Navigation Links
Abdominal Surgery May Become Easier for Patients
Date:6/3/2009

Advanced technique is said to reduce post-op pain and scarring

WEDNESDAY, June 3 (HealthDay News) -- A scarless surgical technique shows promise in procedures such as weight-loss surgery and gallbladder and appendix removal, suggest several studies.

The technique, called Natural Orifice Translumenal Endoscopic Surgery (NOTES), causes less pain than conventional laparoscopic surgery and offers a much faster recovery time, experts say. Doctors pass an endoscope through a natural opening in the body and then through an internal incision in the stomach, vagina, bladder or colon. This eliminates external incisions and scars.

A study from the University of California, San Diego, suggests that the technique might offer a far less painful and dangerous option for weight-loss surgery. It was used to perform transvaginal sleeve gastrectomy in morbidly obese patients, creating two small incisions in the abdomen and one in the vagina to remove 70 percent of the patients' stomachs, the study reported.

The findings were to be presented this week at the Digestive Disease Week conference in Chicago.

Standard laparoscopic gastrectomy requires five to seven larger incisions in the abdomen that can cause major scarring and increase the risk for infections and hernias.

"Compared to traditional laparoscopic techniques in which patients experience a high incidence of infections and hernias, the results so far indicate this procedure accelerates weight loss while minimizing adverse events," Dr. Santiago Horgan, professor of surgery, said in a new release from a conference sponsor.

In another study, Horgan and colleagues were the first to perform transvaginal appendectomies. The procedure involved just a small incision in the abdomen and another in the vagina, fewer than the incisions needed for appendix removal with traditional laparoscopy.

"Our initial results suggest when appendectomies are performed transvaginally, patients experience less pain, fewer complications and are on their feet in three to four days," Horgan said. "While we have enough data to prove that the procedure is safe, the question now is to see if it can be duplicated successfully in a larger sample of patients."

In a third study, researchers at the University of Buenos Aires used the procedure transvaginally to successfully remove the gallbladders of 21 of 22 people. The procedure could not be completed in one patient because of pelvic lesions.

The 21 people who had the procedure healed successfully with no complications and were able to resume sexual activity without pain after a brief recovery period. Two of the 21 became pregnant after the procedure, and one has had a normal delivery with no complications. The other women is not yet full term.

"Gallbladder removal using the NOTES procedure is remarkably safe and effective," Dr. Oscar M. Laudanno, chief of gastroenterology at Hospital Bocalandro, said in the news release. "We can eliminate the pain and recovery time of traditional surgery without introducing complications, either gynecological or sexual, for the patient."

In another study, Cedars-Sinai Medical Center researchers used the procedure for a new incision-free weight-loss surgery, called transoral gastroplasty, that involves using a vacuum to bring together the sides of the stomach and then stapling them together to reduce food intake. Because the study is a U.S. Food and Drug Administration clinical trial, the researchers could not reveal the results, but they planned to show a video of the procedure at the conference.

"The potential of NOTES and near-NOTES procedures is being demonstrated," Dr. Michael L. Kochman, of the Hospital of the University of Pennsylvania, said in the news release. "These latest studies show that surgeries that once subjected patients to significant pain and recovery time may become a thing of the past."

More information

The American Academy of Family Physicians has more about gallbladder removal.



-- Robert Preidt



SOURCE: Digestive Disease Week, news release, June 2, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. ScarArt -Creatively Camouflage Abdominal Scars
2. Action of ghrelin hormone increases appetite and favors accumulation of abdominal fat
3. Study: Vibration plate machines may aid weight loss and trim abdominal fat
4. Too Few Screened for Abdominal Aneurysm, Study Says
5. Raisin and Dried Fruit Consumption Associated With Reduced Abdominal Obesity
6. Less Invasive Interventional Treatment Can Be Recommended as First-Line Treatment for Silent Killer, Abdominal Aortic Aneurysm
7. Verathon(R) Introduces BladderScan(R) BVI 9600 Bladder Volume Instrument with AortaScan(TM) Mode to Help Physicians Identify the Presence of Abdominal Aortic Aneurysms
8. Should intra-abdominal pressure measurement be a routine for all pancreatitis patients?
9. A new screening test for chronic abdominal pain
10. 2nd Option Improves Abdominal Aorta Repair Outcomes
11. Abdominal Fat Boosts Dementia Risk
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Abdominal Surgery May Become Easier for Patients
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is ... a fitness app. The fitness app plans to fix the two major problems leading the ... one size fits all type program , They don’t eliminate all the reasons ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the ... several important health care topics including advance care planning, healthcare costs and patient ...
(Date:6/25/2016)... ... ... temporary closing of Bruton Memorial Library on June 21 due to a possible lice infestation, ... aspect of head lice: the parasite’s ability to live away from a human host, and ... necessary one in the event that lice have simply gotten out of control. , As ...
(Date:6/25/2016)... ... 25, 2016 , ... First Choice Emergency Room , the largest network ... the Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased ... location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that ... PCT (procalcitonin) assay as a dedicated testing solution for ... clearance, Roche is the first IVD company in the ... risk assessment and management. PCT is a ... in blood can aid clinicians in assessing the risk ...
(Date:6/23/2016)... , June 23, 2016 Research and ... News Issue 52" report to their offering. ... influenza treatment creates a favourable commercial environment for MedImmune to ... patient base that will serve to drive considerable growth for ... would serve to cap sales considerably, but development is still ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, ... a Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, ... winners, announced today online at www.diabetesscholars.org by ... 1 diabetes stand in the way of academic and ... the Foundation,s scholarship program since 2012, and continues to ...
Breaking Medicine Technology: