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Interdisciplinary
Certification
In accordance with the aim to introduce unified, evidence-based surgical methods, in 2007 the NESA started to certify hospitals that perform surgical methods promoted by the academy, such as the Misgav Ladach caesarean section and the Ten-Step Vaginal Hysterectomy.
Natural Orifice Surgery (NOS) / Scarless Operations Working Group (SLO)
The NESA founded the first European-based, interdisciplinary working group on NOS / SLO. Its goal is to develop surgical procedures using the natural body openings as well as "scarless" operations, and to promote alternatives to the "traditional" abdominal and endoscopical operations. The working group elaborates study protocols, conducts pre-clinical and clinical studies, explores specific physiological and surgical aspects and develops adapted instruments.
Endoscopical procedures have replaced laparotomy in many cases. The NESA believes that the natural orifice pathway might equally replace many laparoscopic operations. This is due to the relatively low risk in introducing the instruments and to the assumedly lower intra-abdominal pressure required. Transaxillar and transmamillar procedures are also optimized.
The participants are surgeons from various surgical disciplines as well as pharmacologists, physiologists and representatives of the industry.
The first meeting of the working group took place on June 23, 2006, the second on March 28, 2007 in Berlin.
The NOS working group is developing a new surgical device, the TED (Transdouglas Endoscopic Device). The TED is a wide flexible multi-channel instrument that facilitates surgical procedures in the upper abdomen (cholecystectomy, liver biopsy, splenectomy etc.) as well as in the pelvis (hysterectomy, cystectomy, etc.) by using a single entry.
Protocol of the 1st meeting (incl. list of participants)
Protocol of the 2nd meeting (incl. list of participants)
Introduction to the NOS / SLO concept (M. Stark)
Axillary-Bilateral-Breast-Approach (ABBA) (T. Benhidjeb)
Transumbilical herniorrhaphy (K. Witzel)
The transoral access in endoscopic thyroid resection (K. Witzel)
