Surgical Innovation最新文献

Minimally Invasive Surgery Fellowship: What is it Good for? 微创外科奖学金：它有什么好处？

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-18 DOI: 10.1177/15533506251328479

Tarek Hassab, Margaret Turlington, Stephen M Kavic

{"title":"Minimally Invasive Surgery Fellowship: What is it Good for?","authors":"Tarek Hassab, Margaret Turlington, Stephen M Kavic","doi":"10.1177/15533506251328479","DOIUrl":"10.1177/15533506251328479","url":null,"abstract":"IntroductionMinimally invasive surgery fellowship is a popular choice for general surgery residents in the United States, but it serves an unclear role in an era where laparoscopic surgery has become commonplace. In this study, our goal was to examine the case volume for common open and laparoscopic surgery procedures for general surgery residents over the past 20 years to better understand the training needs that minimally invasive surgery fellowship can fill.MethodsWe reviewed the American Council on Graduate Medical Education (ACGME) Accreditation Data System to determine average case numbers for selected procedures among general surgery residents in the United States. Data was compared across 3 time points from 2002 to 2022. Descriptive statistics and chi-squared tests were used for analysis.ResultsResidents met our predefined competency threshold of twenty cases for 3 laparoscopic procedures in 2022 (cholecystectomy, colectomy, and inguinal hernia repair). There has been a trend towards increasing number of laparoscopic and decreasing number of open surgeries performed amongst our selected cases. Some procedures, including common bile duct exploration and splenectomy, remain rare over the entire study period.ConclusionsGeneral surgery residents receive good exposure to some laparoscopic procedures, but minimally invasive surgery fellowship serves a role in training for advanced laparoscopic cases, including anti-reflux and bariatric surgery.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"374-377"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050041","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

Clinical Role of ICG Application in Bariatric Surgery; an Up-To-Date Literature Review. ICG在减肥手术中的临床应用最新文献综述。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-05-01 DOI: 10.1177/15533506251339931

Dimitra V Peristeri, Sai Sandeep Singh Rowdhwal

{"title":"Clinical Role of ICG Application in Bariatric Surgery; an Up-To-Date Literature Review.","authors":"Dimitra V Peristeri, Sai Sandeep Singh Rowdhwal","doi":"10.1177/15533506251339931","DOIUrl":"10.1177/15533506251339931","url":null,"abstract":"BackgroundPost-operative anastomotic leaks (AL) are one of the most challenging complications of bariatric surgery and can be detrimental. Indocyanine green (ICG) is a fluorescence dye that can provide a real-time intraoperative assessment of organ tissue perfusion. Its use in bariatric operations is still being debated. The present review aims to evaluate the intraoperative utility of ICG during bariatric surgery to focus future research on a reliable tool to reduce the incidence of postoperative leaks.MethodsA systematic search of PubMed, EMBASE, MEDLINE, Scopus, and the Cochrane Library for published studies took place until December 2024, evaluating the use of ICG during bariatric surgical procedures. Studies were included if they assessed the ICG application in various bariatric operations to prevent and reduce AL rates.ResultsEleven studies were included, which involved a total of 887 patients. 643 patients underwent ICG-based intraoperative assessments, while 244 were in the control group. The mean age of participants was 43.8 years, and the mean BMI was 43.3 kg/m3. All included patients underwent various bariatric procedures. ICG was used alone in most studies, although it was mixed with methylene blue in one study. ICG administration protocols varied significantly. There were no reported complications from ICG administration. The utility of ICG has changed the intraoperative surgical decision-making of 4.2% of patients.ConclusionsICG is a promising technique for successfully preventing or timely managing AL in bariatric surgery. Large, randomised controlled studies are needed to confirm its utility for routine use in primary and revisional bariatric cases.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"392-403"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048413","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

Enabling Robotic Capsule Endoscopy Through Effective in-Body Capsule Localization. 通过有效的体内胶囊定位实现机器人胶囊内窥镜。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-14 DOI: 10.1177/15533506251334690

