Scar less Surgery

The modern technology has come up with a promise for a painless and scar less surgery. It is termed as natural orifice translumenal endoscopic surgery (NOTES). It is performed by passing an endoscope through a natural orifice. This new approach goes beyond laparoscopic surgery which is done after making several small holes in the skin. NOTES is known as scar less surgery as it makes use of natural openings like the mouth, anus, vagina or bladder and eliminates the need for any external incisions. The main benefits of NOTES are minimal postoperative pain and scarring and quick recovery. There are challenging issues, such as the risk of infection and leakage. Additionally, it is more time consuming and technically difficult. A related technique is being perfected in neurosurgery- endoscopic transnasal brain surgery. Surgical access through the nose has proven to be successful in removing pituitary tumours for years. Now, some surgeons are using this route to reach into the brain and remove tumours at the base of the skull. Here also, the main benefit is the absence of any visible scars.