Surgical Innovation最新文献

Preoperative 3D Imaging Reconstruction Models for Predicting Infiltration of Major Vascular Structures in Patients During Pancreatic Surgery. 术前3D成像重建模型预测胰腺手术患者主要血管结构浸润。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-09-04 DOI: 10.1177/15533506251376468

Emilio Vicente, Yolanda Quijano, Luca Ballelli, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Luis Malave, Pablo Ruiz, Gabriel Garabote, Federica Scarno, Adriana Gioia, Eleonora DI Guardo, Gianvito Varvaro, Riccardo Caruso, Valentina Ferri

{"title":"Preoperative 3D Imaging Reconstruction Models for Predicting Infiltration of Major Vascular Structures in Patients During Pancreatic Surgery.","authors":"Emilio Vicente, Yolanda Quijano, Luca Ballelli, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Luis Malave, Pablo Ruiz, Gabriel Garabote, Federica Scarno, Adriana Gioia, Eleonora DI Guardo, Gianvito Varvaro, Riccardo Caruso, Valentina Ferri","doi":"10.1177/15533506251376468","DOIUrl":"https://doi.org/10.1177/15533506251376468","url":null,"abstract":"IntroductionVascular infiltration is the main limitation of resectability in locally advanced pancreatic cancer; thus, an accurate preoperative study is mandatory to plan an appropriate surgical strategy. In recent years, medical image fusion and three-dimensional reconstruction models have gained acceptance in general surgery, especially in the hepatic field. In pancreatic pathology, 3D reconstruction also may improves preoperative staging. The study aim was to compare the performance of a 3D imaging reconstruction model with that of conventional computed tomography (CT), and magnetic resonance imaging (MRI) for evaluating infiltration of major vascular structures in patients planning to undergo upfront pancreatic surgery.Materials and MethodsPatients with pancreatic cancer who underwent upfront surgical resection at Sanchinarro University Hospital from May 2018-June 2023 were retrospectively reviewed. The performance of a preoperative 3D reconstruction with the 3D Cella Medical Solutions (3D-MSP®) model was compared with that of traditional CT and MRI imaging.ResultsThree of 34 patients who underwent upfront pancreatic surgery with 3D reconstruction required vascular resection. For both venous and arterial involvement, 3D imaging demonstrated superior diagnostic accuracy, achieving 100% sensitivity, specificity, positive (PPV) and negative (NPV) predictive values. Compared with CT and MRI, 3D reconstruction significantly improved specificity and the PPV, which enhanced preoperative vascular staging and surgical planning.ConclusionPreoperative determination of vascular involvement was significantly better for 3D imaging reconstruction than for the other tested methods in patients with pancreatic cancer.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251376468"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993257","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

Three-Dimensional Computed Tomography Reconstruction in Uniportal Thoracoscopic Segmentectomy: A Propensity Score-matched Analysis. 单门胸腔镜节段切除术的三维计算机断层重建：倾向评分匹配分析。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-09-02 DOI: 10.1177/15533506251374834

Liang Chen, Ting Yu, Yanqing Pan, Guodong Ma

{"title":"Three-Dimensional Computed Tomography Reconstruction in Uniportal Thoracoscopic Segmentectomy: A Propensity Score-matched Analysis.","authors":"Liang Chen, Ting Yu, Yanqing Pan, Guodong Ma","doi":"10.1177/15533506251374834","DOIUrl":"https://doi.org/10.1177/15533506251374834","url":null,"abstract":"ObjectivesGiven the complexity of vascular and bronchial variations during segmental resection, three-dimensional (3D) reconstruction has been proposed as an effective tool to address anatomical challenges in segmentectomy. This study aims to evaluate the utility of 3D reconstruction in enhancing anatomical comprehension, optimizing surgical planning, and improving perioperative outcomes.MethodsFrom December 2022 to March 2024, clinical data of 141 patients who underwent uniportal thoracoscopic pulmonary segmentectomy were gathered. Based on preoperative examinations, the patients were categorized into the 3D group (51 patients) and the non - 3D group (90 patients). Primary endpoints were resection margin (distance from staple line to tumor) and operative time; secondary endpoints included intraoperative blood loss, conversion to thoracotomy, postoperative complications, and hospital stay. Propensity score matching was carried out to mitigate selection bias between the two groups.ResultsAfter 1:1 propensity score matching, 51 patients were included in each group. The operation time in the 3D group was shorter than that in the non-3D group (P = 0.004). The 3D group had significantly less blood loss compared to the non-3D group (P = 0.004). No significant differences were observed between the groups regarding resection margins, harvested lymph nodes, postoperative drainage, hospital stay, and postoperative complications.Conclusions3D reconstruction enhances anatomical understanding, shortens operative time, reduces blood loss, and facilitates surgical plan adjustments, while ensuring adequate resection margins in uniportal thoracoscopic segmentectomy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374834"},"PeriodicalIF":1.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969810","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

The Biomechanical Response of Lightweight vs Heavyweight Mesh in Ventral Hernia Repair: A Systematic Review of Animal Studies. 腹疝修补中轻、重补片的生物力学响应：动物研究的系统回顾。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-29 DOI: 10.1177/15533506251374831

Christopher Bach Sørensen, Jacob Rosenberg, Jason Joe Baker

{"title":"The Biomechanical Response of Lightweight vs Heavyweight Mesh in Ventral Hernia Repair: A Systematic Review of Animal Studies.","authors":"Christopher Bach Sørensen, Jacob Rosenberg, Jason Joe Baker","doi":"10.1177/15533506251374831","DOIUrl":"https://doi.org/10.1177/15533506251374831","url":null,"abstract":"BackgroundThere is currently insufficient evidence to determine whether lightweight or heavyweight mesh is the better choice for ventral hernias. Recurrence and postoperative pain are associated with biomechanical responses such as inflammation, foreign body reaction, cell ingrowth, and tensile strength, which can be examined in animal studies. This study aimed to compare the biomechanical differences between light- and heavyweight meshes in animal models.MethodsA systematic search was conducted on August 14, 2023, in PubMed and Embase for studies comparing light- and heavyweight meshes implanted on animal abdominal walls. We included studies reporting on non-coated polypropylene or polyester meshes in an onlay placement. Studies were excluded if the mesh was coated, absorbable, fixated with fibrin glue, implanted in a contaminated field, or if it was an in vitro study. The study was reported according to PRISMA 2020 guideline, and risk of bias was assessed using the SYRCLE bias assessment tool.ResultsOur search yielded 4050 records, which resulted in 91 reports for full-text screening, and 20 studies were included in the final analyses. Heavyweight meshes caused more inflammation and foreign body reaction compared with lightweight meshes but displayed similar tensile strength post-implantation. There was insufficient evidence regarding cell ingrowth.ConclusionHeavyweight meshes caused increased inflammation and foreign body reaction compared with lightweight meshes. Although heavyweight meshes preimplantation have increased tensile strength compared with lightweight meshes, no difference was found post-implantation. This suggests that lightweight meshes may be a good option for ventral hernia repair.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374831"},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969802","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

An Innovative Liver Retraction Technique Using FJ Clips Combined With Barbed Sutures in Single Port Cholecystectomy: The FJB Method. 单孔胆囊切除术中采用FJ夹联合倒钩缝合的创新肝回缩技术：FJB法。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-29 DOI: 10.1177/15533506251374481

Nao Kawaguchi, Atsushi Tomioka, Shuhei Kushiyama, Yoshiro Imai, Yusuke Suzuki, Yasuhiko Ueda, Koji Komeda, Mitsuhiro Asakuma, Sang-Woong Lee

{"title":"An Innovative Liver Retraction Technique Using FJ Clips Combined With Barbed Sutures in Single Port Cholecystectomy: The FJB Method.","authors":"Nao Kawaguchi, Atsushi Tomioka, Shuhei Kushiyama, Yoshiro Imai, Yusuke Suzuki, Yasuhiko Ueda, Koji Komeda, Mitsuhiro Asakuma, Sang-Woong Lee","doi":"10.1177/15533506251374481","DOIUrl":"https://doi.org/10.1177/15533506251374481","url":null,"abstract":"BackgroundSingle port cholecystectomy (SPC) provides several postoperative advantages including excellent cosmetic outcomes; however, it presents technical challenges due to impaired triangulation and restricted instrument mobility. To address these challenges, we developed the FJB method, a novel liver retraction technique combining Free Jaw (FJ) clips with barbed sutures.MethodsIn the FJB method, an FJ clip is applied near the base of the gallbladder, and a barbed suture is anchored to the diaphragm, enabling cephalad traction via a pulley-like mechanism. We evaluated the clinical feasibility and safety of this technique during SPC.ResultsBetween September 2023 and April 2024, 23 SPC procedures utilizing the FJB method were performed by four surgeons at our institution. The mean installation time for the traction system was 165 seconds (range, 81-275 seconds). No intraoperative clip dislodgement, liver injury, or traction related complications were observed, including in patients with fatty liver. The FJB method consistently provided stable liver retraction, improved surgical visibility, minimized instrument collisions, and contributed to safer and more efficient procedures.ConclusionsThe FJB method is a simple, effective, and reproducible approach for achieving stable liver traction during SPC. It offers significant advantages in enhancing surgical safety and increasing overall procedural efficiency.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374481"},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969798","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

Instructor-Assisted Synchronous Online versus Face-to-Face Suturing Training: Effects on Learning and 3-Month Retention in a Randomized Controlled Trial. 教师辅助同步在线与面对面缝合训练：随机对照试验对学习和3个月记忆的影响。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-28 DOI: 10.1177/15533506251374837

Ezgi Ağadayı, Arif Onan

{"title":"Instructor-Assisted Synchronous Online versus Face-to-Face Suturing Training: Effects on Learning and 3-Month Retention in a Randomized Controlled Trial.","authors":"Ezgi Ağadayı, Arif Onan","doi":"10.1177/15533506251374837","DOIUrl":"https://doi.org/10.1177/15533506251374837","url":null,"abstract":"BackgroundThis study evaluates the learning and retention of basic suturing skills among pre-graduate medical students through instructor-assisted synchronous online (ASO) vs face-to-face (FF) instruction.MethodsA randomized controlled experimental design was used in the practice laboratory of Cumhuriyet University Faculty of Medicine. Sixty second-year medical students without prior suturing experience were randomly assigned to FF or ASO groups. Both received identical training with the same materials and instructor. Performance was assessed via the Objective Structured Clinical Examination (OSCE) 1 day after training and again after 3 months. All assessments were conducted in a single testing room by a blinded assessor. The required sample size, determined via G-Power, was 42, but 60 eligible students participated.ResultsThe FF group outperformed the ASO group in both the first (28.3 ± 4.5 vs 23.5 ± 5.6, P = 0.001) and second OSCE (30.3 ± 4.7 vs 25.5 ± 5.7, P = 0.001) and completed the first exam in a significantly shorter time (P = 0.029). The overall average score improved in the second OSCE (27.9 ± 5.7 vs 25.9 ± 5.6, P < 0.001), but score changes over time did not significantly differ between groups (P = 0.927). The cut-off score for adequate knot-tying ability was 25.5 in both exams.ConclusionsThis study aimed to adapt face-to-face surgical training to an online format, as guidance on remote technical skills instruction is lacking. While the standardized online setting ensured methodological consistency, it limited real-life applicability. FF instruction yielded superior short- and long-term outcomes in suturing skills.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374837"},"PeriodicalIF":1.6,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969844","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

Ligasure Impact™ to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies. Ligasure Impact™减少腹部成形术后并发症：比较研究的荟萃分析。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-27 DOI: 10.1177/15533506251374484

Salvatore Giordano, Veera Korhonen, Andre' Salval, Pietro G di Summa, Carlo Maria Oranges

{"title":"Ligasure Impact™ to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies.","authors":"Salvatore Giordano, Veera Korhonen, Andre' Salval, Pietro G di Summa, Carlo Maria Oranges","doi":"10.1177/15533506251374484","DOIUrl":"https://doi.org/10.1177/15533506251374484","url":null,"abstract":"BackgroundThe optimal dissection technique for flap elevation in abdominoplasty remains debated, particularly in high-risk patients after massive weight loss. The LigaSure Impact™ (LS) vessel-sealing system (Medtronic, Dublin, Ireland) is an advanced energy device used across surgical disciplines to reduce morbidity. This meta-analysis compares LS with conventional techniques to assess its effectiveness in abdominoplasty.MethodA systematic literature search identified relevant studies comparing LS with standard methods. Primary outcome was the overall postoperative complications' rate; secondary outcomes included specific wound complications, operative time, and hospital stay.StatisticsA random-effects model was used for pooled analysis. Risk differences (RD) and 95% confidence intervals (CI) were calculated for categorical outcomes; mean differences (MD) for continuous outcomes. Heterogeneity was assessed using the I2 statistic.ResultsThe search yielded 3 studies totaling 205 patients. LS significantly reduced overall complication rates compared to controls (RD = -0.46, 95% CI: -0.60 to -0.32, P < 0.001). Hematoma and wound dehiscence incidences were significantly lower (P = 0.03 and P = 0.01, respectively). No significant differences were observed for seroma, infection, or fat/flap necrosis. LS use was also associated with reduced re-operation rates and shorter hospital stays, though operative time was comparable.DiscussionLS may improve surgical outcomes in post-weight-loss abdominoplasty patients by reducing complications and hospitalization. However, the limited number of studies and small sample size warrant cautious interpretation.ConclusionPreliminary evidence suggests that LS may offer potential benefits in abdominoplasty; however, current findings should be interpreted with caution because of limited quality and heterogeneity of available studies. Further research is needed.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374484"},"PeriodicalIF":1.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969758","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

Redefining the Role of Minimally Invasive Surgery Fellowships in the Modern Surgical Era. 重新定义微创外科奖学金在现代外科时代的作用。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-27 DOI: 10.1177/15533506251374462

James R Burmeister, Aryan Arora

引用次数: 0

Comparison of ENLYT^®, a Portable Flexible Nasopharyngoscope, with the Standard of Care Nasopharyngoscope. ENLYT®便携式柔性鼻咽镜与标准护理鼻咽镜的比较

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-27 DOI: 10.1177/15533506251374480

Julian Fine, Russel Kahmke, Tammara Watts, Daniel Rocke, Liana Puscas, Maragatha Kuchibhatla, Walter T Lee

{"title":"Comparison of ENLYT®, a Portable Flexible Nasopharyngoscope, with the Standard of Care Nasopharyngoscope.","authors":"Julian Fine, Russel Kahmke, Tammara Watts, Daniel Rocke, Liana Puscas, Maragatha Kuchibhatla, Walter T Lee","doi":"10.1177/15533506251374480","DOIUrl":"https://doi.org/10.1177/15533506251374480","url":null,"abstract":"ObjectivesThis study seeks to compare a newly developed portable flexible nasopharyngoscope (ENLYT®) to the standard of care (SOC) flexible nasopharyngoscope.MethodsSubjects were consented to undergo a nasopharyngeal scope exam using ENLYT® after SOC nasopharyngoscope examination. Data collection included a physician feedback survey consisting of questions regarding ease of use, video quality and perceived patient pain. Additionally, subjects provided a comparison of discomfort between the two scopes.ResultsThe following results were compiled from nine examiners completing ENLYT® exams on 50 patients. The nine examiners consisted of five attendings, three residents, and 1 physician assistant. The attendings performed 31 exams (62%) and the others performed 19 exams (38%). 72% of the exam surveys reported the ENLYT® flexible nasopharyngoscope was the same or easier to use than the SOC nasopharyngoscope. 88% of exams reported the ENLYT® video quality was \"the same\" to \"better\". 94% of exams reported the perceived patient pain with the ENLYT® flexible nasopharyngoscope was the same or less than the SOC nasopharyngoscope. Subjects reported that 88% of the exams were the same or less discomfort with the ENLYT® scope compared to the SOC scope.ConclusionThe portable ENLYT® flexible nasopharyngoscope was able to provide comparable exam results when compared to the SOC nasopharyngoscope.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251374480"},"PeriodicalIF":1.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969800","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 Bibliometric Analysis on Application of Robot-Assisted Surgery in Plastic Surgery. 机器人辅助手术在整形外科中的应用文献计量学分析。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-26 DOI: 10.1177/15533506251372350

