Minimally Invasive Surgery: Using Natural Orifice Translumenal Endoscopic Surgery (NOTES)

Exclusion Criteria

• •1. Pregnant women
• •2. Morbidly obese patients (Body mass index \> 35)
• •3. Patients who are taking immunosuppressive medications or are immunocompromised
• •4. Patients who are on Proton Pump Inhibitors (PPI)
• •5. Patients with evidence of an abdominal abscess or mass on CT scan
• •6. Patients who present with a clinical diagnosis of sepsis
• •7. Patients who have a history of open abdominal surgery
• •8. Patients with diffuse peritonitis
• •9. Patients on blood thinners or aspirin
• •1. Pregnant women
• •2. Patients with a Body mass index \> 35
• •3. Patients who are taking immunosuppressive medications or are immunocompromised
• •4. Patients who are on Proton Pump Inhibitors (PPI)
• •5. Patients with suspicion of gallbladder cancer
• •6. Patients with a history of open abdominal surgery
• •7. Patients with known common bile duct stones (gallstones are not limited to the gallbladder)
• •8. Patients on blood thinners or aspirin