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Latest IRCAD/EITS lectures

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TOC link: 
NOTES > Access / Closure

Doctor J Correia-Pinto (Portugal)

July 2008
English - 12'10''

This lecture given at the latest NOTES course (June 6-7, 2008) discusses and deliberates the pros and cons of transvesical transluminal access. It also discloses information regarding the most effective means of obtaining secure closure of the bladder after completion of such procedures.

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Table of contents

1. Introduction
2. Why the transvesical port?
3. How can we create the transvesical port?
4. How can we close the transvesical port?
5. How can it be used for NOTES
6. Conclusion
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NOTES > Human application

Doctor J Hazey (United States)

July 2008
English - 16'57''

This lecture details some human diagnostic applications for NOTES and describes the discussant's own experience with the technique in patients.

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Table of contents

1. Introduction
2. Described therapeutic procedures
3. Human procedures to date
4. Diagnostic human studies
5. NOTES risks
6. Aim
7. Design of study
8. Methods
9. Results
10. Cinical outcomes
11. Initial human trial
12. Results
13. Staging with laparoscopic visualization
14. Direct trocar placement
15. Conclusion
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NOTES > Access / Closure

Doctor J Nassif (France)

July 2008
English - 12'57''

This practical lecture details the rationale and methods for obtaining transvaginal access to both the peritoneum and retroperitoneum. It also provides the background history and evolution of the techniques involved.

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Table of contents

1. Transvaginal access
2. Vaginal surgery
3. Risks
4. Postoperative pain
5. Infection
6. Dyspareunia
7. Sexual function
8. Rectal risk
9. Vaginal access
10. Contraindications
11. Vaginal access for NOTES
12. Classical approach
13. Access to peritoneal cavity
14. Access to retroperitoneum
15. Fertiloscopy
16. Technical problems
17. Risks
18. Classical vs. Endoscopic approach
19. Drawbacks of vaginal access
20. Benefits of vaginal access
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NOTES > Technology

Doctor D Scott (United States)

July 2008
English - 18'34''

This intriguing overview describes the various means and methods that magnetic anchoring and guidance systems may be employed in NOTES to provide effective organ retraction as well as the countertraction necessary to perform efficient organ dissection.

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Table of contents

1. Limitations of endoscopic equipment for NOTES
2. Magnetic anchoring and guidance system (MAGS)
3. Evolution to 'pure' NOTES
4. Pure NOTES cholecystectomy
5. Additional MAGS devices
6. Magnetically coupled in vivo NOTES robot
7. Magnetic retraction for NOTES
8. Magnetic retraction for SILS cholecystectomy
9. Magnetic retraction for NOTES cholecystectomy
10. Limitations
11. Conclusions
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