First Transvaginal NOTES Gallbladder Procedures Performed in Ecuador by Dr. Nestor Gomez Collaborating with a US Doctor

Share Article

New frontiers in surgery were broken by doctors in Ecuador. The team of doctors headed by Dr. Nestor Gomez in collaboration with a surgeon from the U.S., performed natural orifice surgery procedures to remove the gallbladder.

New frontiers in surgery were broken by doctors in Ecuador. The team of doctors headed by Dr. Nestor Gomez in collaboration with a surgeon from the U.S., performed natural orifice surgery procedures to remove the gallbladder.

In late November three patients underwent groundbreaking new surgical procedures using a new technique called NOTES or Natural Orifice Transluminal Endoscopic Surgery. This new type of surgery aims to eliminate painful incisions in the skin by using the body's own natural openings to introduce cameras and instruments. Performing surgery this way the doctors aim to make surgery kinder for the patients by creating less pain and allowing for faster recovery.

The surgery was performed at Kennedy Hospital (Policentro) - Guayaquil, Ecuador by a team of doctors headed up by Dr. Nestor Gomez as general surgeon, with the collaboration of Cèsar Cabezas, M.D., F.A.C.S. (gynecologist). Stanley Jama M.D., and Carlos R. Cassis, M.D. The supervising surgeon was Daniel Tsin, M.D., F.A.C.O.G., Director of Minimally Invasive Surgery - Mount Sinai Hospital of Queens, New York, U.S.A.

As this type of surgery is so new, a standard minilaparoscopic technique was also used to maximize safety for all the patients. Although similar procedures have been performed in other areas of the world, these are the first of these type of procedures performed in Ecuador.

"We are excited to be amongst the pioneers of NOTES," said Dr. Gomez. "We believe that this type of surgery has enormous potential for improving the comfort and recovery for patients. It is still early, but these techniques are showing great initial promise."

The patients were treated for a variety of diseases of the gallbladder including gallbladder stones, a gallbladder polyp (> 10 mm.), and a left paraovarian cyst. The Instruments were introduced through a small hole made in the vaginal wall, then guided inside the abdomen up to the gallbladder. This is one of the many approaches, including transcolonic and transgastric that are being trialled around the world. The three operations were approved by the MANOS/NOTES Committee of the Sociedad Ecuatoriana de Cirugia Endoscòpica, the Universidad de Guayaquil, Faculty of Medicine a part of the same University, the administration, and the legal patient advocates of the Grupo Hospitalario Kennedy. All researchers in NOTES feel it is critical to carry out these emerging procedures under defined protocols approved by Internal Review Boards.
Support for the project was given by some of the most important companies in the field of surgery - Olympus USA (Elite Scope-Ecuador), Johnson & Johnson - Ethicon EndoSurgery (USA), Con Med (USA), Allen Medical Systems (USA) and Roemmers Laboratories (Ecuador).

All of the patients were discharged from the hospital after 24 hours without any immediate complications. Future procedures are being planned and Dr. Gomez is collaborating with many of the exciting new MedTech companies such as Minos Medical of Irvine California.

"NOTES has many potential applications," said Dr. Gomez. "I am pleased to be working on some of the exciting emerging technologies for this type of surgery. It is early days, but we believe that NOTES has a big future."

http://www.minosmedical.com

# # #

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Press Office
Visit website