Jingyang Zhou, Xingyu Zhu, Runmeng Cui, Lin Lin

{"title":"A Bibliometric Analysis on Application of Robot-Assisted Surgery in Plastic Surgery.","authors":"Jingyang Zhou, Xingyu Zhu, Runmeng Cui, Lin Lin","doi":"10.1177/15533506251372350","DOIUrl":"https://doi.org/10.1177/15533506251372350","url":null,"abstract":"Background: In recent years, robot-assisted surgery has been a major advancement in surgery and has gradually become the preferred approach. The precise operation, minimal invasiveness, and the ability to perform the preoperative planning are its characteristics. Due to the continuous improvements in plastic surgery technology over the past few decades, more researchers are trying to integrate robotic technology into plastic surgery. Purpose: This bibliometric study aims to quantatitively evaluate the published literature on the topic of robot-assisted plastic surgery indexed in the Web of Science Core Collection and provide a unique insight for subsequent researches in this field.Research Design and Sample: This time of bibliomteric analysis utilized data obtained fron the online database mentioned above and subsequent data analysis and visulization was abcieved by the R software. Totally 208 publications were enrolled after screening.Data Collection and Analysis: Further analysis on authors, sources, affiliations, trend topics, co-citation, keywords and thematic map was conducted on the bibliometric package.Results: The analysis mentioned above elucidates that the application of robot-assisted surgery in plastic surgery is prospering with a potential direction of \"flap\" and \"breast reconstrction\". Conclusion: Thedevelopment robot-assisted surgery encountered a continous surge in roughly a decade ago and will iterating with a promising future.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251372350"},"PeriodicalIF":1.6,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144969773","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

Three-Dimensional Computed Tomography Angiography Fusion Imaging for Posterior Interosseous Artery Perforator Location of Forearm Flap: A Retrospective Study of 23 Patients. 三维计算机断层血管造影融合成像在前臂皮瓣骨间后动脉穿支定位中的应用：23例回顾性研究。

IF 1.6 4区医学

Surgical Innovation Pub Date : 2025-08-08 DOI: 10.1177/15533506251367265

Shuai Liu, Yan Jiang, Xianyao Tao, Mingyu Xue, Li Qiang

{"title":"Three-Dimensional Computed Tomography Angiography Fusion Imaging for Posterior Interosseous Artery Perforator Location of Forearm Flap: A Retrospective Study of 23 Patients.","authors":"Shuai Liu, Yan Jiang, Xianyao Tao, Mingyu Xue, Li Qiang","doi":"10.1177/15533506251367265","DOIUrl":"https://doi.org/10.1177/15533506251367265","url":null,"abstract":"BackgroundFlap surgery necessitates accurate identification of perforator locations for optimal outcomes. Color Doppler Sonography (CDS) has been a routine examination in preoperative planning, but its limitations in providing a comprehensive map of perforators relationships prompts exploration of alternative imaging modalities. This study introduces the application of a novel technique, three-dimensional computed tomography angiography fusion imaging (3D-CTA-FI), for precise interosseous artery perforator locating in forearm flap surgery.MethodA retrospective investigation including 23 patients receiving forearm flap surgery of posterior interosseous artery perforator was conducted, and two-phase computed tomography angiography (CTA) protocol was adopted in this study. Utilizing Mimics software, 3D models of vascular structures were meticulously reconstructed. Surgical procedures were guided by the 3D-CTA-FI, and accuracy of CDS and 3D-CTA-FI was evaluated by comparing visual and actual perforator positions.ResultsAll flaps were viable, and patients were discharged uneventfully. In our study, 3D-CTA-FI portrayed accurate depictions of vascular pedicles and perforators. The mean discrepancy between indicated and actual perforator positions was 2.9 ± 1.7 mm (Group 1) and 2.4 ± 1.7 mm (Group 2), accompanied by excellent consistency rates of 47.8% and 60.9%, respectively.ConclusionsThree-dimensional computed tomography angiography fusion imaging (3D-CTA-FI) provides detailed information of perforators in posterior interosseous artery perforator flap surgery, and its application in clinical practice is feasible and beneficial.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251367265"},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804900","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