NOTES Transvaginal Sleeve Gastrectomy
Fig. 19.1 Patient positioning along with layout of the operating room The head of the patient’s bed should have a laparoscopic monitor and enough room for a surgeon to perform upper…
Fundamentals of NOTES
Flexible endoscope and light source Therapeutic gastroscope (2 channel) Standard gastroscope Transnasal thin gastroscope Colonoscope, pediatric or adult Linear-array echoendoscope Laparoscopic tower and light source Oblique and straight-viewing laparoscopes CO2…
Flexible Endoscopic Transvaginal Cholecystectomy
Fig. 16.1 Suture retraction of the gallbladder. Note the use of silk suture (black) on the fundus and Ethibond (green) on the infundibulum Fig. 16.2 EndoGrab™ laparoscopic applier (a) and internal retractor…
Transvaginal NOTES Nephrectomy
Fig. 23.1 Patient and trocar placement for hybrid transvaginal NOTES nephrectomy (two umbilical trocars and one transvaginal trocar). Reprinted with permission from Elsevier. Yijun Xue, Xiaofeng Zou, Guoxi Zhang, Yuanhu Yuan,…
Endoluminal Bariatric Procedures
Categories of endoluminal bariatric procedures Examples 1. Early-intervention procedures Treat patients that are overweight and obese but whom do not meet criteria for conventional weight-loss surgery 2. Primary obesity or…
NOTES Transgastric Diaphragm Pacing
Fig. 11.1 Laparoscopic implant instrument houses the diaphragm pacing electrode, which is a double helix of 14 stainless steel wires that are Teflon coated. The needle of the implant instrument enters…
Flexible Endoscopic Zenker’s Diverticulotomy
Fig. 8.1 Schematic of Killian’s triangle Clinical Manifestations Zenker’s diverticula are relatively rare, with an incidence of symptomatic disease estimated at 2 per 100,000, and seem to have a higher incidence…
Per-oral Endoscopic Pyloromyotomy
Fig. 9.1 Image of the submucosal tunnel during dissection Fig. 9.2 Image of the view from the gastric lumen after the submucosal tunnel is completed Once the submucosal tunnel has been completed,…
Endoscopic GI Surgery
Fig. 3.1 Cap endoscopic mucosal resection (EMR-C). Following submucosal saline injection, a wire snare is positioned within a transparent distal cap. The mucosa is drawn into the cap using the scope’s…
Transgastric Peritoneoscopy
Instruments for the NOTES toolbox • Single-channel therapeutic endoscope • Needle knife papillotome • 450-cm Jagwire • 18–20 mm wire-guided balloon dilation catheter • Standard electrosurgical generator Fig. 14.1 Picture of Jagwire…
