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Natural Orifice Surgery

By Kevin Quinley
April 28, 2009

A sign of a surgical technique's potential popularity is when Jay Leno's Tonight Show features it in the comedian's monologues. Recently, Leno noted that doctors have developed no-scar surgery. “They can actually remove your gallbladder through your mouth,” Leno begins. So, he quips, “Next time you go in to see the doctor for hemorrhoids, insist, 'I'm fine, I'm fine, really!!!!!'” Jokes aside, the prospect of scarless surgery is appealing to some patients while evoking a gag reflex in others.

Natural orifice transluminal endoscopic surgery ' often referenced by the acronym NOTES ' is becoming increasingly popular. One reason: NOTES may reduce the risks of infection. While the popular press often refers to the technique as “scarless surgery,” the term “scarless” may be a misnomer. Rather, surgeons make incisions in areas that are not visible to the outside of the body. Incisions are made inside the body's cavity to gain access to the organ that is the focus of the procedure. From a cosmetic standpoint, no one viewing the outside of the patient's body would see an incision. Physicians may be able to remove organs or tissues through the vagina, mouth or anus after gaining access to the body's inner cavity through minimally invasive surgery.

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