Muzaffer Kanaan, Memduh Suveren

{"title":"Enabling Robotic Capsule Endoscopy Through Effective in-Body Capsule Localization.","authors":"Muzaffer Kanaan, Memduh Suveren","doi":"10.1177/15533506251334690","DOIUrl":"10.1177/15533506251334690","url":null,"abstract":"A critical problem for wireless capsule endoscopy is to be able to correlate a received image with a location, in order to more precisely locate a pathological condition (such as a lesion, or a tumor) inside the gastrointestinal tract and guide a potential subsequent surgical intervention. We treat the problem of determining the location and orientation parameters of a wireless capsule endoscope inside the human gastrointestinal tract through magnetic techniques. Considering the emerging trend in wireless capsule endoscopy towards remotely maneuverable robotic devices (also known as robotic capsule endoscopy), solving the problem of fast, accurate localization of the capsule becomes even more critical. It is also vital that the performance of different localization algorithms be characterized effectively in a repeatable manner in a controlled environment. Towards this goal, we present a design for a novel cyber-physical system to characterize the magnetic localization performance in robotic capsule endoscopy. We present some sample results for localization performance. The results indicate that highly accurate in-body localization of the capsule (with approximately 3.1 mm localization and 2.2° orientation error) is possible.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"353-363"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035686","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

Virtual Reality Training Improves Procedural Skills in Mannequin-Based Simulation in Medical Students: A Pilot Randomized Controlled Trial. 虚拟现实训练提高医学生基于人体模型模拟的程序技能：一项试点随机对照试验。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-10 DOI: 10.1177/15533506251334693

Ryan M Knobovitch, Junko Tokuno, Fabio Botelho, Howard B Fried, Tamara E Carver, Gerald M Fried

{"title":"Virtual Reality Training Improves Procedural Skills in Mannequin-Based Simulation in Medical Students: A Pilot Randomized Controlled Trial.","authors":"Ryan M Knobovitch, Junko Tokuno, Fabio Botelho, Howard B Fried, Tamara E Carver, Gerald M Fried","doi":"10.1177/15533506251334693","DOIUrl":"10.1177/15533506251334693","url":null,"abstract":"ObjectivesThe goal of this study was to evaluate whether immersive virtual reality (VR) training used in conjunction with interactive online learning improved procedural skills in medical students, using chest tube insertion as a model.MethodsMedical students (n = 30) with limited or no experience with chest tube insertion were randomized into control and VR groups. All participants received access to a previously developed online module to learn the equipment and steps involved in performing chest tube insertion. The VR group received additional training using commercially available software. All participants were then asked to perform chest tube insertion on a standardized mannequin. Technical skills were assessed by surgical experts, blinded to the group allocation, using a modified Objective Structured Assessment of Technical Skill (OSATS) rating scale (11-items, each scored 1-5). Multiple-choice tests and a 5-point Likert-scale were used to assess theoretical knowledge and to rate confidence level before and after training. Data are presented as median and interquartile range.ResultsAfter training, all participants showed significant improvement in knowledge from baseline; rate of correct answers was 50% pre-training [40.0-66.7]; 80% post-training [73.0-93.3]; P < 0.0001). There was no statistically significant difference between the two groups in knowledge before and after training. The VR group spent <60 min in VR training and had better procedural performance (OSATS scores: controls: 39 [33-45]; VR: 46 [42.0-50]; P = 0.03) and higher confidence (controls: 3 [3-4]; VR: 4 [4-5]; P = 0.002).ConclusionsAdding VR simulation to online learning improved technical skills and confidence in medical students learning chest tube insertion.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"364-373"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intrastromal Suturing Technique Compared With Interrupted Corneal Suturing Technique, Loose Suture and Knot Exposure: A Comparative Rabbit Study. 眶内缝合技术与中断角膜缝合技术、松散缝合和角膜结暴露的比较研究。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-08 DOI: 10.1177/15533506251328456

Kaan Ozkan, Bahri Aydın, Ahmet Yucel Ucgul, Kemal Bayrakceken, Mehmet Cuneyt Ozmen, Rustu Fikret Akata

