Natural orifice transluminal endoscopic surgery

"NOTES" redirects here. For other uses, see Note (disambiguation).

Natural orifice transluminal endoscopic surgery (NOTES) is a surgical technique whereby "scarless" abdominal operations can be performed with an endoscope passed through a natural orifice (mouth, urethra, anus, vagina, etc.) then through an internal incision in the stomach, vagina, bladder or colon, thus avoiding any external incisions or scars.^[1][2] Memic's hominis robotic system is the first and only FDA-authorized surgical robotic platform for NOTES procedures. The system is currently at use for transvaginal hysterectomies through the rectouterine pouch - the removal of the uterus, along with one or both of the fallopian tubes and ovaries, in cases where there is no cancer present, as well as with the removal of ovarian cysts ^[3]

Natural orifice transluminal endoscopic surgery
Endoscopic surgery trocar inserted through the vaginal fornix. The uterus is visible directly above the trocar.
Specialty	gastroenterology

See also

• Single port laparoscopy

References

1. Halim I, Tavakkolizadeh A (August 2008). "NOTES: The next surgical revolution?". International Journal of Surgery. 6 (4): 273–6. doi:10.1016/j.ijsu.2007.10.002. PMID 18614409.
2. Baron TH (January 2007). "Natural orifice transluminal endoscopic surgery". The British Journal of Surgery. 94 (1): 1–2. doi:10.1002/bjs.5681. PMID 17205508.
3. "FDA authorization for first robotically assisted surgical device performing transvaginal hysterectomy". Food and Drug Administration.

• Tsin DA, Colombero LT, Lambeck J, Manolas P (2007). "Minilaparoscopy-assisted natural orifice surgery". JSLS. 11 (1): 24–9. PMC 3015810. PMID 17651552.