Consumer demand for surgical innovation: a systematic review of public perception of NOTES

Pucher, Philip H.; Sodergren, Mikael H.; Lord, Amy; Teare, Julian; Yang, Guang‐Zhong; Darzi, Ara

doi:10.1007/s00464-014-3769-2

Cited by 11 publications

(10 citation statements)

References 30 publications

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“…The fact that there are over 7000 da Vinci (and few hundred other RAMIS) systems now in daily clinical use shows that this form of surgical robotics is popular among the public, helping in general the rise of new systems via new investments [103].…”

Section: Discussion a N D F U T U R E P R O S P E C T Smentioning

confidence: 99%

Robot-Assisted Minimally Invasive Surgery—Surgical Robotics in the Data Age

et al. 2022

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Section: Discussion a N D F U T U R E P R O S P E C T Smentioning

confidence: 99%

Robot-Assisted Minimally Invasive Surgery—Surgical Robotics in the Data Age

et al. 2022

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“…It bears mentioning that the decision to refuse transvaginal NOTES for cholecystectomy is mainly based on moral grounds. Whether the surveyed health professionals represent a potentially biased sample 11 and/or the interpretations of the results of public surveys have to be done cautiously because the public does not have the appropriate background 14 remains a point of disagreement in recently published literature. However, in our study, multinominal logistic regression analyses identified availability of medical education as a relevant factor for the preference of surgical intervention for both ovariectomy and even more pronounced for cholecystectomy when derived from comparison among religious groups.…”

Section: Discussionmentioning

confidence: 99%

Women’s Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) – Impact of Medical Education, Stage of Life and Cross-Cultural Aspects

Benhidjeb

Stark

et al. 2022

IJWH

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Introduction Despite that NOTES produces at least matchable clinical long-term results when compared to laparoscopy, still a restraint within the medical community and among patients is evident. Consequently, it might be meaningful to evaluate factors of patient’s NOTES perception to promote its acceptance. NOTES is still quite novel and questionnaires regarding its perception by the public is still lacking even so in the Middle East. Aim of our survey is to investigate the viewpoint of female healthcare staff on NOTES. Materials and Methods A total of 350 questionnaires along with written information about Minimally Invasive Surgery and NOTES were distributed among the female staff in a Tertiary-care Hospital in Abu Dhabi, 257 were returned completely anonymously and voluntarily and entered into a database with a response rate of 73%. We surveyed factors like religion, medical background, age as well as history of previous laparoscopy, endoscopy, birth and other aspects that may impact a woman’s perception of both transgastric and transvaginal NOTES for cholecystectomy and ovariectomy, respectively. Results Univariate analyses revealed the majority of Muslim women to be more receptive to NOTES as a choice of surgical technique for cholecystectomy and for ovariectomy, respectively, when compared to Christians and Hindus. However, when compared to Muslims, Christian and Hindu groups had a larger share of medical professions. Women with a medical background would opt significantly less for NOTES. Among younger women, NOTES cholecystectomy was refused due to anxiety concerning future pregnancies and sexual dysfunction. Multinomial logistic regression analysis determined medical background and with independent predictive value for the overall choice of interventional technique (p<0.001). Marital status played a significant role only in the comparison of laparoscopy vs transgastric NOTES when performing cholecystectomy and ovariectomy (p<0.01). Conclusion In this first study emanating from the Middle East, medical education and partly life stage rather than cross-cultural differences seem to influence NOTES perception in women.

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“…12-14 The transvaginal route was preferred to the transrectal route because of less chance of bacterial or fecal contamination of the peritoneal cavity. 15 In this experiment, the transrectal route was chosen as it can more or less simulate the transvaginal cholecystectomy in humans. It is anticipated that accessing through the pig’s vagina would be very difficult due to its size.…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted Transrectal Cholecystectomy in a Porcine Model

et al. 2019

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Background. With increasing experience and technological advancement in surgical instruments, surgeons have explored the feasibility of single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery (NOTES). These techniques aim to further reduce surgical trauma, but are not popular due to their inherent pitfalls including clashing of instruments, lack of counter traction, lengthy operating time, and so on. A novel surgical robotic system was designed to overcome the limitations of the existing technologies. Animal trials were conducted to demonstrate its feasibility in performing robotic-assisted transrectal cholecystectomy in a porcine model. Method. The Novel surgical robotic system is a high dexterity, single access port surgical robotic system that enables surgeons to carry out single-port surgical procedure or NOTES. The proposed system’s main features include the ability to perform intraabdominal and pelvic surgeries via natural orifices like the vagina or rectum. The system is equipped with multiple miniaturized (16 mm diameter) internally motorized robotic arms, each with a minimum of 7 degrees of freedom, a dual in vivo camera system, a cannula, and an external swivel system. Results. Robotic-assisted transrectal cholecystectomy was successfully performed in 3 adult male pigs. The estimated blood loss was <10 mL in all 3 cases. There were no intraoperative complications. The system provided good dexterity and clear vision. Conclusions. The trial demonstrated that the system can provide the surgeon a stable platform with adequate spacing for the transrectal insertion of robotic arms, 3-dimensional vision, and enhanced dexterity in performing NOTES cholecystectomy.

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Consumer demand for surgical innovation: a systematic review of public perception of NOTES

Abstract: This review suggests significant public interest in NOTES and scarless surgery in general. Further research and consideration of differences in public perceptions across regions, countries and cultures are required.

Cited by 11 publications

References 30 publications

Robot-Assisted Minimally Invasive Surgery—Surgical Robotics in the Data Age

Robot-Assisted Minimally Invasive Surgery—Surgical Robotics in the Data Age

Women’s Perception of Transgastric and Transvaginal Natural Orifice Transluminal Endoscopic Surgery (NOTES) – Impact of Medical Education, Stage of Life and Cross-Cultural Aspects

Robotic-Assisted Transrectal Cholecystectomy in a Porcine Model

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