{"title":"Intrastromal Suturing Technique Compared With Interrupted Corneal Suturing Technique, Loose Suture and Knot Exposure: A Comparative Rabbit Study.","authors":"Kaan Ozkan, Bahri Aydın, Ahmet Yucel Ucgul, Kemal Bayrakceken, Mehmet Cuneyt Ozmen, Rustu Fikret Akata","doi":"10.1177/15533506251328456","DOIUrl":"10.1177/15533506251328456","url":null,"abstract":"PurposeThis study aimed to assess the effectiveness of an innovative intrastromal suturing technique in an experimental rabbit model, comparing it to standard interrupted suturing, loose suture, and suturing with knot exposure.MethodsFourteen adult male New Zealand White rabbits were included in this study. Each rabbit underwent suturing in both eyes, divided into four groups based on suturing techniques. The novel intrastromal suturing technique involved burying the entire suture material within the corneal stroma. Corneal neovascularisation (CoNV) areas were evaluated by image analysis and immune cell densities by in vivo confocal microscopy (IVCM).ResultsThe intrastromal suturing group demonstrated significantly smaller CoNV areas at both 1 week and 1 month post-suturing compared to other interventional groups, indicating effective mitigation of CoNV development and progression. Moreover, this group exhibited lower immune cell densities in the superficial stromal layer and endothelial layer, suggesting a reduced inflammatory response. Both the loose suture and the knot exposure groups exhibited significant levels of CoNV and heightened immune cell densities.ConclusionThis experimental study demonstrated effectiveness of intrastromal suturing technique in limiting CoNV and immune cell infiltration, common contributors to graft rejection and complications. Furthermore, the study revealed that loose sutures and those with exposed knots are likely to cause more severe CoNV and inflammation, compared to the traditional interrupted suturing technique and intrastromal suturing.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"325-333"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812448","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

Extended Reality Technologies for Visualization in DIEP Flap Breast Reconstruction: A Systematic Review. 扩展现实技术在DIEP皮瓣乳房重建中的可视化：系统综述。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-03-19 DOI: 10.1177/15533506251328473

Berk B Ozmen, Ali Foroutan, Joseph D Quick, Robert Siska, William Albabish, Graham S Schwarz

{"title":"Extended Reality Technologies for Visualization in DIEP Flap Breast Reconstruction: A Systematic Review.","authors":"Berk B Ozmen, Ali Foroutan, Joseph D Quick, Robert Siska, William Albabish, Graham S Schwarz","doi":"10.1177/15533506251328473","DOIUrl":"10.1177/15533506251328473","url":null,"abstract":"BackgroundDeep inferior epigastric artery perforator (DIEP) flap breast reconstruction is the gold standard for autologous breast reconstruction but is complex due to variable vascular anatomy. Traditional imaging modalities like computed tomography angiography (CTA) provide two-dimensional visualization, which can limit spatial understanding. Extended reality (XR) technologies, including virtual reality (VR), augmented reality (AR), and mixed reality (MR) offer immersive three-dimensional visualization that may enhance surgical planning and intraoperative guidance. This systematic review synthesizes current evidence regarding XR applications in DIEP flap breast reconstruction.MethodsA systematic review was conducted following PRISMA 2020 guidelines. PubMed, Embase, and Scopus were searched for original research articles reporting clinical use of XR technologies in DIEP flap breast reconstruction. Data on study characteristics, XR technologies used, outcomes, and key findings were extracted and analyzed.ResultsThirteen studies involving 265 patients met inclusion criteria. Seven studies utilized AR, six used VR, and none focused on MR. XR technologies were associated with improved accuracy in perforator identification, reduced operating times, and enhanced surgical planning. Identified limitations included soft tissue deformation affecting intraoperative application, ergonomic issues with headsets, and technological constraints such as processing power and network.ConclusionXR technologies show significant potential in improving preoperative planning and intraoperative guidance in DIEP flap breast reconstruction. While preliminary results are promising, further large-scale studies are needed to establish efficacy, address limitations, and facilitate integration into clinical practice.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"385-391"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664634","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

Validating a Novel 3D Printed Depth Gauge With Mandible Models. 用下颌骨模型验证一种新型3D打印深度计。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-13 DOI: 10.1177/15533506251334694

