Top, left to right: Denise Gee, MD, Christopher Morse, MD, Patricia Sylla, MD. Bottom, left to right: Field Willingham, MD (now at Emory University), David Rattner, MD, William Brugge, MD.
Directed by Dr. David Rattner, the Natural Orifice Translumenal Endoscopic Surgery (NOTES) Laboratory develops innovative minimally invasive surgical procedures using the body’s natural orifices as entrance points for surgery to reduce pain and scarring and speed recovery time. The laboratory is supported in part by the Center for Integration of Medicine and Innovative Technology (CIMIT) and collaborates with physicians at several other institutions, including Brigham and Women’s Hospital and Dartmouth Medical Center.
Since 2009, the NOTES team has been investigating transvaginal cholecystectomy at Mass General as an alternative to conventional laparoscopic cholecystectomy to minimize the number of abdominal incision and reduce the amount of procedural pain. The procedures have been performed by Dr. David Rattner, Dr. Denise Gee, Dr. William Brugge and Dr. Samantha Pulliam.
In November 2009, Dr. Patricia Sylla traveled to Barcelona and, in collaboration with Dr. Antonio Lacy, performed the first surgical removal of a rectal mass using Transanal Endoscopic Microsurgery (TEM), a procedure in which surgical instruments were introduced through the anus to minimize the number and size of abdominal incisions.