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Natural Orifice Specimen Extraction

Advanced Robotics and Laparoscopic Surgeons located in Roseville, Carmichael, Grass Valley and Folsom, CA

Natural Orifice Specimen Extraction services offered in Roseville, Carmichael, Folsom, CA

Natural orifice specimen extraction (NOSE) takes minimally invasive surgery to a new level by utilizing an already existing opening to access treatment areas within the abdominal region. The surgeons at Sierra Pacific Surgical in Roseville, Folsom, and Carmichael, California, have significant experience in this technically challenging but successful surgical approach. NOSE minimizes the need to create additional surgical incisions, offering benefits that include reduced healing time and less postoperative pain. If you’re facing bowel resection or other colorectal cancer procedures, schedule an evaluation today to learn more about NOSE. Call the office or request an appointment online.  

Natural Orifice Specimen Extraction Q&A

What is natural orifice specimen extraction?

NOSE is a relatively new surgical technique used to access treatment sites within the abdominal region. Less invasive than other surgical approaches, NOSE is often performed alongside laparoscopic bowel resection for colorectal cancer and other procedures.  

The surgeons at Sierra Pacific Surgical are dedicated to treating disease in the most minimally invasive manner possible. 

They have advanced training in the NOSE approach and have developed significant expertise in this newest version of minimally invasive surgery for bowel resection. They’re quite pleased to offer it as a service to their Northern California communities.

How does natural orifice specimen extraction surgery work?

During a NOSE procedure, which is often performed alongside laparoscopic surgery, your surgeon uses a natural orifice such as the anus to access and remove a tissue specimen rather than creating another abdominal incision to retrieve the excised tumor, bowel tissue, etc.

This spares the patient an additional incision, reducing trauma to the abdominal wall and offering a better cosmetic result. Incisions used to retrieve excised tissue are often larger than typical laparoscopic incisions and increase your risk of incisional hernia.  

What are the benefits of NOSE versus traditional laparoscopic surgery?

A four-year study posted by the National Library of Medicine showed that individuals who underwent NOSE surgery for colorectal cancer resection experienced significant benefits compared with those who underwent traditional laparoscopic surgery.

Benefits of NOSE surgery included:

  • Less blood loss
  • Quicker return to gastrointestinal function
  • Shorter postoperative hospital stay
  • Decreased need for postoperative analgesics
  • Decreased postoperative pain
  • Fewer postoperative complications, such as incisional hernia

The NOSE group also reported higher body image scores and had better physical function, role function, emotional function, and global health status compared with the laparoscopic group. In addition, symptoms such as pain, insomnia, constipation, and diarrhea were less severe in the NOSE group. 

Overall and disease-free survival were not significantly different between the groups.

How do I know natural orifice specimen extraction surgery is right for me?

Your Sierra Pacific Surgical specialist develops surgical treatment strategies based on an extensive evaluation that considers your overall health status, level of disease, and personal concerns. 

Before you make a decision, your surgical team discusses the NOSE procedure in detail, including its pros and cons and other surgical treatment options available for your condition.

Schedule an evaluation today for more information about natural orifice specimen extraction surgery. Call the office or request an appointment online.