Document Detail

What are the elements of safe gastrotomy closure in NOTES? A systematic review.
MedLine Citation:
PMID:  20829216     Owner:  NLM     Status:  In-Process    
INTRODUCTION: The safe closure of the gastrotomy needs to be established before natural orifice translumenal endoscopic surgery (NOTES) can be extended to routine clinical practice. As yet no optimum closure method has been identified.
METHODS: A systematic review of the literature on gastrotomy closure modalities for NOTES up until December 2009 was undertaken. An assessment of each closure modality was determined using specified quantitative and qualitative parameters.
RESULTS: There were 46 studies included in this review describing 20 closure techniques. Some robustly designed experimental studies have now been published particularly in relation to the over-the-scope clip system.
CONCLUSION: Current evidence is experimental and therefore limited, but there appears to be some clarification in the direction of the innovative process in this area outlining favorable characteristics of an ideal system. Based on the studies examined in this review, a standardized assessment method is summarized for future in vivo studies, necessary prior to phase 1 trials.
Mikael H Sodergren; Ross Coomber; James Clark; Vahe Karimyan; Thanos Athanasiou; Julian Teare; Guang-Zhong Yang; Ara Darzi
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Publication Detail:
Type:  Journal Article     Date:  2010-09-08
Journal Detail:
Title:  Surgical innovation     Volume:  17     ISSN:  1553-3514     ISO Abbreviation:  Surg Innov     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233809     Medline TA:  Surg Innov     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-31     Citation Subset:  IM    
Department of Biosurgery and Surgical Technology, Imperial College London, London, UK.
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