Featured Research

from universities, journals, and other organizations

Surgeons Remove Patient's Gall Bladder Through Vagina

Date:
September 18, 2007
Source:
University of California, San Diego Health Sciences
Summary:
Surgeons have performed the first clinical trial surgery in Southwestern USA to evaluate the safety and effectiveness of performing abdominal procedures through the body's natural openings, virtually eliminating scarring. The procedure involved removing the gallbladder through the patient's vagina without traditional incisions through the skin. Only one small incision through the naval was required to help guide the surgeon.

Surgeons at the University of California, San Diego Medical Center have performed the first clinical trial surgery in the Southwest to evaluate the safety and effectiveness of performing abdominal procedures through the body’s natural openings, virtually eliminating scarring.

Related Articles


The UCSD Medical Center procedure involved removing the gallbladder through the patient’s vagina without traditional incisions through the skin. Only one small incision through the naval was required to help guide the surgeon. This procedure received approval for a limited number of patients by UC San Diego’s Institutional Review Board (IRB) which oversees clinical research.

The procedure, called Natural Orifice Translumenal Endoscopic Surgery (NOTES), involves passing surgical instruments, and a tiny camera, through a natural orifice, such as the mouth or the vagina, to the desired organ. By avoiding major incisions through the skin, muscle, and nerves of the abdomen, patients may experience a quicker recovery with less pain and scarring while reducing the risk of post operative hernias.

Santiago Horgan, M.D., a leader in minimally invasive and robotic surgery, and Mark A. Talamini, M.D., professor and chair of the Department of Surgery at UC San Diego Medical Center performed California’s first NOTES surgery on a 42-year old San Diego resident. Her gallbladder was removed through the vagina during a 1.5 hour procedure. UC San Diego Medical Center is the third U.S.-based hospital to perform NOTES.

“We are testing a whole new approach to minimally invasive surgery,” said Horgan, director of minimally invasive surgery at UCSD Medical Center. “Yesterday’s procedure went exceptionally well and we look forward to studying and comparing all the study results to determine if this surgery is a desirable option for patients.”

A total of four patients will be recruited for the UC San Diego NOTES clinical trial. One more female patient will have her gallbladder removed through the vagina and two patients will have the organ extraction performed through the mouth. If the IRB determines that the procedures are safe, approval will be granted to enroll more patients.

“This emerging technique marks a pivotal time in the world of surgery and patient care,” said Talamini. “With this approach, we are hoping to take minimally invasive surgery one step further in terms of reducing pain, scarring, and recovery time.”

Horgan used FDA-approved RealHand High Dexterity (HD) instruments developed by Novare Surgical Systems, and a flexible endoscope, developed by Olympus to perform the NOTES procedure.

“By testing this novel approach, we may develop a technique that amplifies the trend of moving away from open cavity surgeries that involve major incisions and long hospitalizations to more minimally invasive outpatient procedures,” said Talamini. “We are refining techniques that will allow patients to return to their home, family and work more quickly.”


Story Source:

The above story is based on materials provided by University of California, San Diego Health Sciences. Note: Materials may be edited for content and length.


Cite This Page:

University of California, San Diego Health Sciences. "Surgeons Remove Patient's Gall Bladder Through Vagina." ScienceDaily. ScienceDaily, 18 September 2007. <www.sciencedaily.com/releases/2007/09/070915090501.htm>.
University of California, San Diego Health Sciences. (2007, September 18). Surgeons Remove Patient's Gall Bladder Through Vagina. ScienceDaily. Retrieved November 1, 2014 from www.sciencedaily.com/releases/2007/09/070915090501.htm
University of California, San Diego Health Sciences. "Surgeons Remove Patient's Gall Bladder Through Vagina." ScienceDaily. www.sciencedaily.com/releases/2007/09/070915090501.htm (accessed November 1, 2014).

Share This



More Health & Medicine News

Saturday, November 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Melafind: Spotting Melanoma Without a Biopsy

Melafind: Spotting Melanoma Without a Biopsy

Ivanhoe (Oct. 31, 2014) The MelaFind device is a pain-free way to check suspicious moles for melanoma, without the need for a biopsy. Video provided by Ivanhoe
Powered by NewsLook.com
Battling Multiple Myeloma

Battling Multiple Myeloma

Ivanhoe (Oct. 31, 2014) The answer isn’t always found in new drugs – repurposing an ‘old’ drug that could mean better multiple myeloma treatment, and hope. Video provided by Ivanhoe
Powered by NewsLook.com
Chronic Inflammation and Prostate Cancer

Chronic Inflammation and Prostate Cancer

Ivanhoe (Oct. 31, 2014) New information that is linking chronic inflammation in the prostate and prostate cancer, which may help doctors and patients prevent cancer in the future. Video provided by Ivanhoe
Powered by NewsLook.com
Sickle Cell: Stopping Kids’ Silent Strokes

Sickle Cell: Stopping Kids’ Silent Strokes

Ivanhoe (Oct. 31, 2014) Blood transfusions are proving crucial to young sickle cell patients by helping prevent strokes, even when there is no outward sign of brain injury. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins