Doğal Orifislerden Transluminal Endoskopik Cerrahi ve Hemşirelik

Year 2023, Volume: 8 Issue: 1, 162 - 174, 01.04.2023

Rabia Görücü , Nevin Kanan

https://doi.org/10.25279/sak.788334

Abstract

Minimal invaziv cerrahinin son yıllarda gelişmesi ve hasta taleplerinin artması ile doğal orifislerden transluminal endoskopik cerrahi (NOTES), laparoskopik yöntemin ardından en önemli yeniliklerden biri olmuştur. Doğal açıklık cerrahisi olarak da bilinen NOTES, cerrahi girişimin vücudun doğal açıklıklarının (mide, vajina, mesane ve rektum) kullanılarak yapıldığı tekniktir. NOTES yöntemi ile cerrahi girişimin avantajları arasında, daha az kozmetik sorun gelişimi; ameliyat sonrası ağrı şiddetinin, cerrahi alan infeksiyonu ve fıtık oluşum riskinin daha az olması yer almaktadır. Bunun yanı sıra viseral ve vasküler yaralanma, gecikmiş anastomoz, giriş yeri kaçakları, ameliyat sonrası organlarda yapışıklık, disparoni gibi dezavantajları da mevcuttur. Cerrahi uygulamalarında NOTES gibi yeni yaklaşım ve tekniklerin gelişimi, cerrahi ekibinin bir parçası olan hemşirelere de yeni sorumluluklar getirmiştir. Doğal açıklık cerrahisi sonrası hastanede kalış süresinin ve iyileşme sürecinin kısalması ve komplikasyon görülme oranının azalması gibi avantajlarından dolayı hemşirelik bakımına etkilerinin olumlu olarak yansıdığı görülmektedir. Bu bağlamda doğal açıklık cerrahisi daha bilgili, daha deneyimli cerrah ve cerrahi hemşirelerinin gerekliliğini ortaya koymuştur. Ancak literatürde bu konuya ilişkin hemşireler üzerinde yapılmış çalışmaya pek rastlanmamaktadır. Dolayısıyla yeni gelişmekte olan bu yöntemin bilgisayarlı simulasyon ortamlarında pratik yapıldıktan sonra hasta üzerinde çalışılması, hemşirelik üzerine araştırmaların arttırılması ve eğitimin planlanması önerilmektedir.

Keywords

Cerrahi Bakım, Doğal Açıklık Cerrahisi, Hemşire, NOTES

Supporting Institution

Destekleyen Kurum yoktur.

Natural Orifice Transluminal Endoscopic Surgery and Nursıng

Abstract

With the development of minimally invasive surgery and increasing patient demands, Natural orifice transluminal endoscopic surgery (NOTES) has been one of the most important innovations after the laparoscopic method. NOTES, also known as natural clarity surgery, is the technique in which surgical interventions are performed using the natural openings of the body (stomach, vagina, bladder and rectum). The advantages of surgical intervention using the NOTES method include less cosmetic problem, less postoperative pain intensity, less postoperative inflammation, and a lower risk of hernia formation. However, there are disadvantages such as visceral and vascular injury, delayed anastomosis, entrance leakage, postoperative adhesions in organs, and dyspareunia. The development of new approaches and techniques, such as NOTES, brought new responsibilities to nurses who are part of the surgical team. It was found that the advantages of the NOTES method (such as shortening the hospital stay and recovery period and reducing the incidence of complications) reflected positively on nursing care. In this context, the NOTES method has revealed the necessity of more knowledgeable and experienced surgeons and surgical nurses. There are not many studies in the medical literature about the of nurses in this topic. Therefore, it is recommended that this newly developing method should be studied on the patient after practice in computerized simulation environments, researches on nursing should be increased and education should be planned.

Keywords

Surgıcal Care, Natural Orifice Transluminal Endoscopic Surgery, Nurse, NOTES

References

• Arulampalam, T., Paterson-Brown, S., Morris, A. J., Parker, M. C. (2009). Natural orifice transluminal endoscopic surgery. The Annals of The Royal College of Surgeons of England, 91(6), 456-459.
• Auyang, E. D., Webb, L. (2015). Transparietal access techniques and technologies, and evolving natural orifice translumenal endoscopic surgery. Techniques in Gastrointestinal Endoscopy, 17(4), 189-191.
• Auyang, E. D., Hungness, E. S., Vaziri, K., Martin, J. A., Soper, N. J. (2009). Human NOTES cholecystectomy: transgastric hybrid technique. Journal of Gastrointestinal Surgery, 13(6), 1149-1150.
• Bai, Y., Qiao, W. G., Zhu, H. M., He, Q., Wang, N., Cai, J. Q., ... Zhi, F. C. (2014). Role of transgastric natural orifice transluminal endoscopic surgery in the diagnosis of ascites of unknown origin (with videos). Gastrointestinal Endoscopy, 80(5), 807-816.
• Bazzi, W. M., Wagner, O., Stroup, S. P., Silberstein, J. L., Belkind, N., Katagiri, T., Horgan, S. (2011). Transrectal hybrid natural orifice transluminal endoscopic surgery (NOTES) nephrectomy in a porcine model. Urology, 77(3), 518-523.
• Benhidjeb, T., Stark, M. (2012). Natural Orifice Surgery (NOS)-the next step in the evolution of minimally invasive surgery. Journal of the Turkish German Gynecological Association, 13(1), 56.
• Bhullar, J. S., Subhas, G., Gupta, A., Jacobs, M. J., Decker, M., Silberberg, B., Mittal, V. K. (2012). Transvesical NOTES: survival study in porcine model. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 16(4), 606.
• Bingener, J., Sloan, J. A., Ghosh, K., McConico, A., Mariani, A. (2012). Qualitative and quantitative analysis of women’s perceptions of transvaginal surgery. Surgical Endoscopy, 26(4), 998-1004.
• Bora,G., Geçim, E. (2008). Abdominal cerrahide ileri laparoskopik teknikler-NOTES. Kolon Rektum Hastalıkları Dergisi, 18(4), 155-160.
• Branco, F., Pini, G., Osório, L., Cavadas, V., Versos, R., Gomes, M., Lima, E. (2011). Transvesical peritoneoscopy with rigid scope: feasibility study in human male cadaver. Surgical Endoscopy, 25(6), 2015-2019.
• Bucher, P., Ostermann, S., Pugin, F., Morel, P. (2011). Female population perception of conventional laparoscopy, transumbilical LESS, and transvaginal NOTES for cholecystectomy. Surgical Endoscopy, 25(7), 2308-2315.
• Bulian, D. R., Kaehler, G., Magdeburg, R., Butters, M., Burghardt, J., Albrecht, R., Lehmann, K. S. (2017). Analysis of the first 217 appendectomies of the German NOTES registry. Annals of Surgery, 265(3), 534-538.
• Bulian, D. R., Trump, L., Knuth, J., Cerasani, N., & Heiss, M. M. (2013). Long-term results of transvaginal/transumbilical versus classical laparoscopic cholecystectomy—an analysis of 88 patients. Langenbeck's Archives Of Surgery, 398(4), 571-579.
• Cengiz, F., İlhan, E., Yakan, S., Zengel, B. (2013). Değişmeyen cerrahi-Değişen teknikler; Laparoskopik ve endoskopik cerrahinin dünü bugünü geleceği. J Clin Anal Med, 4(1), 72-75.
• Chen, X., Liu, H., Sun, D., Ji Zhang, J., Lang, J. (2019). Transvaginal natural orifice transluminal endoscopic surgery for tubal pregnancy and a device ınnovation from our ınstitution, Journal of Minimally Invasive Gynecology, 26(1), 169-174.
• Chen, Y. G., Hu, M., Lei, J., Chen, J. C., Li, J. Y. (2010). NOTES transanal endoscopic total mesorectal excision for rectal cancer. China J Endosc, 16(16), 1261-5.
