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NOTES: Revolutionizing Surgery

NOTES is an experimental alternative to conventional surgery that uses a combination of endoscopic and laparoscopic techniques to access the peritoneal cavity through the wall of the alimentary canal or other natural orifices, allowing surgeons and gastroenterologists to perform complex surgery without leaving any visible scars. In the last few years, NOTES research, procedures, patents, and venture capital investment have increased exponentially. And although the field is still unproven, the rush to NOTES is being fueled by several important motivators, including the perceived advantages over conventional surgery, patient demand, and a worldwide market potential believed to range between $2 and $4 billion per year.

by Anne Staylor

Life is said to imitate art, and in the case of surgical advances, one need look no further for an example of this phenomenon than the innovations currently underway in the field of Natural Orifice Translumenal Endoscopic Surgery (NOTES). Numerous movies and television shows have glimpsed a future when all sorts of complex medical procedures, including surgery, are performed with nary a stethoscope (and certainly not a scalpel) in sight. For example, fans of the original Star Trek series remember Dr. Leonard "Bones" McCoy, the resident starship physician who was able to perform a wide range of complicated procedures on patients while leaving no scars whatsoever

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