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d to be refined to be used on a regular basis.

Dr. Arasaradnam will present these data on Tuesday, May 4 at 8 a.m. CT in Hall F, Ernest N. Morial Convention Center.

Hybrid Transvaginal NOTES Cholecystectomy Using a Novel Flexible Toolbox and Internal Retraction System (Abstract #604)

In a video presented at DDW, researchers from Northwestern University's Fineberg School of Medicine demonstrate the use of novel surgical instrumentation designed to overcome challenges with available tools, specifically creating a stable platform, methods of internal retraction and instruments for dissection. Researchers show the functionality of these tools in hybrid transvaginal NOTES cholecystectomy procedures to remove the gallbladder through the vagina.

Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a surgical technique performed via an endoscope passed through a natural orifice, or opening, in the body. NOTES reduces the need for incisions and may allow for less pain and scarring associated with traditional laparoscopic surgery along with a much faster recovery time for the patient. Over the past several years, NOTES has been expanded to include more procedures, but more advanced surgical instruments are necessary to improve the efficiency and safety of these procedures. Most of the tools currently used were originally designed for standard endoscopic procedures.

"Right now we're limited by some of our equipment. We need specifically designed instruments to continue to move this field forward," said Eric S. Hungness, MD, FACS, assistant professor of surgery, Feinberg School of Medicine at Northwestern University. "Designing more optimal equipment may translate to greater efficiency and safety, less pain, better recovery and less invasive surgery for patients."

Several tools demonstrated in the video are being evaluated in a feasibility trial under an investigational device exemption from the FDA. The trial may

Contact: Amy Levey
Digestive Disease Week

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