Maciej Śmietański, Mateusz Zamkowski, Krzysztof Karbowski, Mariusz J Kujawa
OBJECTIVE: The aim of the ILAM (Individualized Laparoscopic Anatomical Mesh) study was to create and implant a fully individualized mesh based on CT scans, taking into account the published body of knowledge about the material and mechanical behavior of the implant for laparoscopic inguinal hernia repair. SUMMARY BACKGROUND DATA: The team creating and conducting this study consisted of surgeons and engineers. A specific project was made and divided into 4 phases...
December 2023: Surgical Innovation
Gen Li, Ning Jiang, Nuerboli Chendaer, Yingtao Hao, Weiquan Zhang, Chuanliang Peng
BACKGROUND: Laparoscopic Nissen fundoplication (LNF) is the most common standard technique worldwidely for Gastroesophageal reflux disease (GERD). Another type of fundoplication, laparoscopic Toupet fundoplication (LTF), intends to reduce incidence of postoperative complications. A systematic review and meta-analysis are required on short- and long-term outcomes based on randomized controlled trials (RCTs) between LNF and LTF. METHODS: We searched databases including PubMed, Cochrane, Embase, and Web of Knowledge for RCTs comparing LNF and LTF...
December 2023: Surgical Innovation
Christopher T Morley, David M Arreola, Long Qian, Amy L Lynn, Zachary P Veigulis, Thomas F Osborne
BACKGROUND: Computer assisted surgical navigation systems are designed to improve outcomes by providing clinicians with procedural guidance information. The use of new technologies, such as mixed reality, offers the potential for more intuitive, efficient, and accurate procedural guidance. The goal of this study is to assess the positional accuracy and consistency of a clinical mixed reality system that utilizes commercially available wireless head-mounted displays (HMDs), custom software, and localization instruments...
November 29, 2023: Surgical Innovation
Christos Koutserimpas, Symeon Naoum, Maria Piagkou, Kalliopi Alpantaki, George Samonis
PURPOSE: Hippocrates, the ancient Greek physician, is considered the father of Medicine; however, his contributions to Orthopaedics and Traumatology have not been highlighted enough. The present historical review represents an effort to present and categorize his work, in this field, per clinical disorder and anatomical region. METHODS: The "Hippocratic Corpus" original text was thoroughly studied to identify all Hippocrates' contributions in Orthopaedics and Traumatology...
November 18, 2023: Surgical Innovation
Junko Tokuno, Sofia Valanci-Aroesty, Hayaki Uchino, Gabriela Ghitulescu, Christian Sirois, Pepa Kaneva, Gerald M Fried, Tamara E Carver
BACKGROUND: Emerging technologies are being incorporated in surgical education. The use of such technology should be supported by evidence that the technology neither distracts nor overloads the learner and is easy to use. To teach chest tube insertion, we developed an e-learning module, as part of a blended learning program delivered prior to in-person hands-on simulation. This pilot study was aimed to assess learning effectiveness of this blended learning, and cognitive load and the usability of e-learning...
November 13, 2023: Surgical Innovation
Khadija Anees, Muhammad Faizan, Sarush Ahmed Siddiqui, Ayesha Anees, Komal Faheem, Umer Shoaib
INTRODUCTION: Cholelithiasis is one of the most common diseases encountered in gastroenterology. Laparoscopic cholecystectomy can be labelled as difficult if the surgery continues for more than 60 minutes or if the cystic artery is injured before ligation or clipping. Predicting difficult laparoscopic cholecystectomy can help the surgeon to be prepared for intraoperative challenges such as adhesions in triangle of Calot, injury to cystic artery or gall stone spillage; and improve patient counseling...
November 5, 2023: Surgical Innovation
Regina Leung, Ge Shi
Learning surgical skills require critical visual-spatial motor skills. Current learning methods employ costly and limited in-person teaching in addition to supplementation by videos, textbooks, and cadaveric labs. Increasingly limited healthcare resources and in-person training has led to growing concerns for skills acquisition of trainees. Recent Mixed Reality (MR) devices offer an attractive solution to these resource barriers by providing three-dimensional holographic representations of reality that mimic in-person experiences in a portable, individualized, and cost-effective form...
November 2, 2023: Surgical Innovation
Kicheol Yoon, Sangyun Lee, Kwang Gi Kim
MOTIVATION: The wire-driven method used in the field of surgical robots has the advantage of light weight. However, in the process of pull and push for the operation of forceps, the length of the wire is not match, causing malfunction. To solve this problem, the application of looper-tension technology would be suitable. This paper contributes to adjusting the length of the wire by inserting a stand between the wire-driven joints and adding a looper-tension between the stands to adjust the rotation radius of the roll...
October 30, 2023: Surgical Innovation
Shuang-Qi Li, Zi-Fang Zheng, Hang Li, Jin-Fan Zhang, Yan Zheng, Li-Sheng Lin
BACKGROUND: Breast-conserving surgery combined with oncoplastic breast surgery has become the standard surgical treatment for early breast cancer. OBJECTIVE: The purpose of this study was to investigate the safety and efficacy of the thoracodorsal artery perforator flap (TDAPF) in breast-conserving reconstruction of T2 breast cancer. METHODS: Thirty patients with T2 breast cancer admitted to our hospital from January 2019 to December 2020 were enrolled to receive pedicled TDAPF for repairing breast defects after breast-conserving surgery...
October 29, 2023: Surgical Innovation
Jessica C Rivera, Anthony E Johnson, Travis C Burns, Christopher J Roach
INTRODUCTION: Surgical training using simulation can fill gaps in traditional surgical residency learning. We hypothesize that arthroscopy training conducted on a virtual reality simulator will be preferred by orthopaedic surgery residents over a traditional dry lab simulation model. METHODS: 38 orthopaedic surgery residents at a single U.S. residency program were randomized to train for a shoulder arthroscopy procedure using either a virtual reality simulator or a table-top dry lab simulator...
October 26, 2023: Surgical Innovation
Bianca Maria Festa, Andrea Costantino, Gian Marco Pace, Giuseppe Spriano, Armando De Virgilio
BACKGROUND: Buried free flaps represent a reconstructive challenge concerning monitoring of vitality, which is fundamental for an early detection of flap failure and prompt surgical salvage. Many flap monitoring techniques have been developed over time, and there is still no consensus concerning the best monitoring technique for buried reconstructions. METHODS: We performed a systematic review of the literature on NIRS monitoring for head and neck free flaps. Moreover, we presented a case of orbital reconstruction through a buried free myo-fascial anterolateral tight flap (ALTF) in which postoperative monitoring was performed by means of NIRS...
October 25, 2023: Surgical Innovation
Ethan Clifford, Frederick Stourton, Johann Willers, Gianluca Colucci
OBJECTIVE: Clamshell thoracotomy (CST) is an emergency procedure performed during traumatic cardiac arrest. Emergency physicians and surgeons are expected to perform this procedure in the Emergency Department. However, the procedure has a low occurrence rate, therefore physicians are often poorly prepared. Current teaching methods include expensive simulators and anatomically inaccurate animal models. The goal of this study was to design, produce and test, a low-cost, high-fidelity model for the teaching of CST...
October 24, 2023: Surgical Innovation
Hilmi Anil Dincer, Ömer Cennet, Ahmet Bulent Dogrul
BACKGROUND: The aim of this study was to compare the educational and academic quality of laparoscopic distal pancreatectomy (LDP) videos on YouTube® and WebSurg® platforms. MATERIAL AND METHODS: YouTube and WebSurg platforms were searched with the keyword "laparoscopic distal pancreatectomy". According to the exclusion criteria, 12 videos were found on WebSurg. To ensure a 1:1 ratio, the first 12 videos that met the criteria on YouTube were also analyzed...
October 22, 2023: Surgical Innovation
Nicco Ruggiero, Joseph C L'Huillier, Nigel Marine, Owen Burns, Farrah Mawani, L T Muavé Sanders, Adam Abbas, Timothy M Adams, Byron F Santos, Yana R Wirengard, James Butch Rosser
BACKGROUND: Competition-based learning (CBL) facilitates learning through competitions. At the 2022 & 2023 Annual SAGES meetings, we evaluated a CBL experience (TOP GUN Shootout) developed from a modified version of the previously validated TOP GUN Laparoscopic Skills and Suturing Program. The project sought to evaluate the TOP GUN Shootout's (TGS) ability to enhance participant engagement in pursuit of laparoscopic surgical skills. METHODS: Participants competed in the TGS...
October 13, 2023: Surgical Innovation
Hyeon-Woong Seo, Kicheol Yoon, Sangyun Lee, Won-Suk Lee, Kwang Gi Kim
MOTIVATION: Typical surgical microscopes used for fluorescence-based lymph node detection experience limitations such as weight and restricted adjustability of the integrated light emitting diode (LED) and camera. This restricts the capture of detailed images of specific regions within the lesion. RESEARCH GOAL: This study proposes a miniature observation robot design that offers adjustable working distance (WD) and rotational radius, along with zoom-in/zoom-out functionality...
October 12, 2023: Surgical Innovation
Antonio Brillantino, Francesca Iacobellis, Luigi Brusciano, Pasquale Giordano, Giulio Aniello Santoro, Iwona Sudol-Szopinska, Maurizio Grillo, Mauro Natale Maglio, Fabrizio Foroni, Alessio Palumbo, Maria Paola Menna, Carmine Antropoli, Ludovico Docimo, Adolfo Renzi
PURPOSE: To evaluate the impact of preoperative three-dimensional endoanal ultrasound (3D-EAUS) on the clinical outcome of anal fistula surgery. METHODS: The research consisted of multi-center retrospective case-control study including 253 consecutive adult patients undergoing surgery for confirmed or suspected primary fistula in ano who had undergone preoperative 3D-EAUS evaluation between January 2011 and January 2021. Main outcome measures were the concordance (K value) between ultrasound results and surgery in the identification of fistulas internal openings, primary tracts and secondary extensions and the 6 and 12 months success rate in patients with concordant and discordant findings...
September 30, 2023: Surgical Innovation
Patrick F Leahy
BACKGROUND: Laparoscopic Surgery is performed using carbon dioxide gas insufflated into the abdominal cavity to create a space for endoscopic visualization. During a laparoscopic surgical dissection plume is formed from electrocautery dissection. This plume contains viruses and sometimes COVID-19 viruses. The plume obscures the visual field. The unfiltered plume release is dangerous to surgeons, nurses, and patients. The loss of visualization during carbon dioxide release delays surgery...
September 29, 2023: Surgical Innovation
Fang Cheng
No abstract text is available yet for this article.
September 28, 2023: Surgical Innovation
Partha Pratim Ray
No abstract text is available yet for this article.
September 26, 2023: Surgical Innovation
Amnuay Kleebayoon, Viroj Wiwanitkit
No abstract text is available yet for this article.
September 21, 2023: Surgical Innovation
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