NOTES Rigid Transvaginal Cholecystectomy
Fig. 17.1 Laparoscopic view in the pelvic region and vaginal area for penetration of the transvaginal trocars and instruments A 5-mm extra-long dissector is inserted through the posterior fornix of the…
Per-oral Endoscopic Myotomy
Equipment Model No. Vio 300D/200D (ERBE Tubingen, Germany) ERBE Jet Pump cartridge 20150-300 Hemostasis Coag grasper (4 mm) (Olympus, Center Valley, PA) Forceps hemostatic (5 mm) (Olympus, Center Valley, PA) FD-411UR FD-410LR…
NOTES Pancreatic Debridement
Fig. 12.1 CT scan of walled-off pancreatic necrosis 5 weeks after onset of acute necrotizing pancreatitis. A large collection replacing the pancreas is seen Indications and Timing of Intervention Cross-sectional imaging should…
Per-oral Endoscopic Myotomy (POEM) for Non-achalasia Disorders
Fig. 7.1 Type III achalasia: defined as elevated median IRP >15 mmHg, no normal peristalsis, and premature (spastic) contractions with a distal contractile integral (DCI) >450 mmHg.s.cm, and with ≥20% of swallows which…
The History of NOTES
© Springer International Publishing AG 2017John R. Romanelli, David J. Desilets and David B. Earle (eds.)NOTES and Endoluminal SurgeryClinical Gastroenterology10.1007/978-3-319-50610-4_1 1. The History of NOTES John R. Romanelli1 and David B. Earle2 (1) Department of Surgery, University of Massachusetts Medical…
Native Tissue Repair After Failed Synthetic Materials
Fig. 20.1 (a, b) A vertical incision is made over the vaginal wall, extending anterior to the bladder base and posterior to the prerectal area Fig. 20.2 (a, b) Using…
Surgical Anatomy for the Reconstructive Surgeon
Image 1.1 Prolapse identified on the dependent examination (Photo Elise J.B. De) Prolapse staging on physical examination has been reported according to a few staging systems. The most common in…
Anterior Vaginal Wall Suspension Procedure for Stress Urinary Incontinence Associated with Variable Degrees of Anterior Compartment Prolapse
Image 3.1 Bladder neck level on the anterior vaginal wall is marked with a marking pen after placing a Foley catheter with 10 cc into the balloon to identify the…
Martius Labial Fat Pad procedure
Fig. 18.1 Healed labia 1 year later. Discrete scar with no bothersomeness reported by patient, including with sexual activity Image 18.1 Completed urethrolysis Step 1: A vertical incision (average 8…
Instrumentation for Native Tissue Repair Reconstructive Procedures
Fig. 2.1 Male versus female cystourethroscope tip comparison. The female tip prevents escape of irrigant and allows better urethral lumen distension Fig. 2.2 Female urethrocystoscope Fig. 2.3 Better view: Pathology…
