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The fourth Euro-NOTES workshop took place in September 2010 and focused on enabling intensive scientific dialogue and interaction between participants to discuss the state of the practice and development of natural-orifice transluminal endoscopic surgery (NOTES) in Europe. Five working groups were formed, consisting of participants with varying scientific and medical backgrounds. Each group was assigned to an important topic: the correct strategy for dealing with bacterial contamination and related complications, the question of the ideal entry point and secure closure, interdisciplinary collaboration and indications, robotics and platforms, and matters related to training and education. This review summarizes consensus statements of the working groups to give an overview of what has been achieved so far and what might be relevant for research related to NOTES in the near future.

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ZUSAMMENFASSUNGMikrobielle Kontaminationen von Schallköpfen, kutan oder endokavitär angewandt, sind häufig, tatsächliche Infektionen nach Sonografien werden jedoch nur kasuistisch berichtet. In Deutschland existieren rechtliche Vorschriften zur Schallkopfhygiene. Ein Expertengremium der DEGUM hat vor dem Hintergrund der Vorschriften und der verfügbaren Literatur differenzierte Empfehlungen zur Hygiene in der Sonografie und der Endosonografie, einschließlich der ultraschallgestütz-ten Interventionen, formuliert.