​The Role of Scarless Procedures in Urology: A Review of Literature

The popularity of natural orifice transluminal endoscopic surgery (NOTES) or ‘scarless” surgery has been steadily increasing in the recent urological literature, as a new surgical intervention to access intra-peritoneal organs. NOTES comes with the promise of both scar less and painless postoperativ...

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Main Author: Kahie AA
Format: Article
Language:English
Published: Surgical Society of Kenya 2016-01-01
Series:The Annals of African Surgery
Subjects:
Online Access:https://www.annalsofafricansurgery.com/the-role-of-scarless-procedures-in-
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author Kahie AA
author_facet Kahie AA
author_sort Kahie AA
collection DOAJ
description The popularity of natural orifice transluminal endoscopic surgery (NOTES) or ‘scarless” surgery has been steadily increasing in the recent urological literature, as a new surgical intervention to access intra-peritoneal organs. NOTES comes with the promise of both scar less and painless postoperative procedures. It utilizes one or more patent natural body orifices with the intention to penetrate a hollow viscous to access the abdomen. It is believed to be the natural progression of laparoscopy, although currently available tools or instruments do not permit a holistic NOTES procedure. There are considerable limitations to the retraction of organs, bleeding control, and handling of instruments with this method. For this reason, the ‘hybrid’ technique, where a luminal approach is combined with abdominal ports is currently gaining ground. This technique may be the preferred choice for living donor nephrectomy in high volume centers. As a relatively novel procedure, not many studies exist comparing the relative advantages of NOTES over conventional laparoscopy. An assessment of the existing literature on this technique, as pertains to urology, has been undertaken in this article.
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spelling doaj.art-4558ee17ac3c4ed1aca0fe37fd8c398d2022-12-21T23:21:06ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162016-01-011312428​The Role of Scarless Procedures in Urology: A Review of LiteratureKahie AA0Aga Khan University Hospital, NairobiThe popularity of natural orifice transluminal endoscopic surgery (NOTES) or ‘scarless” surgery has been steadily increasing in the recent urological literature, as a new surgical intervention to access intra-peritoneal organs. NOTES comes with the promise of both scar less and painless postoperative procedures. It utilizes one or more patent natural body orifices with the intention to penetrate a hollow viscous to access the abdomen. It is believed to be the natural progression of laparoscopy, although currently available tools or instruments do not permit a holistic NOTES procedure. There are considerable limitations to the retraction of organs, bleeding control, and handling of instruments with this method. For this reason, the ‘hybrid’ technique, where a luminal approach is combined with abdominal ports is currently gaining ground. This technique may be the preferred choice for living donor nephrectomy in high volume centers. As a relatively novel procedure, not many studies exist comparing the relative advantages of NOTES over conventional laparoscopy. An assessment of the existing literature on this technique, as pertains to urology, has been undertaken in this article.https://www.annalsofafricansurgery.com/the-role-of-scarless-procedures-in-natural orifices transluminal endoscopic surgerynotesscarless surgeryurology
spellingShingle Kahie AA
​The Role of Scarless Procedures in Urology: A Review of Literature
The Annals of African Surgery
natural orifices transluminal endoscopic surgery
notes
scarless surgery
urology
title ​The Role of Scarless Procedures in Urology: A Review of Literature
title_full ​The Role of Scarless Procedures in Urology: A Review of Literature
title_fullStr ​The Role of Scarless Procedures in Urology: A Review of Literature
title_full_unstemmed ​The Role of Scarless Procedures in Urology: A Review of Literature
title_short ​The Role of Scarless Procedures in Urology: A Review of Literature
title_sort ​the role of scarless procedures in urology a review of literature
topic natural orifices transluminal endoscopic surgery
notes
scarless surgery
urology
url https://www.annalsofafricansurgery.com/the-role-of-scarless-procedures-in-
work_keys_str_mv AT kahieaa theroleofscarlessproceduresinurologyareviewofliterature