Intended for healthcare professionals

Rapid response to:

Analysis

We need minimally disruptive medicine

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b2803 (Published 11 August 2009) Cite this as: BMJ 2009;339:b2803

Rapid Response:

Re: We need minimally disruptive medicine

1,9mm semi-rigid/flexible/articulating endoscopes, or even thinner, already exist.
These outstanding products can easily be fitted inside a needle or a Nelaton catheter.

Such videoscopes can be used in outpatient transvaginal diagnostic laparoscopies, NOTES oophorectomies/cyst removals, endoscopic endometriosis assessments/surgery, appendicectomies, stomach surgeries, intestinal procedures, cystoscopies, colonoscopies, even NOTES cholecystectomies, all under local or regional anesthesia, revolutionizing abdominal operations.

Access in women’s peritoneum is from the recto-uterine pouch.

USB cable connected to computers or large screen television sets are used.

Disposable, pvc miniaturized parallel working channels ensure introduction of various surgical instruments.

No visual scars remain, no hospital stay, minimum use of antibiotics.

Competing interests: No competing interests

08 July 2016
Stavros Saripanidis
Consultant in Obstetrics and Gynaecology
Thessaloniki, Greece