Closure of gastric incision with magnets as the final step of transgastric notes interventions

Introduction: One of the difficulties of translumenal interventions called NOTES (Natural Orifice Translumenal Endoscopic Surgery) is the closure of gastric or colonic incision. Transvaginal interventions and the safe closure of the incision are known in gynecological surgery, this could be one of the reasons, why the first human NOTES procedure was transvaginal cholecystectomy. Method: Closure of gastrotomy was simulated on a biosynthetic model. Two silicone tubes were fixed parallel to a traditional flexible endoscope, containing two rectangular rare-earth magnets (20*1*5mm). For moving of the magnets two meta…