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NOTES Appendectomy Procedure

Reviewed By: Varnada Karriem-Norwood,

SOURCES: 2008 Medical Reference from Medstar Television. Mark Talamini, MD, Gastrointestinal Surgeon, University of California, San Diego.

© 1999-2011 Medstar Television

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Narrator:

Jeff Scholz is back to work after appendix surgery, but he doesn't have a standard-issue scar to show.

Jeff Scholz:

It was just dumb luck and basically turned out to be the golden guinea pig just by walking through the door at the right time.

Narrator:

Jeff made medical history as the first US patient to have his appendix removed via the mouth, in a procedure called NOTES.

Mark Talamini, M.D.:

NOTES stands for Natural Orifice Translumenal Endoscopic Surgery.

Narrator:

Natural orifices, like the mouth, give surgeons inside access to organs.

Mark Talamini, M.D.:

The idea here is that instead of making incisions on the abdominal wall to gain access to the organs, we can do surgery from with, inside those organs.

Narrator:

Surgeons at the University of California San Diego Medical Center reached Jeff's appendix by flushing out the stomach and making a hole in the stomach wall.

Mark Talamini, M.D.:

This hole isn't big enough so we blow it up with a dilating balloon so it'll be large enough to place our access device into the belly cavity.

Narrator:

An endoscope and other slender tools snake into the stomach and then out to the appendix. Like a regular surgery, the diseased organ is tied off, netted, and removed. Some wonder if natural orifice surgery is better.

Mark Talamini, M.D.:

We don't know yet. We think it may be, from these early studies, because these early patients are having very little in the way of pain.

Narrator:

A result echoed by Jeff, who was discharged the next day.

Jeff Scholz:

I was amazed by that. There's, like, literally no stomach pain whatsoever. Just, again, a little bit of what felt like sore throat and that cleared up within 24 hours.

Narrator:

And now he's a footnote in surgical history. For WebMD, I'm Damon Meharg.

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