Translate
Translate this website into the following languages:



Close Tab
Donations
UC San Diego Health
menu iconMenu
search iconSearch

UC San Diego Medical Center Performs Southwest's First "Natural Orifice" Surgery With Removal of Gallbladder through the Vagina

 

September 12, 2007  |  

Clinical Trial Compares Laparoscopic vs. Natural Orifice Techniques

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.

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 navel 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.”

###

Media Contact: Jackie Carr, 619-543-6163, jcarr@ucsd.edu




Media Contact

Share This Article


Related News

9/27/2016
The Howard Hughes Medical Institute (HHMI), the Simons Foundation and the Bill & Melinda Gates Foundation has named Samara Reck-Peterson, PhD, an HHMI-Simons Faculty Scholar. Reck-Peterson, a professo ...
9/27/2016
The underlying cause of male infertility is unknown for 30 percent of cases. In a pair of new studies, researchers at University of California San Diego School of Medicine determined that the reproduc ...
9/26/2016
Removing plaque from clogged arteries is a common procedure that can save and improve lives. This treatment approach was recently made even safer and more effective with a new, high-tech catheter that ...
9/23/2016
A three-part series published in The Lancet and released in conjunction with the United Nations quantifies health gains achieved if cities were designed so that shops, facilities, work and public tran ...



Follow Us

Our bimonthly newsletter delivers healthy lifestyle tips, patient stories and research discovery news. Subscribe: