{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:05:33Z","timestamp":1777943133724,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,12,4]],"date-time":"2011-12-04T00:00:00Z","timestamp":1322956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>Introduction. While experimental natural orifice transluminal endoscopic surgery (NOTES) sigmoid colectomies have been reported, pure NOTES anastomoses are restricted by the limited reach of commercially available circular staplers. MAGNAMOSIS is a set of self-orienting magnetic rings that can be delivered endoluminally throughout the colon to generate a compression anastomosis. Aim. To assess the feasibility of a pure NOTES transrectal (TR) and transgastric (TG) approach to perform any segmental colectomy. Materials and Methods. One pig (50 kg) underwent the experimental procedure as follows: ( a) creation of the TG access to the peritoneal cavity, ( b) precise transluminal placement of the proximal MAGNAMOSIS ring, ( c) creation of the TR access with the TEO and transrectal dissection of the sigmoid mesentery, ( d) resection of the surgical specimen, ( e) transrectal extraction of the specimen, ( f) delivery and mating of the distal MAGNAMOSIS ring, and ( g) closure of the TG and TR viscerotomies. The animal survived for 14 days at which time burst pressure and histology were performed. Results. A pure NOTES TR and TG segmental colectomy was performed in 139 minutes. The postoperative course was uneventful. The animal had a formed bowel movement including the magnetic rings on postoperative day 5. Endoscopic examination at postoperative day 14 revealed a patent anastomosis. Necropsy revealed no abscess or signs of peritonitis. Burst pressure was &gt;198 mm Hg. The histology showed a sealed anastomosis with mild inflammation. Conclusions. MAGNAMOSIS enabled a totally NOTES partial colectomy with combined TG and TR access. The flexible delivery options and low cost of manufacturing could make MAGNAMOSIS an attractive alternative to circular staplers.<\/jats:p>","DOI":"10.1177\/1553350611429029","type":"journal-article","created":{"date-parts":[[2011,12,5]],"date-time":"2011-12-05T20:51:31Z","timestamp":1323118291000},"page":"109-116","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["An Original Endoluminal Magnetic Anastomotic Device Allowing Pure NOTES Transgastric and Transrectal Sigmoidectomy in a Porcine Model"],"prefix":"10.1177","volume":"19","author":[{"given":"Jo\u00ebl","family":"Leroy","sequence":"first","affiliation":[{"name":"IRCAD\/EITS Institute, University Hospital of Strasbourg, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvana","family":"Perretta","sequence":"additional","affiliation":[{"name":"IRCAD\/EITS Institute, University Hospital of Strasbourg, Strasbourg, 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