Editorial| Volume 144, ISSUE 1, P1-2, July 2008

Natural orifices translumenal endoscopic surgery (NOTES)— Who should perform it?

      The concept of abdominal surgery via natural orifices without abdominal scars is very attractive. Indeed, it is difficult for a patient to choose to undergo a traditional “open” abdominal operation or even a laparoscopic one, given the option to have the same procedure without any abdominal incisions. At present, surgery is undoubtedly focused on the principle of minimally invasive access. The benefits of smaller incisions as well as associated decreased postoperative pain and recovery time are already well attested in many areas of surgical practice. Patient demand also has proven to be a powerful stimulus to these changes in surgical technique.
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