Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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TRANSVAGINAL VERSUS TRANSGASTRIC ENDOSCOPIC PERITONEAL APPROACH – A COMPARATIVE EXPERIMENTAL STUDY
S. Patrascu, V. Surlin, E. Georgescu, A. Olaru, I. Georgescu
University of Medicine and Pharmacy Craiova
Emergency County Hospital Craiova
Jurnalul de chirurgie 2011; 7 (4): 543-551
Full text:
Format PDF (Engleză/English)

Abstract:

Background: During the last 30 years the advent of laparoscopy and interventional endoscopy induced the emergence of  a new approach - Natural Orifice Translumenal Endoscopic Surgery (N.O.T.E.S.) in which the peritoneal cavity is accessed through stomach, vagina or other natural orifice, as a even lesser minimally invasive surgery. Method: A total of 8 female pigs (20-35 kg), were assigned to either transgastric or transvaginal endoscopic procedures. General anesthesia with orotracheal intubation was applied following a pre-established protocol in both groups. Transgastric peritoneoscopy, tubal excision and oophorectomy were performed in the first group, and transvaginal liver biopsy and colecistectomy in the second one, with a 14 days follow-up and necropsy at the end of the experiment. Results: All the procedures were successful, with no major intraoperative incidents. Postoperative evolution was uneventful. Necropsy showed mild to moderate peritoneal adhesions in both groups, with small perigastric abscesses in one animal (transgastric-NOTES). No other complications were noted. Conclusions: Both transgastric and transvaginal NOTES procedures are feasible and safe, but should have different indications and limitations. More research and sustained technical development are imperative before clinical implementation.

KEY WORDS: TRANSGASTRIC SURGERY, TRANSVAGINAL SURGERY, NOTES

ABBREVIATIONS: OTSC clip ~ over the scope clip, SpO2 ~ oxygen saturation, TG-NOTES ~ transgastric NOTES, TV-NOTES ~ transvaginal NOTES

Correspondence to: Stefan Patrascu, MD, PhD candidate, Department of Surgery, Emergency County Hospital, 1 Tabaci Street, 200642, Craiova, Romania; Phone +40724–216 642 / +40251–426 764, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.