Eric M Smith, Rhorie P Kerr, Ashley E Kita

{"title":"Validating a Novel 3D Printed Depth Gauge With Mandible Models.","authors":"Eric M Smith, Rhorie P Kerr, Ashley E Kita","doi":"10.1177/15533506251334694","DOIUrl":"10.1177/15533506251334694","url":null,"abstract":"Background/needTraditional bone depth gauges are notoriously inaccurate tools, often used in head and neck surgery, that estimate the screw length needed for fracture fixation after bicortical drilling. Complications related to inaccurately sized screws may include soft tissue irritation or weakness of the repair and subsequent refracture. To improve size selection accuracy, a prototype depth gauge was 3D printed and tested in mandibles.MethodsThe prototype was constructed with a rotating deployable hook and intra-operative disassembly feature to extract the device if it became stuck. Ten 3.2 mm holes were drilled in a synthetic mandible, and 12 medical students, 12 residents, and 6 fellows/attendings measured them with industry standard and prototype depth gauges. User measurements from the prototype were compared to the holes' true depths and accuracy for each device was based on a user's closeness to the true depths. Differences between devices and training levels were analyzed with paired t tests and two-way ANOVAs. The device was also tested by 2 attendings in 2 cadavers with 8 holes drilled in each mandible.ResultsIn the synthetic model, differences between true depths and measured depths for the 2 gauges were not significantly different. Total accuracy was greater with the prototype, along with increased medical student accuracy compared to the industry standard. Prototype malfunctions were noted in the cadaveric model with no significant differences in device accuracy.ConclusionA novel 3D-printed depth gauge was tested and found to improve first time user accuracy and perform non-inferiorly to an industry standard depth gauge.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"334-344"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of a Novel "Windshield Wiper" for Laparoscopes in Cadaver and Live Porcine Models. 一种新型的“挡风玻璃雨刷”在尸体和活猪模型的腹腔镜验证。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-03-25 DOI: 10.1177/15533506251329635

Christopher R Idelson, Etse-Oghena Y Campbell, Lee M Fuentes, Simin E Golestani, Jawad T Ali, Austin Fagerberg, Aaron Laviana, John M Uecker

{"title":"Validation of a Novel \"Windshield Wiper\" for Laparoscopes in Cadaver and Live Porcine Models.","authors":"Christopher R Idelson, Etse-Oghena Y Campbell, Lee M Fuentes, Simin E Golestani, Jawad T Ali, Austin Fagerberg, Aaron Laviana, John M Uecker","doi":"10.1177/15533506251329635","DOIUrl":"10.1177/15533506251329635","url":null,"abstract":"BackgroundDuring laparoscopic surgeries, laparoscopes are inserted through a trocar port into the body cavity, which is then insufflated with carbon dioxide. Laparoscope lens clarity frequently becomes compromised via condensation or smearing of blood and adipose. This problem is well-known in the field, yet a viable in vivo solution has yet to address the issue and be successfully clinically adopted.Research DesignA structured cadaveric study evaluated the cleaning performance and clinician satisfaction with a novel laparoscope lens cleaning device against 2 gold-standard lens cleaning products. The novel device was also tested in a live animal porcine model to assess cleaning performance in a warm body environment qualitatively. The validation in the porcine model did not have the same evaluation process and comparison with other lens clearing methods as the cadaveric experiment.ResultsCleaning events were timed individually and analyzed post hoc. Average times to clean scopes for the novel device, Clearify™, and Fred™ Anti-Fog solution were 5 ± 5, 16 ± 7, and 14 ± 6 seconds, respectively. In 100 cleaning events with the novel device, the laparoscope was removed from the body zero times, with an average of 2 ± 1.29 cleaning actuations per event. Clearify™ and Fred™ Anti-Fog were removed from the body 102 and 116 times, with an average number of cleaning actuations of 1.07 ± 0.26 and 1.19 ± 0.53 per event, respectively. In the live porcine model, the novel device consistently cleared all debris deposited on the lens, including fog, tissue, blood, and bile fluid.ConclusionThis study demonstrates the novel device's reduction in cleaning duration and scope removals compared to gold-standard technologies, suggesting a potential for improved workflow and reduced intra-operative interruptions.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"345-352"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710641","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

Immersive Virtual Reality Simulation for Medical Student Procedural Training: Assessment of Cognitive Load and Usability. 医学生程序性训练的沉浸式虚拟现实模拟：认知负荷与可用性评估。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-08-01 Epub Date: 2025-04-29 DOI: 10.1177/15533506251339920

Junko Tokuno, Ryan M Knobovitch, Fabio Botelho, Howard B Fried, Tamara E Carver, Gerald M Fried

