Minimally Invasive Therapy & Allied Technologies最新文献

{"title":"A motion-compensated reconstruction algorithm improves reader-assessed cone-beam CT image quality during TACE.","authors":"Katherine L McNamara, Austin Ng, Alexander M Vezeridis, Lynne Martin, Kerstin Mueller, Peter Fischer, Tie Liang, Andrew C Picel","doi":"10.1080/13645706.2026.2734220","DOIUrl":"https://doi.org/10.1080/13645706.2026.2734220","url":null,"abstract":"<p><strong>Background: </strong>Cone-beam computed tomography (CBCT) is a critical component of liver directed therapies used to identify tumor feeding vessels. CBCT images are often limited by breathing motion artifacts. This study evaluates if post-processing CBCT images with a motion compensation algorithm improves image-quality for transarterial chemoembolization (TACE).</p><p><strong>Methods: </strong>A motion compensated reconstruction algorithm was applied to CBCT images from 51 patients who underwent TACE with full-strength of half-strength contrast. All cases demonstrated respiratory motion artifact. Subjective analysis of CBCT images before and after motion compensation was performed by four blinded radiologists.</p><p><strong>Results: </strong>Inter-reader agreement was substantial (Gwet's AC1 > 0.60). Across all cases, vessel sharpness (p = 0.023), confidence in identifying all feeding vessels (p = 0.036), and overall image quality (p = 0.024) were improved with the motion compensated reconstruction. The mean confidence in identifying all feeding vessels was improved in both the full-strength and half-strength contrast cases. Tumor conspicuity (p = 0.112) and the number of feeding vessels identified (p = 0.133) were not significantly different between groups.</p><p><strong>Conclusions: </strong>The motion compensated reconstruction algorithm improved CBCT image quality scores across multiple criteria and improved reader confidence in the imaging findings. These findings support further prospective evaluation to determine if this translates into reduced repeat imaging, lower radiation exposure, shorter procedure time, or improved treatment selectivity.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075186","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}

{"title":"Surgical telementoring platforms for clinical care and training: a systematic review.","authors":"Natali Rodriguez Peñaranda, Paweł Wisz, Jessica Vella, Elisabetta Pia Bilancia, Nicolas Carl, Edoardo Beatrici, Attilio Barretta, Alessio Guidotti, Francesco Cei, Pietro Pasquini, Salvatore Micali, Stefano Puliatti, Alexandre Mottrie, Niki Rashidian","doi":"10.1080/13645706.2026.2734221","DOIUrl":"https://doi.org/10.1080/13645706.2026.2734221","url":null,"abstract":"<p><strong>Background: </strong>Surgical telementoring enables remote, real-time expert guidance in clinical practice and surgical education. This systematic review evaluated telementoring platforms used in surgery and training, focusing on technical characteristics, applications, strengths, and limitations.</p><p><strong>Methods: </strong>PubMed/MEDLINE, Scopus, and Web of Science were searched for studies published from January 2015 to April 15, 2026, following PRISMA 2020. Eligible studies described surgical telementoring platforms with sufficient technical and application-related information. Findings were narratively synthesized into clinical practice, training/simulation, and immersive/augmented applications. Quality was assessed using the Mixed Methods Appraisal Tool. The review was registered in PROSPERO (CRD420261403771).</p><p><strong>Results: </strong>The search identified 672 records, 35 reports representing 34 independent studies from 18 countries were included. Most were feasibility, pilot, simulation, or early implementation studies. Platforms ranged from low-cost audiovisual systems to integrated immersive technologies. Clinical studies mainly demonstrated technical feasibility, while comparative evidence on patient outcomes and safety remained limited. Training studies reported improved procedural performance and learner confidence, while immersive systems showed potential for enhanced spatial guidance.</p><p><strong>Conclusions: </strong>Surgical telementoring is feasible across clinical and educational settings, but evidence regarding patient outcomes and comparative safety remains limited. Future research should prioritize standardized reporting, comparative clinical validation, governance frameworks, and integration into structured training pathways.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039922","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}

{"title":"NOTES sacrocolpopexy versus sacrospinous ligament fixation for apical pelvic organ prolapse: a pilot, hypothesis-generating, single-centre retrospective comparative cohort study.","authors":"Varol Gülseren, Kemal Güngördük, Berican Şahin Uyar, Emre Biton, Serkan Üstüntaş, Kübra İnan","doi":"10.1080/13645706.2026.2734217","DOIUrl":"https://doi.org/10.1080/13645706.2026.2734217","url":null,"abstract":"<p><strong>Background: </strong>To compare anatomical, functional, and safety outcomes of vaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy (SCP) and vNOTES sacrospinous ligament fixation (SSLF) for apical pelvic organ prolapse (POP).</p><p><strong>Methods: </strong>Single-centre, single-surgeon, retrospective comparative cohort study conducted in accordance with the STROBE statement. Allocation to vNOTES SSLF (<i>n</i> = 24) or vNOTES SCP with a lightweight polypropylene Y-mesh (<i>n</i> = 32) was based on prespecified intra-operative feasibility criteria rather than randomisation. The primary outcome was composite apical anatomical success at 12 months (point C ≤ -5 cm and absence of apical POP-Q stage ≥ II). Secondary outcomes included perioperative parameters, visual analogue scale (VAS) pain scores, Quality-of-Recovery-40 (QoR-40), Prolapse Quality-of-Life (P-QOL), ICIQ-UI SF (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form) and PGI-I scores, and complications classified with the Clavien-Dindo and IUGA/ICS Category-Time-Site systems.</p><p><strong>Results: </strong>Baseline characteristics were balanced. Composite apical success at 12 months was achieved in 22/24 (91.7%) SSLF patients and 30/32 (93.8%) SCP patients (risk difference -2.1 percentage points; 95% CI, -17.6 to +13.5); this interval is compatible with clinically meaningful differences in either direction and does not support an inference of equivalence. Suspension time was shorter with SSLF (40.2 ± 11.8 vs 54.6 ± 12.7 min; <i>p</i> < 0.001), as was total operative time (89.7 ± 15.2 vs 104.9 ± 17.6 min; <i>p</i> = 0.001). Estimated blood loss, VAS pain, QoR-40, P-QOL, ICIQ-UI SF and PGI-I showed no statistically detectable difference. No intra-operative injuries, conversions to laparotomy, or mesh-related events (IUGA/ICS classification) were detected during a median follow-up of 21 months (range 6-36) for SSLF and 20 months (8-35) for SCP.</p><p><strong>Conclusions: </strong>In this hypothesis-generating single-surgeon cohort, vNOTES SSLF and vNOTES SCP showed no statistically detectable difference in short- to mid-term anatomical and patient-reported outcomes, with shorter suspension time favouring SSLF.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025290","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}

{"title":"PaceyCuff for male stress urinary incontinence: first UK pilot evaluation of clinical outcomes and short-term cost offset.","authors":"Clemence Musabyimana, Tarush Gupta, Bob Yang","doi":"10.1080/13645706.2026.2734261","DOIUrl":"https://doi.org/10.1080/13645706.2026.2734261","url":null,"abstract":"<p><strong>Background: </strong>Incontinence pads are the standard treatment for male stress urinary incontinence (SUI), especially after prostate surgery. Implantable devices are effective but limited by surgical waitlists and patient suitability. The PaceyCuff is a novel external urethral control device designed for extended wear while aiming to preserve blood flow, offering a less invasive option than surgery. This UK pilot study assessed preliminary clinical outcomes, tolerability, patient satisfaction, and short-term cost-offset observations.</p><p><strong>Methods: </strong>Sixteen participants were enrolled. Two were excluded from the final analysis: one due to unrelated death and another due to inability to wear the PaceyCuff due to a buried penis. Baseline penile and finger peripheral oxygen saturation (SpO₂), 3-h pad weight, 24-h pad count and patient-reported outcomes using the International Consultation on Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) and Quality of life questionnaire (QoL) were recorded. Participants were fitted with the PaceyCuff, and reassessed immediately, at 3 h and (<i>via</i> telephone) at two weeks and one month.</p><p><strong>Results: </strong>ICIQ-UI scores fell from 17.4 to 7.2 at one month; QoL improved from 12.5 to 2.9. Urine loss decreased from 94 g to 10 g (<i>p</i> = .014). Pad use dropped from 4.2 to 1.7/day. Mean pain score 1.9/10, with two minor adverse events. Penile SpO₂ remained stable, with no short-term clinical signs of ischaemia observed. The mean Charlson Comorbidity Index was 6.1. Weekly pad costs decreased from £42.34 to £17.95 (<i>p</i> = .002), potentially offsetting device costs within 13 weeks.</p><p><strong>Conclusions: </strong>The PaceyCuff shows potential as a low-cost conservative and well-tolerated option for male SUI, including in patients unsuitable for surgery. Larger scale studies are required to confirm the long-term efficacy and safety associated with PaceyCuff.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030938","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}

{"title":"Ergonomic mismatch in circular staplers: powered staplers are associated with reduced sex-related disparities.","authors":"Emiko Kono, Sachiyo Nomura, Takashi Sakamoto, Kae Okoshi, Rie Matsunaga, Norihito Wada, Minako Kobayashi, Chie Takasu, Kengo Hayashi, Mayu Sakata, Chie Tanaka, Sang-Woong Lee, Ken Shirabe","doi":"10.1080/13645706.2026.2734219","DOIUrl":"https://doi.org/10.1080/13645706.2026.2734219","url":null,"abstract":"<p><strong>Background: </strong>Manual circular staplers have been recognized as difficult to operate, particularly for female surgeons. Recently, powered circular staplers have been developed to address these limitations. This study aimed to describe surgeons' satisfaction and perceived challenges with manual and powered staplers and evaluate sex-related differences in operability.</p><p><strong>Methods: </strong>A web-based survey was conducted among 18,261 members of the Japanese Society of Gastroenterological Surgery. The questionnaire collected demographic data, including sex, years since medical registration, and surgical glove size. It also assessed perceptions of manual and powered circular staplers, including stress or anxiety during use, situations associated with operational difficulty, overall satisfaction, and desired improvements.</p><p><strong>Results: </strong>A total of 1,007 responses were obtained (859 men, 144 women, and four other/no response), yielding a response rate of 5.5%. Female surgeons had smaller glove sizes and fewer years of experience than male surgeons. With manual staplers, female surgeons reported higher levels of stress and anxiety during firing and lower overall satisfaction. The main issues identified were firing, handle size, and device weight. In contrast, powered staplers mitigated many of these challenges, improved satisfaction in both groups, and reduced sex-related differences in stressful situations during stapler operation.</p><p><strong>Conclusions: </strong>Powered circular staplers were associated with higher satisfaction than manual staplers among both male and female surgeons and may help reduce sex-related differences in operability. However, statistically significant sex-related differences persisted for some outcomes, and issues related to device weight remain, highlighting the need for further ergonomic improvements.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012472","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}

{"title":"Telesurgery from Operation Lindbergh to global robotic hubs: history, evidence and future directions.","authors":"Barbara Seeliger, Jacques Marescaux, Vipul Patel","doi":"10.1080/13645706.2026.2708904","DOIUrl":"https://doi.org/10.1080/13645706.2026.2708904","url":null,"abstract":"","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990606","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}

{"title":"SEMS bridge to elective laparoscopic surgery versus emergency surgery for obstructive colorectal cancer: a propensity score-matched retrospective cohort study.","authors":"Tonghu Li, Wei Liu, Bo Jiang, Chenbo Sun, Yunguang Nan, Zhengcai Qiu","doi":"10.1080/13645706.2026.2713617","DOIUrl":"https://doi.org/10.1080/13645706.2026.2713617","url":null,"abstract":"<p><strong>Background: </strong>This study compared perioperative recovery and clinical outcomes of patients with obstructive colorectal cancer (OCRC) undergoing self-expandable metallic stent (SEMS) placement followed by elective laparoscopic resection versus emergency surgery.</p><p><strong>Methods: </strong>Between January 2019 and January 2021, 83 patients were included: 51 underwent SEMS placement followed by elective laparoscopic resection and 32 underwent emergency surgery. Propensity score matching (PSM) yielded 56 patients (28 per group). Operative parameters, gastrointestinal recovery, postoperative complications, oncologic quality indicators, and overall survival (OS) were evaluated. Survival was analyzed using Cox proportional hazards regression.</p><p><strong>Results: </strong>SEMS followed by elective laparoscopic resection was associated with shorter operative time and faster gastrointestinal recovery. Postoperative complications were numerically less frequent in the SEMS group (7.1% vs. 17.9%), although the difference was not significant (p=0.417). Adjusted Cox regression showed higher mortality risk after emergency surgery (HR=2.43, 95% CI 1.04-5.68, p=0.040), although only 16 deaths occurred. Two-year OS was numerically higher with SEMS (82.1% vs. 60.7%), without statistical significance (p=0.076). Conclusions: SEMS as a bridge to elective laparoscopic resection was associated with faster gastrointestinal recovery and fewer postoperative complications. The potential survival benefit warrants confirmation in larger prospective multicenter studies.</p><p><strong>Conclusions: </strong>SEMS placement as a bridge to elective laparoscopic resection was associated with improved gastrointestinal recovery and a numerically lower complication rate. The potential survival benefit requires confirmation in larger prospective multicenter studies.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148794973","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}

{"title":"A proof-of-concept study of optical tissue sensing during vacuum-assisted breast biopsy procedures.","authors":"Lianne Feenstra, Caroline A Drukker, Frederieke Van Duijnhoven, Ritse Mann, Eva Poelman, Annemarie Bruining, Marcos Da Silva Guimaraes, Behdad Dashtbozorg, Theo J M Ruers","doi":"10.1080/13645706.2026.2713615","DOIUrl":"10.1080/13645706.2026.2713615","url":null,"abstract":"<p><strong>Background: </strong>Vacuum-assisted breast biopsy (VABB) enables minimally invasive sampling of breast lesions but provides no real-time information about the tissue being sampled, potentially leading to sampling bias. We evaluated whether integrating diffuse reflectance spectroscopy (DRS) into the VABB workflow is feasible and can support more targeted sampling.</p><p><strong>Methods: </strong>A fiber-equipped introducer compatible with a standard Hologic VABB system was developed to acquire DRS measurements without altering the clinical workflow. In 40 ex vivo mastectomy specimens, ultrasound-guided VABB was performed, with DRS measurements obtained immediately before biopsy acquisition. Histopathology served as the reference standard, and labeled spectra were used to train machine learning models using sample-wise and patient-wise classification to distinguish healthy from malignant tissue.</p><p><strong>Results: </strong>A total of 300 biopsies were correlated with histopathology, yielding a balanced dataset of 248 spectra. The sample-wise model achieved a mean accuracy of 86%, sensitivity of 91%, and specificity of 82%. The patient-wise approach achieved 76%, 85%, and 70%, respectively.</p><p><strong>Conclusions: </strong>This proof-of-concept study demonstrates that DRS can be integrated into the VABB workflow using a novel optical introducer and discriminate malignant from healthy tissue in ex vivo breast specimens, supporting technical feasibility. Further clinical studies are needed to establish its diagnostic value.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685162","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}

