Minimally Invasive Therapy & Allied Technologies最新文献

Level I/II autonomy in robotically navigated lithotripsy: comprehensive system evaluation and performance assessment. 机器人导航碎石术中的I/II级自主性：综合系统评估和性能评估。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-03 DOI: 10.1080/13645706.2025.2568611

Lambros Athanasiou, Manivannan Senthil Kumar, Franklin King, Daniel A Wollin, Nobuhiko Hata

{"title":"Level I/II autonomy in robotically navigated lithotripsy: comprehensive system evaluation and performance assessment.","authors":"Lambros Athanasiou, Manivannan Senthil Kumar, Franklin King, Daniel A Wollin, Nobuhiko Hata","doi":"10.1080/13645706.2025.2568611","DOIUrl":"https://doi.org/10.1080/13645706.2025.2568611","url":null,"abstract":"Background: Laser lithotripsy is a minimally invasive procedure performed by a urologist using a ureteroscope, a device composed of a flexible laser fiber and a camera. The camera is used to physically view and manually target the stone ablated by the laser. The procedure involves the risk of unintentional trauma caused by the laser when the stones are out of target due to their retro-pulsive movement.Methods: To minimize clinical complications, we propose a Level I/II autonomous system in robotic lithotripsy. The system consists of a robotic catheter and an integrated U-Net segmentation method. The system aims to automatically target the stones during lithotripsy and guide ureteroscope navigation autonomously.Results: The proposed system is designed and validated using a phantom specifically manufactured to investigate the feasibility of autonomous stone ablation. An overall target accuracy of 99.97% (leave-one-out: 99.971 min, 99.975 max) was reported.Conclusions: We successfully implemented a stone targeting method and integrated it with our robotic system to evaluate the level of success in autonomously targeting the stones. The results, indicate that autonomy in robot assisted lithotripsy is feasible.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available. 目前的腹腔镜胆总管探查模拟器是否适合用于捕捉该技术的复杂性？回顾文献并对现有文献进行评价。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-05-29 DOI: 10.1080/13645706.2025.2509220

Mohamed Aburrous, Marine Shao, Benjy Bailey, Charlotte Clark, Michael G Clarke, Ian Finlay, Allwyn Cota, James Clark

{"title":"Are current laparoscopic common bile duct exploration simulators suitably designed to capture the complexity of the technique? A review of the literature and evaluation of those available.","authors":"Mohamed Aburrous, Marine Shao, Benjy Bailey, Charlotte Clark, Michael G Clarke, Ian Finlay, Allwyn Cota, James Clark","doi":"10.1080/13645706.2025.2509220","DOIUrl":"10.1080/13645706.2025.2509220","url":null,"abstract":"Background: Whilst endoscopic retrograde cholangiopancreatography (ERCP) remains the main line of treatment for choledocholithiasis, laparoscopic common bile duct exploration (LCBDE) offers a single-stage procedure and reduced hospital stay, cost and pressure on ERCP. However, LCBDE is a demanding technique that requires training in order to master, which could be achieved through simulation. The aim of this study was to highlight the suitability of currently available LCBDE simulators for surgical training and evaluate their practicality.Methods: Database search included Embase and Medline as well as grey literature for LCBDE simulation and training.Results: Nine dedicated simulators were identified to train on LCBDE. Five simulators were validated, of which only three are commercially available and only one model could train on laparoscopic ultrasound using augmented reality.Conclusions: Most identified LCBDE simulators are meeting basic criteria to train on the procedure steps. Synthetic models have been shown to improve training and operative performance in addition to shortening learning curves, many at low cost, especially when used within a constructed surgical curriculum program. However, more investment in development and implementation is required to meet the growing need, including training on laparoscopic ultrasound. Only one primitive virtual reality-based simulator was identified and did not meet the criteria for training.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"365-377"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing apical POP treatment: a comparative analysis of vNOTES lateral suspension and laparoscopic lateral suspension. 推进根尖POP治疗：vNOTES外侧悬吊与腹腔镜外侧悬吊的比较分析。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI: 10.1080/13645706.2025.2532108

Gizem Berfin Uluutku Bulutlar, Eralp Bulutlar, Ayşe Betül Albayrak Denizli, Çetin Kılıççı

{"title":"Advancing apical POP treatment: a comparative analysis of vNOTES lateral suspension and laparoscopic lateral suspension.","authors":"Gizem Berfin Uluutku Bulutlar, Eralp Bulutlar, Ayşe Betül Albayrak Denizli, Çetin Kılıççı","doi":"10.1080/13645706.2025.2532108","DOIUrl":"https://doi.org/10.1080/13645706.2025.2532108","url":null,"abstract":"Background: Apical pelvic organ prolapse (POP) significantly impacts quality of life. The vaginal natural orifice transluminal endoscopic surgery lateral suspension (vNOTES LS) combines the benefits of vNOTES and mesh-based suspension. This study compares clinical outcomes of vNOTES LS and laparoscopic lateral suspension (LLS) in patients with ≥ Stage 3 apical POP.Methods: In this retrospective cohort study, 80 patients with ≥ Stage 3 apical and/or anterior wall defects underwent hysterectomy with vNOTES LS (n = 40) or LLS (n = 40) between January 2022 and January 2024. Perioperative parameters, postoperative outcomes, and POP-Q measurements (Ba and C) were analyzed.Results: Preoperative characteristics, including BMI and prolapse stage, were comparable. Postoperative POP-Q measurements (Ba and C) significantly improved in the vNOTES LS group at day 1, month 6, and year 1 (p < 0.05). Operative time and hematocrit changes were similar (p > 0.05). Hospital stay was shorter with vNOTES LS (1.05 ± 0.22 vs. 2.2 ± 0.75 days, p < 0.05), and fewer complications were noted. No urinary injury, mesh erosion, or recurrence occurred in the vNOTES LS group.Conclusions: vNOTES LS demonstrated comparable success to LLS with shorter hospital stays and fewer complications. Its minimally invasive nature highlights its potential as a promising alternative for selected patients.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":"34 5","pages":"416-423"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of safety for self-retracting intraperitoneal device for small bowel in minimally invasive surgery. 微创手术中自收放式腹腔内装置安全性的验证。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-05-21 DOI: 10.1080/13645706.2025.2500742

Samer Abu Salem, Koby Goren, Samer Michael, Ronit Brodie, David Kushnir, Jenia Yagil, Gabriel Szydlo Shein, Brigitte Helou, Gad Marom, Yoav Mintz

{"title":"Validation of safety for self-retracting intraperitoneal device for small bowel in minimally invasive surgery.","authors":"Samer Abu Salem, Koby Goren, Samer Michael, Ronit Brodie, David Kushnir, Jenia Yagil, Gabriel Szydlo Shein, Brigitte Helou, Gad Marom, Yoav Mintz","doi":"10.1080/13645706.2025.2500742","DOIUrl":"10.1080/13645706.2025.2500742","url":null,"abstract":"Background: Modernly, abdominal surgery has shifted to minimally invasive techniques with an inclination towards fewer incisions. This has made intra-abdominal retraction more challenging. Despite development in retracting instrumentation for solid organs, the mobilization of the bowel remains challenging due to its friable nature. Therefore, there is a need to investigate the safety profile of internal retractors such as the EndoGrab for small-bowel retraction.Methods: Twenty locations of small bowel were selected for EndoGrab retraction in two pigs. The locations were studied for iatrogenic injury at acute and delayed stages. Evaluation of injury was assessed clinically and histologically.Results: After the EndoGrab application, no immediate signs of perforation or ischemia were observed. The clinical post-operative course was uncomplicated. Histopathology findings included serosal compression and minimal mucosal ulceration. Long-term changes showed mild changes of focal edema and fibrosis, with inter-individual variability in severity.Conclusion: While there were no signs of overt macroscopic acute injury, minimal microscopic changes were evident. According to this small-scale study, the EndoGrab can provide an effective and safe solution for small-bowel self-retractors. More research is needed to acquire a higher level of evidence for safety. Such a solution could eliminate ports or assistants previously designed for retraction only.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"378-385"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience with transarterial embolization for large symptomatic renal angiomyolipomas in patients with a solitary kidney: long-term outcomes. 经动脉栓塞治疗单肾患者大症状性肾血管平滑肌脂肪瘤的经验：长期结果。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-06-27 DOI: 10.1080/13645706.2025.2523257

Heng Zhang, Jin Xin Fu, Jin Long Zhang, Li Min Meng, Xi Long Yu, Mao Qiang Wang

{"title":"Experience with transarterial embolization for large symptomatic renal angiomyolipomas in patients with a solitary kidney: long-term outcomes.","authors":"Heng Zhang, Jin Xin Fu, Jin Long Zhang, Li Min Meng, Xi Long Yu, Mao Qiang Wang","doi":"10.1080/13645706.2025.2523257","DOIUrl":"10.1080/13645706.2025.2523257","url":null,"abstract":"Background: Treatment of large symptomatic renal angiomyolipomas (AMLs) in patients with a solitary kidney poses a challenge in controlling the tumor while preserving renal function. This retrospective research examines the safety and long-term effects of transarterial embolization (TAE) using iodized oil-bleomycin emulsion plus N-Butyl cyanoacrylate (NBCA) for treating large symptomatic AMLs in patients with a solitary kidney.Methods: Over 20 years, 12 female patients, who had a solitary kidney due to a previous radical nephrectomy for AMLs, underwent TAE. Indications included symptomatic AMLs (retroperitoneal hematoma, hematuria or flank pain) and patients considered very high-risk for surgery (≥5 cm). The study evaluated adverse events (AEs), renal function changes, symptom relief, and tumor size.Results: The median follow-up was 96 months. No significant kidney function decline was noted. Symptoms resolved completely in all patients, with the mean lesion diameter reducing from 7.2 ± 2.5 cm to 0.7 ± 0.5 cm (p < 0.01). Complete resolution (CR) of AMLs occurred in nine patients (83.3%), with no recurrence during follow-up.Conclusions: TAE with iodized oil-bleomycin emulsion plus NBCA for treatment with large symptomatic AMLs in solitary kidney is safe and durability effect, with complete resolution of the symptoms, high rate CR of the tumors, without deterioration of the renal function.Trial registration: ChiCTR2100053296.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"395-405"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic transvesical vesicovaginal fistula repair: technical point from a tertiary center. 机器人经膀胱膀胱阴道瘘修复：来自三级中心的技术要点。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-07-09 DOI: 10.1080/13645706.2025.2530463

Sonia Costantino, Lorenzo De Bon, Luca Roggero, Claudio Brancelli, Alberto Baielli, Francesco Ditonno, Davide Brusa, Greta Pettenuzzo, Matteo Balzarro, Emanuele Rubilotta, Antonio Benito Porcaro, Alessandro Veccia, Maria Angela Cerruto, Riccardo Bertolo, Alessandro Antonelli

{"title":"Robotic transvesical vesicovaginal fistula repair: technical point from a tertiary center.","authors":"Sonia Costantino, Lorenzo De Bon, Luca Roggero, Claudio Brancelli, Alberto Baielli, Francesco Ditonno, Davide Brusa, Greta Pettenuzzo, Matteo Balzarro, Emanuele Rubilotta, Antonio Benito Porcaro, Alessandro Veccia, Maria Angela Cerruto, Riccardo Bertolo, Alessandro Antonelli","doi":"10.1080/13645706.2025.2530463","DOIUrl":"10.1080/13645706.2025.2530463","url":null,"abstract":"Background: The aim of this study was to report the institutional experience with robot-assisted trans-vesical vesico-vaginal fistula (VVF) repair focusing on technical points.Methods: Patients diagnosed with VVF who came to our observation between December 2020 and January 2024 were included in the analysis. Beyond computed tomography scan, all patients underwent pre-operative cystoscopy; a cystography could also be executed. All patients were scheduled for robot-assisted repair with trans-vesical approach.Results: Five VVFs were developed after previous gynecological surgery, while one occurred after a urological surgical procedure. The median operative time was 137 min [interquartile range (IQR) (99-150)]. Intraoperative blood loss was negligible. The average hospital stay was six days. The urinary catheter was removed within four weeks (median catheterization time, 16.5 days) (IQR 14-27) after cystography was negative for leakages. One patient reported fever within three months from surgery (Clavien II). Pathology reports were negative for malignancies in all cases. No recurrences were reported during the follow-up.Conclusions: Robotic repair of VVF with a trans-vesical approach represents a safe and effective surgical option.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"358-364"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A retrospective study comparing EUS-BD and ERCP-BD after duodenal stent placement in patients with malignant biliary and duodenal obstruction. 一项回顾性研究比较EUS-BD和ERCP-BD在恶性胆道和十二指肠梗阻患者植入十二指肠支架后的疗效。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1080/13645706.2025.2537407

Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Hiroyuki Asama, Hiroshi Shimizu, Kentaro Sato, Rei Ohira, Jun Nakamura, Mika Takasumi, Tsunetaka Kato, Takumi Yanagita, Mitsuru Otsuka, Takuto Hikichi, Hiromasa Ohira

{"title":"A retrospective study comparing EUS-BD and ERCP-BD after duodenal stent placement in patients with malignant biliary and duodenal obstruction.","authors":"Mitsuru Sugimoto, Tadayuki Takagi, Rei Suzuki, Hiroyuki Asama, Hiroshi Shimizu, Kentaro Sato, Rei Ohira, Jun Nakamura, Mika Takasumi, Tsunetaka Kato, Takumi Yanagita, Mitsuru Otsuka, Takuto Hikichi, Hiromasa Ohira","doi":"10.1080/13645706.2025.2537407","DOIUrl":"10.1080/13645706.2025.2537407","url":null,"abstract":"Background: In patients with malignant biliary and duodenal obstruction (MBDO), biliary and duodenal double stenting is necessary. However, whether the time to recurrent biliary obstruction (TRBO) can be extended with ERCP-guided biliary drainage (ERCP-BD) or EUS-guided BD (EUS-BD) has not been sufficiently elucidated. Therefore, the aim of this study was to determine whether ERCP-BD or EUS-BD was more useful for increasing the TRBO with duodenal stenting.Methods: We compared the TRBO with duodenal stenting and other clinical outcomes between ERCP-BD and EUS-BD in MBDO patients. We matched the patient characteristics of the two groups using propensity scores.Results: Technical success was greater in the EUS-BD group (n = 17/17, 100%) than in the ERCP-BD group (n = 32/52, 61.5%) (p < 0.01). After propensity score matching, 17 matched pairs were included for further analysis. There was no significant difference in the TRBO following duodenal stenting between the ERCP-BD group (median of 62 days) and the EUS-BD group (median of 68 days) (p = 0.94).Conclusion: The TRBO following duodenal stenting was comparable between ERCP-BD and EUS-BD. The technical success of EUS-BD was superior to that of ERCP-BD; therefore, EUS-BD might be the optimal choice for endoscopic BD in MBDO patients.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"424-432"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Local excision of rectal neoplasia: a real-world survey of current practices and perspectives. 直肠肿瘤局部切除：当前实践和观点的现实世界调查。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-07-31 DOI: 10.1080/13645706.2025.2530451

P A Boland, P D McEntee, E Murphy, A Singaravelu, J B Tuynmann, A Arezzo, F Aigner, J P Burke, R A Cahill

{"title":"Local excision of rectal neoplasia: a real-world survey of current practices and perspectives.","authors":"P A Boland, P D McEntee, E Murphy, A Singaravelu, J B Tuynmann, A Arezzo, F Aigner, J P Burke, R A Cahill","doi":"10.1080/13645706.2025.2530451","DOIUrl":"10.1080/13645706.2025.2530451","url":null,"abstract":"Background: Advancements in transanal management of rectal tumours have improved outcomes in appropriately selected patients. However, variation exists regarding optimal perioperative investigational and surgical strategy. This survey captures current opinions and practices of surgeons managing rectal neoplasia transanally.Methods: Electronic survey regarding theranostic approaches for the transanal management of rectal neoplasia distributed via European surgical associations' mailing lists.Results: One hundred and thirty-four surgeons from 29 countries responded, 49%, 80% and 4.5% of whom respectively perform ≤5, ≤10, and >20 excisions/year. Transanal Minimally Invasive Surgery (TAMIS) was the most popular access method (75.4%), with rigid platforms (Transanal Endoscopic Microsurgery/Transanal Endoscopic Operation) and flexible methods being used similarly (42.5% vs. 43.3%). MRI was considered the most reliable preoperative investigation overall. Surgeons performing >10 cases/year were more likely to use submucosal (53.8% vs. 31.1%, p = 0.03) and intermuscular (38.5% vs. 14.2%, p = 0.005) planes of excision and narrow band imaging as an assessment requirement (p = 0.009) but less likely to insist on MRI (p < 0.001). Surgeons performing >5 cases/year were more likely to use multiple access methods (67.6% vs. 40.9%, p = 0.003). TAMIS users were more likely to perform full thickness and intermuscular excisions (p < 0.001) with surgeons who use flexible endoscopy more likely to use the submucosal plan (p < 0.001).Conclusions: Various surgical and perioperative practices exist for significant rectal neoplasia with significant variance by caseload, access method, and geographical location.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"335-343"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minimally invasive approach for inguinoscrotal hernia repair. A systematic literature review. 腹股沟阴囊疝微创修补术。系统的文献综述。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-06-28 DOI: 10.1080/13645706.2025.2524831

Andrea Balla, Alberto Sartori, Monica Ortenzi, Livia Bressan, Mauro Podda, Salvador Morales-Conde

{"title":"Minimally invasive approach for inguinoscrotal hernia repair. A systematic literature review.","authors":"Andrea Balla, Alberto Sartori, Monica Ortenzi, Livia Bressan, Mauro Podda, Salvador Morales-Conde","doi":"10.1080/13645706.2025.2524831","DOIUrl":"10.1080/13645706.2025.2524831","url":null,"abstract":"Background: This systematic review reports the presently available evidence regarding the results of the minimally invasive surgery (MIS) approach for the treatment of inguinoscrotal hernias (ISHs).Methods: After PROSPERO registration (CRD-42023493129), a search was performed in the MEDLINE, Embase, and Web of Science databases.Results: One-thousand-fifty-two patients were included (78.3% and 21.7% underwent transabdominal preperitoneal repair [TAPP] and totally extraperitoneal repair [TEP], respectively). Twenty-one complications occurred during TAPP (2.5%), and 28 occurred during TEP (12.3%). Conversion to open surgery for TAPP procedure was reported in seven patients (0.8%). TEP procedure required conversion to TAPP in 19 patients (8.3%), and open surgery in 18 patients (7.9%) (overall conversion rate 16.2%). Postoperative complication rate was 30.1% (317 patients), with 193 after TAPP repair (23.4%) and 124 after TEP repair (54.4%) (including Clavien-Dindo I-IV). Length of hospital stay ranged between one to five days after both repairs. The overall recurrence rate was 1.6% (19 recurrences), of which 12 (1.3%) and seven (2.8%) recurrences after TAPP and TEP, respectively.Conclusions: MIS approaches for ISH repair are technically challenging. TEP repair should be avoided in case of ISH repair, due to the high rate of postoperative complications, risk of conversion and recurrences.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"344-357"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimized design of a non-isopeak-ring endovascular stent graft for thoracic aortic aneurysm. 胸主动脉瘤非等开环血管内支架的优化设计。

IF 2 4区医学

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-10-01 Epub Date: 2025-06-24 DOI: 10.1080/13645706.2025.2523253

Yu Zhou, Chengli Song, Ailing Zhang, Shiju Yan

{"title":"Optimized design of a non-isopeak-ring endovascular stent graft for thoracic aortic aneurysm.","authors":"Yu Zhou, Chengli Song, Ailing Zhang, Shiju Yan","doi":"10.1080/13645706.2025.2523253","DOIUrl":"10.1080/13645706.2025.2523253","url":null,"abstract":"Background: To optimize the design of the stent graft (SG) with a non-isopeak-ring, this study investigates the radial support and bending flexibility properties of SGs with different spacing, number of peaks, and peak heights.Methods: Numerical simulation and physical experiments were used to compare the mechanical properties of isopeak-ring SGs and non-isopeak-ring SGs.Results: Greater spacing of stent rings can provide greater bending flexibility; fewer peaks in the stent ring result in more radial support and less spring-back force. The SG design featuring a gradient of five wave peaks and a minimum stent ring spacing of 5 mm has the best flexibility. The relationship in terms of radial support force magnitude is as follows: isopeak-ring with heights of 13 mm > combination > gradient > isopeak-ring with heights of 16 mm. Additionally, the smaller the peak height, the greater its radial support.Conclusions: It is found that the gradient SG with five peaks not only provides sufficient radial support but also demonstrates superior flexibility compared to other types of SGs.","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"386-394"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0