• Çelik, S. (2011). Cerrahi bakımda bilgi güncelleme. Acıbadem Üniversitesi. Sağlık Bilimleri Dergisi, 2(2), 61-65.
• Çetin, F. (2008). Cerrahide yeni teknolojiler, robotik cerrahi. 4. Sterılızasyon • Amelıyathane • Dezenfeksıyon Sempozyumu, 120-122.
• Edward, D., Auyang, Lars Webb. (2015). Transparietal access techniques and technologies, and evolving natural orifice translumenal endoscopic surgery Techniques in Gastrointestinal Endoscopy, 17(4), 189-191.
• Ferencz, A., Bahri, H., Szántó, Z., Rőth, E., Wéber, G. (2008). New generation of abdominal surgery: the Natural Orifice Transluminal Endoscopic Surgery. Orvosi hetilap, 149(22), 1029-1033.
• Fei, Y. F., Fei, L., Salazar, M., Renton, D. B., Hazey, J. W. (2014). Transvaginal surgery: do women want it? Journal of Laparoendoscopic & Advanced Surgical Techniques, 24(10), 676-683.
• Fiolka, A., Can, S., Schneider, A., Wilhelm, D., Feussner, H. (2008). Instrumentation and surgical technique for an innovative safe sigmoid approach for NOTES. Minimally Invasive Therapy & Allied Technologies, 17(6), 336-340.
• Gerntke, C. I., Kersten, J. F., Schön, G., Mann, O., Stark, M., Benhidjeb, T. (2016). Women’s perception of transvaginal natural orifice transluminal endoscopic surgery (notes) results of a survey of female medical staff and literature review. Surgical innovation, 23(2), 201-211.
• Getman, M.T., Lotan, Y., Napper, C. A., Cadeddu, J.A. (2002). Transvaginal laparoscopic nephrectomy: development and feasibility in the porcine model. Urology, 59(3), 446-50.
• Gettman, M. T., Blute, M. L. (2007, July). Transvesical peritoneoscopy: initial clinical evaluation of the bladder as a portal for natural orifice translumenal endoscopic surgery. In Mayo Clinic Proceedings (Vol. 82, No. 7, pp. 843-845). Elsevier.
• Giday, S. A., Kantsevoy, S. V., Kalloo, A. N. (2006). Principle and history of natural orifice translumenal endoscopic surgery. Minimally Invasive Therapy & Allied Technologies, 15(6), 373-377.
• Horgan, S., Cullen, J. P., Talamini, M. A., Mintz, Y., Ferreres, A., Jacobsen, G. R., Savu, M. K. (2009). Natural orifice surgery: initial clinical experience. Surgical endoscopy, 23(7), 1512-1518.
• Huang, C., Huang, R. X., Qiu, Z. J. (2011). Natural orifice transluminal endoscopic surgery: new minimally invasive surgery come of age. World Journal of Gastroenterology: WJG, 17(39), 4382.
• Jose Bardaro, S., Swanström, L. (2006). Development of advanced endoscopes for Natural Orifice Transluminal Endoscopic Surgery (NOTES), Minimally Invasive Therapy & Allied Technologies, 15:6, 378-383, DOI: 10.1080/13645700601038069
• Kalloo, A. N., Singh, V.K., Jagannath, S.B., Niiyama, H., vd. (2004). Esnek transgastrik peritoneoskopi: periton boşluğunda tanısal ve terapötik girişimlere yeni bir yaklaşım. Gastrointest Endosc, 60, 114 – 7.
• Lacy, A. M., Delgado, S., Rojas, O. A., Almenara, R., Blasi, A., Llach, J. (2008). MA-NOS radical sigmoidectomy: report of a transvaginal resection in the human. Surgical endoscopy, 22(7), 1717.
• Li, S. L., Zhao, E., Zhao, L., Wang, Z. K., Li, W. (2019). Transvaginal natural orifice transluminal endoscopic surgery in the diagnosis of ascites of unknown origin. Gastrointestinal endoscopy,89(4),872-877.
• Linke, G. R., Luz, S., Janczak, J., Zerz, A., Schmied, B. M., Siercks, I., ... Tarantino, I. (2013). Evaluation of sexual function in sexually active women 1 year after transvaginal NOTES: a prospective cohort study of 106 patients. Langenbeck's archives of surgery, 398(1), 139-145.
