nonetheless, these techniques require multiple small entry incisions and are therefore associated with risk of wound Infection and inclslonal hernia. The latest surgical advance is performance of procedures via natural body openings such as the mouth, anus, vagina, and bladder. To date, clinical experience with natural orifice translumenal endoscopic surgery (NOTES) Is extremely limited. Herein, we describe the initial clinical case In which we evaluated the bladder as a portal for NOTES. Our experience indicates clinical feasibility of transvesical peritoneoscopy with existing clinical equipment, but additional refinements of the technique and associated Instrumentation appear warranted. In comparison to other portals, the urinary tract seems to have distinct clinical advantages for NOTES.
ACCESSION #
25818073

 

Related Articles

  • Laparoscopic approach to incisional hernia. Carbajo, M.A.; Mart?n del Olmo, J.C.; Blanco, J.I.; Toledano, M.; Cuesta, C.; Ferreras, C.; Vaquero, C. // Surgical Endoscopy;Jan2003, Vol. 17 Issue 1, p118 

    Background: After more than 8 years of working in the field, we thought it would be interesting to evaluate our experience in the laparoscopic repair of abdominal wall hernias, focusing attention on the lessons learned with time. Methods: From January 1994 to November of 2000, a total of 270...

  • Laparoscopic Surgery: What Is Scientifically Demonstrated At Present? Cebrián, J. Ma. Fernández; Balaguera, J. Carvajal; Segovia, J. Camuñas // Internet Journal of Surgery;2007, Vol. 9 Issue 1, p9 

    Laparoscopic surgery (LS) has supposed a true revolution in the conventional surgery, until the point that at the present time most of the abdominal procedures can be made by this approach; however only 20% of the interventions that are carried out for this approach they are validated with the...

  • Incisional hernia, midline versus low transverse incision: what is the ideal incision for specimen extraction and hand-assisted laparoscopy? deSouza, Ashwin; Domajnko, Bastian; Park, John; Marecik, Slawomir; Prasad, Leela; Abcarian, Herand // Surgical Endoscopy;Apr2011, Vol. 25 Issue 4, p1031 

    Background: Minimally invasive surgery is associated with smaller surgical incisions than those of traditional midline laparotomy. However, most colorectal resections and all hand-assisted procedures require an incision either for specimen retrieval or insertion of the hand-assist device. The...

  • Incisional hernia after open versus laparoscopic sigmoid resection. Andersen, Lars Peter Holst; Klein, Mads; Gögenur, Ismail; Rosenberg, Jacob // Surgical Endoscopy;Sep2008, Vol. 22 Issue 9, p2026 

    Incisional hernia after open surgery is a well-known complication with an incidence of up to 20% after a 10-year period. Data regarding the long-term hernia risk after laparoscopic colonic surgery are lacking in the literature. In the present study we compared the long-term hernia incidence...

  • Loss of intestine during stoma closure: an experimental model comparing laparoscopic and conventional techniques. Miyano, Go; Ichikawa, Satoko; Lane, Geoffrey J.; Kato, Yoshifumi; Okazaki, Tadaharu; Yamataka, Atsuyuki // Pediatric Surgery International;Jan2010, Vol. 26 Issue 1, p119 

    Purpose: This study compared laparoscopy-assisted stoma closure (Lap) with conventional closure (Co) to assess loss of intestine.Methods: Ileostomies (loop L; single S) were performed 5 cm proximal to the ileocecal junction through a right lower quadrant incision in...

  • Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Paterson, H. M.; Casey, J. J.; Nixon, S. J // Hernia;Oct2005, Vol. 9 Issue 3, p228 

    Introduction: Patients with lower abdominal scars are generally excluded from laparoscopic hernia repair due to the perceived technical difficulty and risk of visceral injury. This study examines the outcome of a series of patients who underwent totally extraperitoneal (TEP) inguinal hernia...

  • The Elective Surgical Management of Incisional Herniae: A Review. Thomas, G. P. // Internet Journal of Surgery;2007, Vol. 9 Issue 2, p5 

    This review article looks at the evidence available comparing the different surgical techniques for managing incisional herniae (direct suture closure, open mesh repair and laparoscopic mesh repair). Open mesh repair appears to have a lower rate of recurrence than direct suture closure....

  • Incisional Hernia Repair: Laparoscopic Techniques. LeBlanc, Karl A. // World Journal of Surgery;Aug2005, Vol. 29 Issue 8, p1073 

    Repair or incisional hernias using the laparoscopic technique hits continued lo evolve since its inception in 1991. An analysis of the current literature has revealed that hernias as large as 1600 cm² have been successfully repaired with this method. The average size appears to be about 105...

  • Laparoscopic transperitoneal repair of lumbar incisional hernias: a combined suture and ‘double-mesh’ technique. Palanivelu, C.; Rangarajan, M.; John, S.; Madankumar, M.; Senthilkumar, K. // Hernia;Feb2008, Vol. 12 Issue 1, p27 

    Lumbar hernias that occur after surgery are called lumbar incisional hernias. Recently, laparoscopic repair of these hernias has been reported with excellent outcomes. This is a retrospective study of our series of patients with lumbar incisional hernias. We managed 11 patients with lumbar...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics