Original articleExperimental endoscopyFeasibility study of natural orifice transluminal endoscopic surgery inguinal hernia repair
Section snippets
Material and methods
The Maimonides Medical Center Institutional Animal Care and Use Committee approved all animal experiments.
Results
Five dogs underwent successful pure NOTES IPOM BIH. Excellent visualization of both inguinal canals was achieved through the anterolateral gastrotomy. The vas deferens and bladder, as well as the testicular, inferior epigastric, and iliac arteries and veins, were clearly identified and avoided. The location of the surgical sites in relation to the gastrotomy in a direct cephalad-caudad orientation allowed for constant horizon maintenance, one-to-one endoscope manipulation, and the preservation
Discussion
As enumerated in the white paper developed by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)/American Society for Gastrointestinal Endoscopy (ASGE) working group on NOTES,20 primary barriers to NOTES clinical adoption include difficulty maintaining spatial orientation and lack of an adequate multitasking platform. In contrast to previously reported NOTES procedures, BIH has 2 characteristics that make overcoming these obstacles less problematic. First, pathology
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Management of abdominal hernias
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The feasibility of FS mesh fixation by a transgastric approach - An important benefit in future NOTES procedures?
2011, Journal of Surgical ResearchCitation Excerpt :The feasibility and advantages of different access routes to perform intra-peritoneal onlay mesh (IPOM) repair in ventral wall hernias using the NOTES technique has been demonstrated in experimental studies [5, 7, 8]. The technical aspects concerning the transfer and fixation of mesh as well as the choice and final closure of different access routes are still controversially discussed [4–8, 13]. In the present study, we assumed that fibrin sealant (FS) mesh fixation delivered by transgastric access (TGA) was beneficial in the attempt to minimize surgical invasiveness.
Natural orifice translumenal endoscopic surgery (N.O.T.E.S)
2009, International Journal of SurgeryCitation Excerpt :McGee et al have demonstrated in a porcine model that monitoring pressure through an endoscope is reliable and predictive of the true intra abdominal pressure, which can be improved upon and incorporated for the future.26 The surgical procedures that have been performed in animal models include appendicectomy, nephrectomy, cholecystectomy, spleenectomy etc to gynaecological procedures like hysterectomy, fallopian tube clipping, oophrectomy etc, which have been summarised in Table 1.5,14,27–32,50,51 N.O.T.E.S procedures successfully carried out in humans include appendicectomy, cholecystectomy, peritoneoscopy and intra abdominal biopsies etc, and a summary of the procedures that have been performed in the human population from different authors is tabulated in Table 2.
Congenital abdominal wall hernia
2023, Small Animal Soft Tissue SurgeryBilateral intracorporeally sutured inguinal herniorrhaphy using 3-dimensional laparoscopy in a dog
2021, Canadian Veterinary Journal
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication. This study was supported by a generous unrestricted research grant from the Lifecell Corporation, Branchburg, NJ.
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