{"title":"Console surgeon-controlled suction and coagulation during robot-assisted hepatectomy: early clinical evaluation of new flexible suction/coagulation probe.","authors":"Yoshito Tomimaru, Kiyokazu Nakajima, Naoto Gotohda, Yuki Ushimaru, Namiko Ban, Nobuaki Tagi, Makoto Hosaka, Shinichiro Hasegawa, Hirofumi Akita, Takehiro Noda, Shogo Kobayashi, Taishi Hata, Yuichiro Doki, Hidetoshi Eguchi","doi":"10.1080/13645706.2026.2713614","DOIUrl":"https://doi.org/10.1080/13645706.2026.2713614","url":null,"abstract":"<p><strong>Background: </strong>We recently developed a novel flexible suction/coagulation probe to overcome the rigidity of conventional electrosurgical probes, enabling simultaneous suction and coagulation from the console in robotic surgery. Although feasible in robot-assisted gastrectomy, its performance remains unevaluated in robot-assisted hepatectomy, which requires frequent suction and reliable hemostasis.</p><p><strong>Methods: </strong>This single-arm feasibility study included 12 consecutive patients undergoing robot-assisted hepatectomy using the probe, directly manipulated by the console surgeon for hemostasis during parenchymal transection. Surgical outcomes (operative time, estimated blood loss, device trouble, complications) were assessed. Surgeons completed a post-procedure questionnaire covering seven usability and performance domains on a 3-point Likert scale.</p><p><strong>Results: </strong>Robotic procedures included left hepatectomy, segmentectomies, and partial resections. All procedures were completed successfully without conversion. Median operative time was 397.5 min (range, 256-678 min), and estimated blood loss was 110 mL (range, 0-320 mL). No device-related adverse events or complications occurred. Overall satisfaction was rated 'satisfactory' by 75% of surgeons, with 'unsatisfactory' ratings occurring only for suction efficiency (16.7%).</p><p><strong>Conclusions: </strong>The flexible suction/coagulation probe appears to be a practical and clinically feasible option for robot-assisted hepatectomy. Although the suction efficiency requires further improvement, the device enables direct console surgeon-controlled suction and hemostasis during hepatic parenchymal transection.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679175","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}

{"title":"Ventral hernia repair in emergency settings. A machine learning model to predict post-operative complications.","authors":"Monica Ortenzi, Lorenzo Crepaz, Gabriele Anania, Andrea Balla, Salvador Morales-Conde, Manuela Mastronardi, Alberto Arezzo, Mauro Podda, Danila Azzolina","doi":"10.1080/13645706.2026.2665459","DOIUrl":"10.1080/13645706.2026.2665459","url":null,"abstract":"<p><strong>Background: </strong>Emergency ventral hernia repair remains a challenging procedure due to patient instability, contaminated surgical fields, and heterogeneity in hernia types and operative techniques. Predicting postoperative complications in this setting is difficult using traditional statistical methods. Machine learning (ML) may offer improved predictive accuracy by recognizing nonlinear patterns among multiple perioperative factors.</p><p><strong>Methods: </strong>A retrospective multicenter analysis was performed using data from the ACTIVE (Acute Treatment for Incisional Ventral Hernias) study, including 557 adult patients undergoing emergent ventral hernia repair between 2018 and 2021 in 31 Italian surgical centers. Demographic, preoperative, intraoperative, and postoperative variables were analyzed. Three ML algorithms-Decision Tree, Random Forest, and Deep Learning Neural Network-were trained and validated using five-fold cross-validation after class balancing with SMOTE. Model performance was compared with traditional logistic regression using accuracy, area under the ROC curve (AUC), and F1 score.</p><p><strong>Results: </strong>Postoperative complications occurred in 181 patients (32.5%), while major complications (Clavien-Dindo ≥ II) occurred in 10%. Random Forest achieved the best performance (AUC 0.95, accuracy 0.88, F1 score 0.86), outperforming logistic regression (AUC 0.82, accuracy 0.78). The most influential predictors were operative duration, ASA score, and sepsis for overall complications, while bowel obstruction and BMI were key factors for major complications. Surgical approach (open vs. laparoscopic) did not independently correlate with adverse outcomes, highlighting the complexity of patient- and case-specific interactions.</p><p><strong>Conclusions: </strong>Machine learning models can accurately predict postoperative complications following emergent ventral hernia repair, surpassing traditional regression methods. These findings suggest that ML-based decision tools could support risk stratification and optimize surgical planning in high-risk emergency settings. Prospective validation is warranted to integrate AI-assisted prediction into perioperative clinical workflows.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"248-259"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840031","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}