Navigation Links
Gallbladder Removal Through Vagina Offers Minimally Invasive Alternative

Physicians at Northwestern Memorial are among the first groups in the U.S. to successfully complete vaginal natural orifice translumenal endoscopic surgery or NOTES

CHICAGO, Feb. 25 /PRNewswire-USNewswire/ -- Physicians at Northwestern Memorial Hospital successfully removed a patient's gallbladder through the vagina, making them the first in the Midwest and the third in the country to perform the innovative procedure. The technique, known as NOTES -- natural orifice translumenal endoscopic surgery -- is gaining in popularity and has been characterized by many in the medical profession as laying the groundwork for truly "incisionless" surgery.

In NOTES cases, surgeons use the vagina or mouth in patients to remove organs such as the gallbladder, kidney and appendix. When the gallbladder is removed through the vagina, a thin, flexible snake-like device, called an endoscope, is inserted through a small incision in the vaginal wall and into the abdomen. Currently, laparoscopic assistance is used as a small camera is also inserted through an incision made in the patient's belly button to help guide surgeons. The organ is then surgically resected and taken out the vagina.

"Millions of women in the United States suffer from gallbladder disease, and many of those women will eventually have to undergo a surgical procedure to remove the organ, which is often painful and can have a lengthy recovery time," said Eric Hungness, MD, a minimally invasive gastrointestinal surgeon at Northwestern Memorial Hospital who led the team who performed the surgery. "NOTES reduces the number of and may eliminate the need for abdominal incisions compared with traditional laparoscopic surgery, and may reduce pain and shorten recovery time for patients. This technique may also eliminate the risk of post-operative wound infections or hernias."

Heather Lamb, a junior high math teacher, did not think twice about having the ground-breaking procedure done at Northwestern Memorial on February 2. Lamb, diagnosed with gallstone disease, had been experiencing severe abdominal pain for weeks that was not responding to dietary changes, and surgery was her only option. "I went home the day of surgery and felt nothing more than a little discomfort the following day," she said. "I returned to work a few days later and I'm feeling great."

"Transvaginal surgery is one of the safest alternatives to traditional laparoscopic surgery because it uses an easily accessible natural orifice that has proven safety for over a century," comments Janet Tomezsko, MD, chief of urogynecology at Northwestern Memorial and a gynecologic surgeon who assisted with the procedure. "Transvaginal procedures demonstrate reduced risk of damage to tissue and surrounding structures."

Approximately 50 NOTES procedures have been done in the U.S. since 2007, but that number is expected to dramatically increase over the next few years, according to Nathaniel Soper, MD, chair of surgery and director of the minimally invasive surgical program at Northwestern Memorial.

"NOTES is well-received by patients and holds the potential to replace traditional laparoscopic surgery for a wide range of procedures in the future," adds Dr. Soper.

Drs. Hungness and Soper, along with John Martin, MD, director of the gastrointestinal lab at Northwestern Memorial, were also the second team of surgeons in the United States to perform NOTES to remove a gallbladder through the mouth of a patient in August 2007. They are the only team in the country performing gallbladder removal through both the mouth and vagina, and will begin utilizing NOTES for a broader range of applications, including appendix removal through the vagina, in the coming months.

For more information visit

About Northwestern Memorial Hospital

Northwestern Memorial Hospital is one of the country's premier academic medical centers and is the primary teaching hospital of the Northwestern University Feinberg School of Medicine. Along with its Prentice Women's Hospital and Stone Institute of Psychiatry, the hospital comprises 873 beds, 1,603 affiliated physicians and 7,144 employees. Northwestern Memorial is recognized for providing exemplary patient care and state-of-the art advancements in the areas of cardiovascular care; women's health; oncology; neurology and neurosurgery; solid organ and soft tissue transplants and orthopaedics.