{"title":"Immersive Virtual Reality Simulation for Medical Student Procedural Training: Assessment of Cognitive Load and Usability.","authors":"Junko Tokuno, Ryan M Knobovitch, Fabio Botelho, Howard B Fried, Tamara E Carver, Gerald M Fried","doi":"10.1177/15533506251339920","DOIUrl":"10.1177/15533506251339920","url":null,"abstract":"ObjectiveIn a previous randomized controlled trial, we found immersive virtual reality (VR) simulation to be effective for teaching procedural skills to medical students. We further investigated this interface's usability and cognitive load.MethodsThis was a secondary analysis of data from a previous randomized controlled trial. Twenty-two medical students with no or limited experience with VR and chest tube insertion received training for chest tube insertion using a commercially available immersive VR simulation. Participants completed post-training surveys on usability (System Usability Scale, SUS, from 0-100) and cognitive load (Leppink's scale, 11-point, 10 items). Three types of cognitive loads (intrinsic, extraneous, and germane) were evaluated. Modified Objective Structured Assessment of Technical Skills (OSATS, 5-point, 11 items) for technical skills in a mannequin simulation were assessed after VR training, and in knowledge scores before and after training were extracted to analyze their relationships with usability and cognitive load. Data are presented as median (interquartile range).ResultsMedian scores (%) for the knowledge test were 46.7 (40.0-53.3) at baseline and 86.7 (80.0-90.3) after training. The OSATS score was 40.5 (35.5-49.3), and SUS was 82.5 (73.8-88.8, with significant correlation between these variables (r = 0.51, P = 0.04). The intrinsic, extrinsic, and germane cognitive loads were 3.7 (1.8-6.1), 0.15 (0-1.4), and 9.2 (6.0-10), respectively.ConclusionCognitive load and usability of immersive VR simulation were reported to be excellent. Along with its effectiveness shown previously, VR simulation is a highly acceptable approach for teaching technical skills to medical students.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"378-384"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HernIA: Real-Time Anatomical Structure Segmentation in Video Laparoscopic Inguinal Hernioplasties With AI. 疝：人工智能在视频腹腔镜腹股沟疝成形术中的实时解剖结构分割。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-17 DOI: 10.1177/15533506251352101

Franco J Marcelo, Pablo Zalazar, Florisel Papasidero, Ciro Hernandez, Jorge Ruiz Todone

{"title":"HernIA: Real-Time Anatomical Structure Segmentation in Video Laparoscopic Inguinal Hernioplasties With AI.","authors":"Franco J Marcelo, Pablo Zalazar, Florisel Papasidero, Ciro Hernandez, Jorge Ruiz Todone","doi":"10.1177/15533506251352101","DOIUrl":"https://doi.org/10.1177/15533506251352101","url":null,"abstract":"BackgroundLaparoscopic transabdominal preperitoneal (TAPP) hernioplasty, a minimally invasive procedure, reduces postoperative pain and recovery time but faces challenges like the \"ping-pong effect\" (alternating focus between operative field and monitors) and a 1%-2% error rate due to anatomical misidentification, risking complications like vascular injuries.ObjectiveTo develop and validate HernIA, an AI-based system for real-time segmentation of anatomical structures in TAPP, targeting an Intersection over Union (IoU) ≥85% and error reduction ≥50% compared to manual identification.MethodsHernIA employs YOLOv11m-seg, trained on 21 443 annotated laparoscopic images from 45 TAPP procedures at Clinica Colón and Hospital de Campaña Escuela Hogar. Annotation by expert laparoscopists achieved high inter-rater reliability (Cohen's kappa = 0.87). Validation used 5-fold cross-validation and a 10 800-frame dataset.ResultsHernIA achieved an IoU of 89.4% (±2.1%), Jaccard Index of 81.2%, mAP@50 of 92.3%, and F1 score of 0.94 (confidence threshold ∼0.45). It reduced identification errors by 62% in a simulated TAPP environment (10 800 frames, 24 FPS, 42 ms latency). Clinical validation was limited to one case of bilateral hernia repair.ConclusionHernIA enhances surgical precision and training in TAPP, with potential to reduce complications. Multi-center trials are needed to confirm generalizability.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251352101"},"PeriodicalIF":1.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317884","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