Featured Research

from universities, journals, and other organizations

Obesity Surgery Performed Through Vagina, U.S. First

Date:
September 25, 2008
Source:
University of California, San Diego Health Sciences
Summary:
Surgeons have performed the nation's first gastrectomy, a partial removal of the stomach, through the vagina. This new "natural orifice" technique may be an attractive alternative for the 200,000 U.S. patients who undergo surgery for the treatment of obesity each year.

The UC San Diego Center for Future of Surgery is a leader in testing scarless procedures in the U.S.
Credit: UCSD School of Medicine

On Tuesday, September 16, 2008, the UC San Diego Center for the Future of Surgery performed the nation’s first gastrectomy, a partial removal of the stomach, through the vagina. This new “natural orifice” technique may be an attractive alternative for the 200,000 U.S. patients who undergo surgery for the treatment of obesity each year.

Related Articles


“More than 15 million people in the United States suffer from severe obesity,” said Santiago Horgan, M.D., director of the UC San Diego Center for the Future of Surgery and Center for the Treatment of Obesity. “The Center for the Future of Surgery at UC San Diego is developing and testing innovative techniques that will offer patients globally more and better treatment options.”

The sleeve gastrectomy is a weight loss surgery in which 80 percent of the stomach is removed, leaving a slender moon-shaped stomach. The procedure works by dramatically reducing the size of the stomach so that the patient feels full after eating less, takes in fewer calories, and loses weight. This is the first time the minimally invasive procedure has been performed in the U.S. through one of the body’s natural openings.

The patient, Maria Soto, 29, of Escondido, California, is 5 feet tall and weighed 253 pounds before surgery. As a six year-old child, Soto suffered from polio which caused permanent disability in her leg, and ongoing back pain, preventing her from exercising regularly.

“I chose this surgery because I needed to lose weight and wanted a procedure that offered less pain and fast healing. Years ago, I had my gallbladder removed and the procedure resulted in two post operative hernias. I didn’t want to risk that again,” said Soto. “I liked this option because there were only two small incisions and a short hospital stay.”

The 75-minute procedure at UC San Diego Medical Center was performed with two millimeter-sized incisions versus the five incisions required by a traditional laparoscopic procedure. One incision was placed in the belly button through which a camera was placed to safely view the abdomen. The second incision was placed just below the sternum to insert an instrument to retract the liver.

The gastrectomy, or partial stomach removal, was then performed by entering the vagina and making a small incision behind the uterus through which the abdomen and stomach could be accessed with surgical tools. The stomach was reduced in size using conventional surgical staplers. The excess stomach was then pulled down through the abdomen and out of the vagina. The process of performing surgery through a natural opening is known as Natural Orifice Translumenal Endoscopic Surgery or NOTES.

“This is another milestone for Dr. Horgan and his team at the UC San Diego Center for the Future of Surgery. Our goal is to continually improve and expand surgery options using emerging technology so that patients experience less pain and better outcomes,” said Mark A. Talamini, M.D., professor and chair of surgery at UC San Diego Medical Center and president of The Society of American Gastrointestinal and Endoscopic Surgeons.

The UC San Diego Center for the Future of Surgery has performed 30 natural orifice clinical trial surgeries. Surgeons at UC San Diego Medical Center were the first in the United States to remove an appendix through the mouth and an appendix through the vagina. These minimally invasive techniques hold promise for future gastrointestinal and esophageal surgeries including treatments such as tumor removal for cancer.

Members of the surgery team included Santiago Horgan, M.D., Garth Jacobsen, M.D., Lauren Fischer, M.D., Brian Wong, M.D. and James Nguyen, M.D.


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. "Obesity Surgery Performed Through Vagina, U.S. First." ScienceDaily. ScienceDaily, 25 September 2008. <www.sciencedaily.com/releases/2008/09/080924190042.htm>.
University of California, San Diego Health Sciences. (2008, September 25). Obesity Surgery Performed Through Vagina, U.S. First. ScienceDaily. Retrieved December 18, 2014 from www.sciencedaily.com/releases/2008/09/080924190042.htm
University of California, San Diego Health Sciences. "Obesity Surgery Performed Through Vagina, U.S. First." ScienceDaily. www.sciencedaily.com/releases/2008/09/080924190042.htm (accessed December 18, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, December 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

UN: Up to One Million Facing Hunger in Ebola-Hit Countries

UN: Up to One Million Facing Hunger in Ebola-Hit Countries

AFP (Dec. 17, 2014) Border closures, quarantines and crop losses in West African nations battling the Ebola virus could lead to as many as one million people going hungry, UN food agencies said on Wednesday. Duration: 00:52 Video provided by AFP
Powered by NewsLook.com
When You Lose Weight, This Is Where The Fat Goes

When You Lose Weight, This Is Where The Fat Goes

Newsy (Dec. 17, 2014) Can fat disappear into thin air? New research finds that during weight loss, over 80 percent of a person's fat molecules escape through the lungs. Video provided by Newsy
Powered by NewsLook.com
Why Your Boss Should Let You Sleep In

Why Your Boss Should Let You Sleep In

Newsy (Dec. 17, 2014) According to research out of the University of Pennsylvania, waking up for work is the biggest factor that causes Americans to lose sleep. Video provided by Newsy
Powered by NewsLook.com
Flu Outbreak Closing Schools in Ohio

Flu Outbreak Closing Schools in Ohio

AP (Dec. 17, 2014) A wave of flu illnesses has forced some Ohio schools to shut down over the past week. State officials confirmed one pediatric flu-related death, a 15-year-old girl in southern Ohio. (Dec. 17) Video provided by AP
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