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0.37 mm semi-rigid, flexible, or articulating endoscopes, already exist in the market.
These outstanding products can easily be fitted inside a thin needle.
Such videoscopes can be used in laparoscopic abdominal diagnostic operations, NOTES procedures, trans-intestinal procedures, cystoscopies, operative colonoscopies, all under local or regional anesthesia, revolutionizing abdominal surgery.
Access in women’s peritoneum is also from the recto-uterine pouch.
USB cable connected to computers or large screen television sets are used.
Disposable, pvc miniaturized parallel working channels ensure introduction of various surgical instruments.
No visual scars remain, hospital stay is reduced, minimum use of antibiotics is required.
I am surprised that the Authors did not include these miniaturized endoscopes in their State of the Art Clinical Review.