Abstract
Natural orifice transluminal endoscopic surgery (NOTES) has emerged in the early 2000 as a logic development of ideas originating from interventional endoscopists and gastroenterologists as well as surgeons. After the initial hype of ideas and fantasies the concept of NOTES has become a clinical reality. The principle of minimal access surgery is the reduction of access-size and access-trauma aiming for a shorter patient recovery, improved postoperative well-being, better cosmesis, less inhibiting postoperative restrictions in order to get the patient quickly back to full physical and psychologic abilities, and possibly an improved long term outcome. The latter could be achieved by less wound infections and less incisional hernias over time. The advantage of this concept of minimal access surgery over conventional open surgery has been clearly shown in the past decades. It must be emphasized that the improvements in patient care 20 years ago with the advent of minimal access surgery were not only caused by the reduction of abdominal incisions, but also caused by conceptional changes that came along with re-thinking perioperative care.
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Fuchs, K.H., Breithaupt, W., Varga, G., Schulz, T. (2017). NOTES and Hybrid NOTES Procedures in Clinical Practice. In: Bonjer, H. (eds) Surgical Principles of Minimally Invasive Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-43196-3_38
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DOI: https://doi.org/10.1007/978-3-319-43196-3_38
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