Over the years, laparoscopic surgery for gallbladder stone or appendicitis has been performed with three or four small incisions on the abdominal wall. This results in visible scars and some degree of pain. Natural Orifice Transluminal Endoscopic Surgery ( NOTES) or hybrid NOTES is an upcoming procedure where surgery is being performed by a novel technique in which the abdominal cavity is entered through natural orifices like the mouth, vagina or anal canal.
The surgery is performed with special instruments and once completed the specimen is removed through the concerned natural orifice. In the Department of Gastrointestinal Surgery at our hospital in Kolkata, we have performed the first NOTES procedure on 6th July 2014 on a female patient by accessing the peritoneal cavity via the vagina and doing an appendectomy for acute appendicitis. The patient did not have any abdominal scar.…
