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首页> 外文期刊>International journal of colorectal disease. >NOTES--case report of a unidirectional flexible appendectomy.
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NOTES--case report of a unidirectional flexible appendectomy.

机译：注-单向柔性阑尾切除术的病例报告。

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BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) refers to a new surgical procedure using flexible endoscopes in the abdominal cavity. With this procedure, access is gained by way of organs which are reached through a natural, already-existing external orifice. The hoped-for advantages associated with this method include the reduction of post-operative wound pain, shorter convalescence, avoidance of wound infection and abdominal-wall hernias as well as the absence of scars. We performed a trans-vaginal appendectomy on a human subject. MATERIALS AND METHODS: In experimental operations on animals, we first evaluated the trans-vaginal access site. After them, we started first operation in human. The procedure was carried out under preventive administration of antibiotics. We used a therapeutic single-canal gastroscope. The appendix was located after exploration of the abdomen. After preparation of the mesenteriolum, ligature of the appendix base was performed by means of endoloop, followed by transsection with scissors. Recovery of the specimen was achieved by pulling it out with the instrument. RESULTS: On the evening of the day on which surgery had taken place, administration of nourishment was begun. After the procedure, the patient reported slight soreness in the muscles of the abdominal wall; she felt otherwise perfectly well. INTERPRETATION: In the space of a year, the first operations have been performed on human subjects by a few select work groups. NOTES procedures are still in the initial stages of clinical development. Until they can be introduced into surgical daily routine, further improvements are required as to equipment, technology and operative procedure.
机译：背景：自然孔腔内镜手术（NOTES）是指使用柔性内窥镜在腹腔中进行的一种新的手术程序。通过该程序，可以通过自然的，已经存在的外部孔口到达的器官获得通路。与该方法相关的希望获得的好处包括减轻术后伤口疼痛，缩短恢复期，避免伤口感染和腹壁疝以及无疤痕。我们对一名人类受试者进行了经阴道阑尾切除术。材料与方法：在对动物的实验操作中，我们首先评估了跨阴道进入位点。在他们之后，我们开始了人类的首次手术。该程序是在预防性使用抗生素的情况下进行的。我们使用了治疗性单管胃镜。附件位于腹部探查后。制备肠系膜后，通过内环进行阑尾基部的结扎，然后用剪刀切开。通过使用仪器将其拉出可以恢复样品。结果：在手术当天的晚上，开始进行营养管理。手术后，患者报告腹壁肌肉有轻微酸痛。否则她感觉很好。解释：在一年的时间里，几个选定的工作组对人类受试者进行了首次手术。 NOTES程序仍处于临床开发的初始阶段。在将它们引入外科手术的日常工作之前，需要对设备，技术和手术程序进行进一步的改进。

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