Instrumentation and surgical technique for an innovative safe sigmoid approach for NOTES.
A set of new instruments was designed to establish an access to the abdominal cavity for NOTES via the rectosigmoid. It comprehends a metal overtube which is positioned using a modified TEM device. The entry point is targeted by transrectal ultrasound and secured by a purse-string suture. Closure is achieved by means of a linear stapler application. The applicability of the system could already be confirmed in animal survival studies.
Fiolka
A
A
MITI Research Group, Klinikum rechts der Isar, Technische Universität München, Germany.
Can
S
S
Schneider
A
A
Wilhelm
D
D
Feussner
H
H
D034841:Abdominal Cavity / Q000601:surgery; D000818:Animals; D012809:Colon, Sigmoid / Q000601:surgery*; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008866:Microsurgery / Q000379:methods; D012007:Rectum / Q000000981:diagnostic imaging / Q000601:surgery; D013528:Surgical Staplers; D013536:Suture Techniques; D014463:Ultrasonography