• Lima, E., Rolanda, C., Pêgo, J. M., Henriques-Coelho, T., Silva, D., Carvalho, J. L., Correia-Pinto, J. (2006). Transvesical endoscopic peritoneoscopy: a novel 5 mm port for intra-abdominal scarless surgery. The Journal of Urology, 176(2), 802-805.
• Marescaux, J., Dallemagne, B., Perretta, S., Wattiez, A., Mutter, D., Coumaros, D. (2007). Surgery without scars: report of transluminal cholecystectomy in a human being. Arch Surg, 142, 823–6.
• Nau, P., Sylla, P. (2012). Surgical innovation: From laparoscopy to natural orifice translumenal endoscopic surgery. Gastrointestinal Intervention, 1(1), 25-29.
• Palanivelu, C., Rajan, P. S., Rangarajan, M., Prasad, M., Kalyanakumari, V., Parthasarathi, R., Senthilnathan, P. (2009). Transvaginal endoscopic cholecystectomy in humans—preliminary report of a case series. The American Journal of Gastroenterology, 104(4), 843.
• Ramos, A. C., Zundel, N., Neto, M. G., Maalouf, M. (2008). Human hybrid NOTES transvaginal sleeve gastrectomy: initial experience. Surgery for Obesity and Related Diseases, 4(5), 660-663.
• Rao, GV., Reddy, DN., Banerjee, R. (2008). NOTES: Human Experience. Gastrointest Endosc Clin N Am 18: 361-370.
• Rattner, D, Kalloo, A. (2006). ASGE/SAGES Working Group. ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005. Surg Endosc, 20(2):329-33.
• Seven, R., Barbaros, U. (2009). Needloskopi yardımlı transvajinal kolesistektomi: İlk ulusal NOTES deneyimi. Turkish Journal of Surgery/Ulusal Cerrahi Dergisi, 25(1), 29-31.
• Sodergren, M. H., Clark, J., Athanasiou, T., et al. (2009). Natural orifice translumenal endoscopic surgery: critical appraisal of applications in clinical practice. Surg Endosc, 23, 680-687.
• Sylla, P., Rattner, D. W., Delgado, S., Lacy, A. M. (2010). NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surgical endoscopy, 24(5), 1205-1210.
• Terzi, H., Turkay, U., Uzun, N. D., & Salıcı, M. (2018). Hysterectomy and salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) assisted by an umbilical camera: Case report and new hybrid technique in gynecology. International Journal of Surgery Case Reports, 51, 349-351.
• Tuech, J. J., Bridoux, V., Kianifard, B., Schwarz, L., Tsilividis, B., Huet, E., Michot, F. (2011). Natural orifice total mesorectal excision using transanal port and laparoscopic assistance. European Journal of Surgical Oncology (EJSO), 37(4), 334-335.
• Uzelli Yılmaz, D., Sarı, D. (2018). The Use of Moulage for Providing “Fidelity” in Nursing Education. Florence Nightingale Journal of Nursing, 26 (2), 141-148. Retrieved from http://dergipark.gov.tr/fnjn/issue/37970/427141
• White, W. M., Haber, G. P., Doerr, M. J., Gettman, M. (2009). Natural orifice translumenal endoscopic surgery. Urologic Clinics of North America, 36(2), 147-155.
• Xu B, Xu B, Zheng WY, Ge HY, Wang LW, Song ZS, He B. (2015). Transvaginal cholecystectomy vsconventional laparoscopic cholecystectomy for gallbladder disease: A meta-analysis. World J Gastroenterol,21(17), 5393-5406.
• Zorron, R., Palanivelu, C., Galvão Neto, M. P., Ramos, A., Salinas, G., Burghardt, J., Branco, A. J. (2010). International multicenter trial on clinical natural orifice surgery—NOTES IMTN study: preliminary results of 362 patients. Surgical Innovation, 17(2), 142-158.
• Zorron, R., Phillips, H. N., Coelho, D., Flach, L., Lemos, F. B., Vassallo, R. C. (2012). Perirectal NOTES Access: “Down-to-Up” Total mesorectal excision for rectal cancer. Surgical Innovation, 19(1), 11-19.