Comments on: The Natural Orifice Consortium

By: Karl

Karl — Tue, 03 Jun 2008 00:26:40 +0000

I think the general logic is that these laparoscopic procedures,
regardless of the site of approach, or how bizarre, reduce days
of hospitalization which is often the case save in the instance
of post-op infection or in the surgical nightmare case where
someone slices up a ureter or some regional vessel, in which
case, its bye bye laparascope hello exploratory laparatomy.

By: Tsin

Tsin — Tue, 20 May 2008 21:08:19 +0000

Mexico did a pure Transvaginal Natural Orifice Cholecystectomy . The diference is that the previous reported cases used a small abdominal port . But the Group of Dr. Fausto Davil. Poza Rica, Veracruz . Mexico. Did a pure NOTES . April 2008

By: Calli Arcale

Calli Arcale — Tue, 29 Apr 2008 02:24:53 +0000

That just sounds nuts to me. I mean, women suffer all kinds of complications from the tears and assorted other things that can occur during childbirth. (Which, of course, is natural and thus totally good and wonderful . . . right?) Why would anyone *intentionally* cut the vagina unless there was a damned good reason why it was better than another route?

Yeah, there’ll be fewer visible scars, but I gotta wonder why not one single article on this subject has ever even mentioned the possibility of sexual dysfunction. I find it hard to believe that nothing could go wrong in that department.

By: Dragonfly

Dragonfly — Mon, 14 Apr 2008 10:10:29 +0000

How on earth are they going to sterilise that one? No amount of betadine……
I want the incisions in my abdomen thanks, doc. Stay away from lady town….

By: Celeste

Celeste — Fri, 11 Apr 2008 17:42:00 +0000

There are surgeons who do pudendal nerve decompression surgery through the vagina (up near the cervix) so as to avoid going in through the gluteus. From what I’ve seen on our forum, the patients with the “less invasive” surgery don’t get as good of results (speed of relief or degree of relief). This route spares the sacrobuterous ligament, however in some patients the ST ligament is what is causing the very painful nerve compression. To do it this way on male patients means creating an incision in the perineum; I think by that point “less invasive” isn’t on the table anymore.

By: Sid Schwab

Sid Schwab — Thu, 10 Apr 2008 17:22:50 +0000

I agree. It’s a world gone mad.

I wrote about it a while back, too, here.

It was also reported the other day that some surgeons in San Diego (I think it was) did an appy via gastroscope, thus turning a twenty minute operation into a three hour one, with god knows how much more cost. But they did say the patient was doing situps in four days, as opposed to the usual…. four!!!! (They didn’t say that part; it’s just that it happens to be true.)