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Surgical Endoscopy

, Volume 26, Issue 3, pp 877–881 | Cite as

Totally transvaginal resection of the descending colon in an experimental model

  • Francisco Alba Mesa
  • Antonio Amaya Cortijo
  • Jose Manuel Romero Fernandez
  • Andrzej L. Komorowski
  • Miguel Angel Sanchez Hurtado
  • Francisco Miguel Sanchez Margallo
New Technology

Abstract

Background

Natural orifice translumenal endoscopic surgery (NOTES), although in its embryonic phase, is currently experiencing important developments. The technique has been successfully applied for cholecystectomies and appendectomies. However, several doubts exist as to the technical limitations and feasibility of NOTES in other clinical settings.

Methods

The authors have performed totally transvaginal colon resections in a sheep model. Although completion of the surgery was possible through the transvaginal route, the addition of a transumbilical laparoscope was used as an added safety measure.

Results

Totally transvaginal resection of the sigmoid colon was performed for two sheep with no intra- or postoperative complications.

Conclusion

Totally transvaginal resection of the colon (pure NOTES) is feasible in a sheep model.

Keywords

Colon resection Experimental animal model Laparoscopy NOTES Single port 

Notes

Disclosures

Andrzej L. Komorowski declares receiving course, congress, and travel fees from Ethicon Spain and Karl Storz Germany. Francisco Alba Mesa, Antonio Amaya Cortijo, Jose Manuel Romero Fernandez, Miguel Angel Sanchez Hurtado, and Francisco Miguel Sanchez Margallo have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Francisco Alba Mesa
    • 1
  • Antonio Amaya Cortijo
    • 1
  • Jose Manuel Romero Fernandez
    • 1
  • Andrzej L. Komorowski
    • 2
  • Miguel Angel Sanchez Hurtado
    • 3
  • Francisco Miguel Sanchez Margallo
    • 3
  1. 1.Consorcio Sanitario Publico del AljarafeHospital San Juan de DiosBormujos (Sevilla)Spain
  2. 2.Servicio de Cirugia GeneralHospital Virgen del CaminoSanlúcar de Barrameda (Cadiz)Spain
  3. 3.Department of Laparoscopic SurgeryMinimally Invasive Surgery Centre Jesús UsónCáceres (Caceres)Spain

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