Northwestern Memorial possesses nursing Magnet Status, the nation's highest recognition for patient care and nursing excellence, and it is listed in 10 clinical specialties in U.S. News & World Report's 2008 "America's Best Hospitals" guide. For nine years running, it has been rated among the "100 Best Companies for Working Mothers" guide by Working Mother magazine. The hospital is a recipient of the prestigious National Quality Health Care Award and has been chosen by Chicagoans as their "most preferred hospital" according to the National Research Corporation's annual survey for 10 years.

SOURCE Northwestern Memorial Hospital
Copyright©2009 PR Newswire.
All rights reserved

Related medicine technology :

1. Applisonix Announces Breakthrough in Ultrasound Technology for Hair Removal - Average Hair Reduction of 38% Following Initial Treatment
2. Novare Announces Completion of First Pediatric Single Port Spleen Removal Using RealHand(R) HD Instruments
3. September 2008 Mayo Clinic Health Letter Highlights Cataract Removal, Severe Headache and Dual Energy X-Ray Imaging
4. Cephalon Announces Positive Results from a Pivotal Study of FENTORA in Opioid-tolerant Patients with Non-cancer Breakthrough Pain
5. Novel Technology Breaks Through Cancer Pain
6. ( Updates the Investment Community Through an All-New Interview With RegeneRx Biopharmaceuticals CEO
7. Trana Discovery and Southern Research Institute Announce the First RNA-RNA High Throughput Drug Screening Assay Platform for HIV Antivirals
8. Phase 2 Clinical Studies Initiated for a Novel Therapeutic Candidate Identified Through Pharmacopeia Collaboration
9. One Shot of Gene Therapy Spreads Through Brain in Animal Study
10. Potential Breakthrough Cancer Treatment Emerges from MIPS-Funded Clinical Trial Teaming CSA Medical Inc. and University of Maryland Researchers
11. Stem Cell Breakthrough Advances Science Without Ethical Landmines, Says Cardinal
Post Your Comments:
(Date:11/27/2015)... 2015 Ein neuer Kombinationsansatz ...   --> Ein neuer Kombinationsansatz vereint ... --> Ein neuer Kombinationsansatz vereint ... Clinical Cancer Research vom 6. ... Research vom 6. November 2015 berichtet. ...
(Date:11/26/2015)... , November 27, 2015 ... --> --> ... emergency response system (PERS) market ... for 5 years with APAC ... expected to see a high ...
(Date:11/26/2015)... Nederland, November 26, 2015 ... Een nieuwe aanpak combineert immunotherapie met Bremachlorin-photodynamische ... ) --> ...      (Photo: ) ... Universitair Medisch Centrum (LUMC) blijkt ...
Breaking Medicine Technology:
(Date:11/30/2015)... ... November 30, 2015 , ... Vasont Systems, ... Vasont Universal Integrator (VUI) extension unites with Syncro Soft’s latest software update, oXygen ... a continuous process with the latest release of oXygen® XML editor and the ...
(Date:11/30/2015)... ... November 30, 2015 , ... SIMmersion’s ability to present ... medical schools of the future. To reach an audience of key visionaries and ... conference in Chicago, organized by the American Medical Association. , AMA President ...
(Date:11/30/2015)... ... 30, 2015 , ... Innovaacom, a leading provider of medical ... survey of educational needs for pharmacists worldwide. The poll of pharmacists in Europe, ... quality online and face-to-face education for pharmacists who are fast becoming the new ...
(Date:11/30/2015)... ... November 30, 2015 , ... Several significant coding-related ... changes are likely to include new codes for spine and hip X-rays, paravertebral ... the effects of code changes in musculoskeletal, radiology and nervous system sections on ...
(Date:11/29/2015)... FL (PRWEB) , ... November 30, 2015 , ... ... available today from the new company, Sublime Beauty NATURALS®. All products are available ... natural products, like essential oils, organic facial serums and USDA Certified Organic Sesame ...
Breaking Medicine News(10 mins):