Background. The need of fundoplication while the Heller procedure is still controversial. It was proved, that fundoplication reduces the rate of gastroesophageal reflux, but increases surgery time and may increase the recurrence rate. Thus, we hypothesized that fundoplication must have exact indications, such as achalasia, associated with hiatal hernia and preoperative gastroesophageal reflux. So, this […]
Introduction: Natural orifice surgery (NOTES) has the potential to decrease the burden of an operation on a patient. Limitations of the endoscopic platform require innovative solutions to provide retraction and create an operation comparable to the gold standard, laparoscopic cholecystectomy. Methods: Four patients underwent transvaginal cholecystectomy. All procedures were performed under laparoscopic vision to ensure […]
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a new technique for completing operations by using the body’s natural orifices. Patients with abdominal wall hernias are one subset of patients that may benefit from NOTES therapy as standard surgical techniques may create more hernias for these patients. Methods: Two 35 kg pigs underwent a ventral […]
Background:A 35 years old morbidly obese woman presented with a BMI 41 kg/m2. Her previous surgical history was significant for cholecystectomy and open Nissen fundoplication. A decision was made to take down the Nissen and perform a gastric bypass.Material and methods:Six 12 mm trocars were used (supra-umbilical position, left iliac quadrant, xyphoid, left and right […]
Introduction: Transvaginal cholecystectomy has been performed at several institutions using the hybrid NOTES techniques. Methods: The patient is a 42 year old female with symptomatic cholelithiasis. After obtaining informed consent, the patient was taken to the operating room for transvaginal cholecystectomy. A single 5 mm laparoscope was placed at the umbilicus, followed by a 15mm […]