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Narbenfreies Operieren (NOTES) in der Gynäkologie

Scar-free surgery (NOTES) in gynaecology

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Zusammenfassung

Die neueste Entwicklung auf dem Gebiet der minimal-invasiven Chirurgie ist NOTES (Natural Orifice Transluminal Endoscopic Surgery), die endoskopisch Zugangswege über den Gastrointestinaltrakt oder die Vagina nutzt. Im Gegensatz zur klassischen Laparoskopie ergibt sich dadurch die Möglichkeit einer Operation ohne sichtbare Narben. Wir haben die Technik als festen Bestandteil unseres operativen Spektrums insbesondere bei der Adnexektomie implementiert. Über einen transvaginalen Zugang wird ein flexibles Endoskop (Fa. Storz) intraperitoneal eingeführt. Über integrierte Arbeitskanäle führen wir die Adnexektomie sowie vaginal assistierte Hysterektomien durch. Somit ist die NOTES-Technik eine neue und vielversprechende Weiterentwicklung der minimal-invasiven Chirurgie, die die Invasivität im Vergleich zur klassischen Laparoskopie noch weiter senken kann.

Abstract

The latest development in the field of minimally invasive surgery is NOTES (natural orifice transluminal endoscopic surgery), which uses endoscopic accesses through the gastrointestinal tract or the vagina. In contrast to classic laparoscopic surgery, this technique offers the opportunity of surgery without visible scars. This technique has been integrated into our surgical procedures especially for adnexectomy. Through a transvaginal approach a flexible endoscope (Fa. Storz) is inserted intraperitoneally. Via integrated working canals, both adnexectomies as well as hysterectomies are performed. Thus the NOTES technique is a new and promising development in minimally invasive surgery, which can reduce the invasiveness even further as compared to classic laparoscopic surgery.

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Literatur

  1. Kalloo AN, Singh VK, Jagannath SB et al (2004) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity 12. Gastrointest Endosc 60(1):114–117

    Article  PubMed  Google Scholar 

  2. Jagannath SB, Kantsevoy SV, Vaughn CA et al (2005) Peroral transgastric endoscopic ligation of fallopian tubes with long-term survival in a porcine model 5. Gastrointest Endosc 61(3):449–453

    Article  PubMed  Google Scholar 

  3. Wagh MS, Merrifield BF, Thompson CC (2005) Endoscopic transgastric abdominal exploration and organ resection: initial experience in a porcine model 3. Clin Gastroenterol Hepatol 3(9):892–896

    Article  PubMed  Google Scholar 

  4. Marescaux J, Dallemagne B, Perretta S et al (2007) Surgery without scars: report of transluminal cholecystectomy in a human being 2. Arch Surg 142(9):823–826

    Article  PubMed  Google Scholar 

  5. Swanstrom LL (2007) Beyond endoluminal therapeutic endoscopy 1. Gastrointest Endosc 66(1):121–122

    Article  PubMed  Google Scholar 

  6. Rolanda C, Lima E, Pego JM et al (2007) Third-generation cholecystectomy by natural orifices: transgastric and transvesical combined approach (with video) 2. Gastrointest Endosc 65(1):111–117

    Article  PubMed  Google Scholar 

  7. Pai RD, Fong DG, Bundga ME et al (2006) Transcolonic endoscopic cholecystectomy: a NOTES survival study in a porcine model (with video). Gastrointest Endosc 64(3):428–434

    Article  PubMed  Google Scholar 

  8. Lima E, Rolanda C, Pego JM et al (2006) Transvesical endoscopic peritoneoscopy: a novel 5 mm port for intra-abdominal scarless surgery 2. J Urol 176(2):802–805

    Article  PubMed  Google Scholar 

  9. Palanivelu C, Rajan PS, Rangarajan M et al (2008) Transvaginal endoscopic appendectomy in humans: a unique approach to NOTES-world’s first report 1. Surg Endosc

  10. Dian D (2008) First experiences worldwide with NOTES in gynaecology. Geburtsh Frauenheilkd 68:930–933

    Article  Google Scholar 

  11. Rattner D, Kalloo A (2006) ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005 1. Surg Endosc 20(2):329–333

    Article  CAS  PubMed  Google Scholar 

  12. Bardaro SJ, Swanstrom L (2006) Development of advanced endoscopes for Natural Orifice Transluminal Endoscopic Surgery (NOTES). Minim Invasive Ther Allied Technol 15(6):378–383

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Frauenklinik, Campus Innenstadt, Ludwig-Maximilians-Universität München, Maistr 11, 80337, München, Deutschland

    D. Dian, C. Scholz, T. Weissenbacher & K. Friese

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  1. D. Dian
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  2. C. Scholz
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  3. T. Weissenbacher
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  4. K. Friese
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Correspondence to D. Dian.

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Dian, D., Scholz, C., Weissenbacher, T. et al. Narbenfreies Operieren (NOTES) in der Gynäkologie. Gynäkologe 43, 154–158 (2010). https://doi.org/10.1007/s00129-009-2445-4

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  • DOI: https://doi.org/10.1007/s00129-009-2445-4

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