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:2/7/2016)... ... February 07, 2016 , ... Women's Excellence staff, in all four locations, ... National Wear Red Day is the first Friday each February and a day to ... 1 in 3 deaths among women each year – more than all cancers combined. ...
(Date:2/6/2016)... ... February 06, 2016 , ... US Sports Camps is proud to sponsor ... event brings together top non-profit leaders, ultimate organizations, and coaches from around the US. ... Bay Area Disc Program Director of Youth and Education, describes this year YUCC as ...
(Date:2/5/2016)... ... February 05, 2016 , ... Steven Tonkinson, 36, of Coconut Grove, ... year since it started in 2003. This year, he ran all 26.2 miles with ... and NBA team the Miami Heat. , This Sunday, while many are watching the ...
(Date:2/5/2016)... ... February 05, 2016 , ... ... stage for new clinical and scientific initiatives have all marked the last 12 ... appointed President and CEO of the nation’s oldest cancer center, Candace S. Johnson, ...
(Date:2/5/2016)... York, New York (PRWEB) , ... February 05, 2016 , ... ... life? The answer may be at the tips of your toes. Foot massage, whether ... as well as pure comfort and relaxation. The American Board of Multiple Specialties ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... 2016  Patients in Alabama seeking ... therapy no longer have to travel out of state. ... Urology Centers of Alabama to provide a total ... qualifying patients. Alabama is ... of prostate cancer using many different modalities. They are the ...
(Date:2/5/2016)... 5, 2016 --> ... states that the global active pharmaceuticals ingredients (APIs) market ... to reach US$185.9 bn by 2020. It is expected ... to 2020. The title of the report is "Active ... Geography, and by Therapeutic Area) - Global Industry Analysis, ...
(Date:2/5/2016)... Site Profile: --> Site ... People, announced their latest primary healthcare case study where speech recognition ... and to save the practice money. Site Profile: ... Challenge: --> ,- Wirral CCG ,- VoicePower client since ... Wirral CCG ,- VoicePower client since 2013 Challenge: ...
Breaking Medicine Technology: