Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base.

Conclusion. Grade C recommendation requiring no preoperative preparation can be made for the transgastric approach. Antiseptic irrigation is recommended for transvaginal (grade C) NOTES access, as is current practice. Further human trials need to be conducted to corroborate the current evidence base for transgastric closure. It is important that future trials are conducted in a methodologically robust fashion, with emphasis on clinical outcomes and standardisation of enterotomy closure and postoperative therapy.
PMID: 21785559 [PubMed]

Source: Diagnostic and Therapeutic Endoscopy - June 5, 2015 Category: Surgery Tags: Diagn Ther Endosc Source Type: research