Keywords: US Navy 110511-N-CW427-002 Cmdr. Gordon Wisbach prepares to insert an endoscope through a patient's belly button before performing a natural orific.jpg en SAN DIEGO May 11 2011 Cmdr Gordon Wisbach director of Minimally Invasive and Bariatric Surgery at Naval Medical Center San Diego prepares to insert an endoscope through a patient's belly button before performing a natural orifice endoscopic surgery NOTES NOTES is a surgical technique using an endoscope to perform abdominal operations through a body's natural orifice such as the nose or mouth NMCSD is the first DoD military treatment facility to perform this type of surgery U S Navy photo by Mass Communication Specialist Seaman Clay Whaley/Released 2011-05-11 110511-N-CW427-002 Navy http //www navy mil/view_image asp id 100868 U S Navy photo by Mass Communication Specialist Seaman Clay Whaley PD-USGov-Military-Navy Naval Medical Center San Diego |