Journal article

Feasibility and Safety of Adhesiolysis Using Transgastric NOTES Approach: A Pilot Survival Study in a Porcine Model

Elena Dubcenco, Teodor Grantcharov, Catherine J Streutker, Depeng Jiang, Nancy N Baxter, Jeffrey P Baker

SURGICAL INNOVATION | SAGE PUBLICATIONS INC | Published : 2011

Abstract

OBJECTIVES: Although adhesions can be removed by adhesiolysis using laparotomy or laparoscopy, they typically recur sometimes with equal severity. It is suggested that minimizing the invasiveness of the operative technique by using natural orifice translumenal endoscopic surgery (NOTES) may reduce adhesion re-formation. The aim of the study was to evaluate the feasibility and safety of adhesiolysis by using a novel transgastric NOTES approach and collect pilot data on adhesion recurrence after transgastric NOTES adhesiolysis. METHODS: One nonsurvival and 5 survival female pigs were used in this experimental survival study. Interventions included (a) induction of adhesions by laparotomy, (b) ..

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