KATHMANDU, Sept 2: Senior gynecologist and laparoscopic specialist Dr Gyanendra Karki claims to have first used Natural Orifice Transluminal Endoscopic Surgery (NOTES) in December, 2006 though it is internationally accepted that the technique was used for the first time on human beings in 2007.
Wikipedia says a NOTES Research Group in Rio de Janeiro, Brazil lead by Dr Ricardo Zorron performed the first series of trans-vaginal NOTES cholecystectomies (removal of gall bladder) on four patients in early March, 2007.
But Dr Karki said he conducted a trans-vaginal NOTES appendectomy (removal of appendix) at Birat Nursing Home in Biratnagar in December, 2006. Dr Karki said he has conducted many trans-vaginal NOTES cholecystectomies after that.
“I even presented papers at a conference of the Society of Surgeons of Nepal (SSN) in 2007,” Dr Karki, 50, said over the phone from Biratnagar. Executive committee member of SSN Dr Sunil Sharma confirmed that Dr Karki had presented papers verifying his use of the technique.
“I´m just a surgeon doing my work. I don´t have time for publicizing my deeds,” Dr Karki said in a matter-of-fact manner when asked why he didn´t tell media about it then.
“I don´t have any regrets over not getting international recognition personally but it would have been great to have Nepal´s name figure in the international medical community. Maybe SSN could have forwarded the papers and pushed for international recognition then,” he added.
NOTES is the technique special in that it leaves no surgical scar. NOTES is performed by passing an endoscope through natural openings like the mouth, urethra, vagina and anus.
Dr Karki did his MD (Doctor of Medicine) from the First Leningrad Medical Institute in Russia in 1986 and his MS (Master of Science) and PhD (Doctor of Philosophy) from the same institute in 1991 and 2007 respectively.
“I am a gynecologist very familiar with the vagina. I mulled why did I have to make a scar in the abdomen to remove a woman´s appendix when it could be done through the vagina, and tried out the technique,” Dr Karki said about his inspiration for using the novel technique in 2006.
http://www.myrepublica.com/portal/index.php?action=news_details&news_id=22847
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