Navigation Links
Surgery without external scars is gaining traction
Date:3/10/2011

CHICAGO When Patricia Manrique was told she needed her gallbladder removed she immediately thought about the classroom full of children who rely on her to teach them tap and ballet each day. The Chicago Park District physical instructor needed a way to get the surgery performed without being laid up for weeks so she opted for an innovative minimally invasive procedure called Natural Orifice Translumenal Endoscopic Surgery (NOTES) that would allow surgeons to perform organ removal surgery without any visible incisions and have her back on her feet the same day. Northwestern Medicine physicians were among the first in the U.S. to perform several types of the procedure and are leading the charge in organ removal through the mouth or vagina.

"Millions of women in the United States suffer from gallbladder disease, and many of those women, like Manrique will eventually need surgery to remove the organ which can often be painful and have a lengthy recovery time," said Nathaniel Soper, MD, chair of surgery and director of the minimally invasive surgical program for Northwestern Medicine.

NOTES offers a means of reducing and ultimately eliminating the need for incisions to gain access to the abdominal cavity. With NOTES, a flexible endoscope and accessory instrument are inserted transvaginally (vagina) or transgastrically (mouth) and passed through the wall of the organ to reach the abdominal cavity. By reducing or eliminating the need for incisions, NOTES provides a less invasive surgical option that can reduce pain, recovery time, complications and hernias even further compared to a traditional laparoscopic surgical approach.

"We believe that this type of procedure is laying the groundwork for truly incision-less surgery, which could offer patients many benefits," said Eric Hungness, MD, minimally invasive gastrointestinal surgeon and assistant professor of surgery for Northwestern Medicine.

Aside from Manrique's physically demanding job, she also prefers not to take pain medication. So when given a choice between traditional laparoscopic surgery and NOTES, she said it was a no brainer. "I had my surgery on Wednesday and went home that day. I was up and walking around the next day and back to work on Fridayall without pain medicine," said Manrique.

"Transvaginal surgery is one of the safest alternatives to traditional laparoscopic surgery because it uses an easily accessible natural orifice that has proven safe for over a century," said Magdy Millad, MD, director of gynecologic endoscopy and professor of obstetrics and gynecology for Northwestern Medicine.

Factors contributing to the growing interest in incisonless surgery include the fact that the stomach and GI tract have very few nerves that register pain. In the future, this may allow surgeons to carry out NOTES procedures with the patient under sedation, rather than general anesthesia.

"Surgical standards of practice continue to evolve towards less invasive surgical approaches. It's an evolution from one way of doing things and we think it holds great promise" added Hungness.

To date, published human NOTES cases include removal of the appendix and kidney along with hernia repair and much more. The optimal orifice for NOTES has not been determined, yet physicians say transvaginal access is the least complicated to perform. The only approach currently available to male patients is the removal through the mouth. However, transrectal (anus) access has recently been proposed as a potential alternative access route for the procedure in men.

"I feel very lucky to have had this choice and would recommend that people educate themselves about the options available to them," added Manrique.

If you are interested in speaking to one of our surgeons about NOTES, and you'd like to make a first time appointment, please call 312-926-8400 or request an appointment online.


'/>"/>

Contact: Angela Salerno
asalerno@nmh.org
312-926-8327
Northwestern Memorial Hospital
Source:Eurekalert

Related medicine news :

1. Acquisition of robotic technology leads to increased rates of prostate cancer surgery
2. Early Rehab May Help Speed Recovery After Knee Surgery
3. Cancer surgery society presents top honor to Kimberly Duchossois
4. Weight-loss surgery successful in treating overweight adolescents
5. Effects of depression on quality of life improvement after endoscopic sinus surgery
6. BUSM study shows chemoradiotherapy prior to surgery improves survival
7. Radio-guided surgery a safe and simple way to remove potentially cancerous nodules in the lung
8. Spinal Fusion Surgery May Leave Some Back Pain Patients Worse Off: Study
9. Kids With Perforated Appendix May Benefit From Early Surgery
10. Weight Loss Surgery May Cut Knee Osteoarthritis Pain
11. Views on Pitchers Elbow Surgery Called Disturbing
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements ... was developed to enhance the health of felines. The formula is all-natural and is ... herbs in the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus ...
(Date:6/25/2016)... ... ... of Bruton Memorial Library on June 21 due to a possible lice infestation, as reported ... head lice: the parasite’s ability to live away from a human host, and to infest ... in the event that lice have simply gotten out of control. , As lice are ...
(Date:6/25/2016)... ... 2016 , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland ... iHire in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness ... & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
(Date:6/24/2016)... ... ... makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair Minimum ... by 2020 and then adjusting it yearly to increase at the same rate as the ... wage floor does not erode again, and make future increases more predictable. , The company ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  American Respiratory Labs (ARL), a ... now able to perform sophisticated lung assessments in patients, homes, thanks ... Inc. Patients are no longer limited to having ... PRO ® , ARL patients like Jeanne R. of ... the comfort of her own home. ...
(Date:6/24/2016)... June 24, 2016  Arkis BioSciences, a leading ... and more durable cerebrospinal fluid treatments, today announced ... Series-A funding is led by Innova Memphis, followed ... other private investors.  Arkis, new financing will accelerate ... the market release of its in-licensed Endexo® technology. ...
(Date:6/23/2016)...  In a startling report released today, National Safety Council ... a comprehensive, proven plan to eliminate prescription opioid overdoses. ... states are tackling the worst drug crisis in recorded U.S. history, ... Kentucky , New Mexico , ... the 28 failing states, three – Michigan , ...
Breaking Medicine Technology: