Surgical Innovation最新文献

{"title":"Retroperitoneal Laparoscopic Repair of Primary Lumbar Hernia Using Self-Gripping Mesh.","authors":"Huadong Du, Yingmo Shen, Huiqi Yang, Yilin Zhu","doi":"10.1177/15533506251348535","DOIUrl":"10.1177/15533506251348535","url":null,"abstract":"<p><p>ObjectiveThe aim of this study was to explore the safety and efficacy of retroperitoneal laparoscopic repair of primary lumbar hernia using Self-Gripping mesh.MethodsThis retrospective study included 11 patients with primary lumbar hernias who underwent retroperitoneal laparoscopic repair with Self-Gripping mesh from May 2020 to October 2023 in our hospital. Observation indicators were intraoperative measured diameter of hernia ring defect, operation time, length of hospital stay, postoperative follow-up, complications, postoperative visual analogue scale (VAS) score, chronic pain.ResultsThe operations were completed successfully in 11 cases. The mean diameter of hernia ring was 2.57 ± 0.49 cm (ranged from 2.0 to 3.0 cm), the mean operation time was 53.31 ± 19.33 min (ranged from 35 to 90 min), the intraoperative blood loss was 3.01 ± 1.43 mL (ranged from 2 to 10 mL), and the mean postoperative hospital stay was 2.43 ± 1.41 days (ranged from 1 to 4 days). The mean postoperative VAS scores at 24 h were 1.10 ± 0.32 (ranged from 1 to 2). All cases were followed up for 21.05 ± 16.73 months (ranged from 3 to 42 months) without seroma, hematoma, incision or mesh infection, recurrence and obvious chronic pain.ConclusionRetroperitoneal laparoscopic repair of primary lumbar hernia using Self-Gripping mesh is safe and feasible. Its efficacy in the short term is favorable.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"428-434"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310443","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":"The Gilbreth Contribution to Operating Room Management and Surgical Ergonomics.","authors":"Tina Bharani, Divyansh Agarwal","doi":"10.1177/15533506251362370","DOIUrl":"10.1177/15533506251362370","url":null,"abstract":"<p><p>BackgroundThe early 20th century saw pioneering work by Frank and Lillian Gilbreth, regarded as the founders of surgical ergonomics, which brought scientific management in surgery and operating rooms. Through time and motion studies, their research helped improve the operative workflow and surgical efficiency.MethodsTo document the historical work of Gilbreths in surgical ergonomics, we conducted primary archival research at the Purdue University Archives and Special Collections (West Lafayette, IN), and integrated a collection of secondary sources across various formats and modalities.Results and ConclusionWe describes the early works of Gilbreths in surgical ergonomics and highlight how their motion research in the operating room evolved to incorporate ergonomics and decrease operative fatigue. The Gilbreths were proponents of promoting the adoption of management practices for operating rooms and standardization in hospital design, equipment, and patient records to improve efficiency in health care delivery. Through analysis of their published and unpublished work, we describe how their ideas are still in widespread use today to eliminate unnecessary motions and foster ergonomics in the operating room and in the field of surgery in general.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"469-477"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699570","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":"Critical Appraisal of Validating a Novel 3D Printed Depth Gauge with Mandible Models.","authors":"Malaika Aijaz, Maryam Ayesha, Kertee Goswami","doi":"10.1177/15533506251383822","DOIUrl":"https://doi.org/10.1177/15533506251383822","url":null,"abstract":"","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251383822"},"PeriodicalIF":1.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192950","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":"Comparative Study of the Muyo Hook Technique and Conventional Methods for Primary Trocar Insertion in Laparoscopic Surgery.","authors":"Sagiran Sagiran, Azzam Hizbur Rahman","doi":"10.1177/15533506251381975","DOIUrl":"https://doi.org/10.1177/15533506251381975","url":null,"abstract":"<p><p>BackgroundThe Veress needle and open (Hasson) approach are common methods for creating pneumoperitoneum in laparoscopic surgery. However, these techniques can be time-consuming and carry the risk of organ or blood vessel injury. The Muyo Hook offers a new approach that allows direct trocar insertion without needing prior pneumoperitoneum. This study compares its effectiveness and evaluates perioperative outcomes with conventional methods in laparoscopic appendectomy and cholecystectomy.Materials and MethodsA comparative study was conducted at Nur Hidayah Hospital from April to August with 40 patients divided into 3 groups: Group A (Muyo Hook, 16 patients), Group B (Veress needle, 14 patients), and Group C (Muyo Hook without Veress, 10 patients). The study measured the time from skin incision to Veress insertion (Groups A and B) and the time for the first trocar insertion. Safety outcomes were also assessed, including organ or vessel injury, hematomas, and pain.ResultsThe Muyo Hook achieved pneumoperitoneum in an average of 18.05 seconds (range: 3.58-39.5 seconds), much faster than the conventional method (95.96 seconds; <i>P</i> < 0.05). Group C (Muyo Hook without Veress) had the quickest times. No complications were reported, such as organ or vessel injuries, skin hematomas, or pain.ConclusionWithin the limitations of this study, the Muyo Hook technique appeared efficient, practical, and cost-effective. No complications were observed in this small cohort; however, larger prospective studies are required before drawing definitive conclusions regarding its safety. The device may simplify the procedure, reduce operative time, and enhance practicality for minimally invasive surgery.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251381975"},"PeriodicalIF":1.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178662","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":"Endoscopic Management of Anastomotic Leaks Following Left-Sided Colectomy and Primary Colorectal Anastomosis: A Single-Institution Retrospective Review.","authors":"Kavita Jain, Shruthi R Perati, Louis F Chai, Hanna Labiner, David Millner, Ray Ramirez, Veena Bhagavathi, Avik Sarkar, Daniel L Feingold, Kristen Donohue, Nell Maloney Patel","doi":"10.1177/15533506251381980","DOIUrl":"https://doi.org/10.1177/15533506251381980","url":null,"abstract":"<p><p>BackgroundPostoperative anastomotic leaks are the most common complications following colorectal surgery, with rates reaching 24%. Previous studies on endoscopic management of anastomotic leaks (eg, EndoClip, OverStitch, and stenting) have shown similar outcomes as reoperation. Implementation of these endoscopic strategies for anastomotic leak management remains limited given sparse data demonstrating integration of these methods with conventional practices.MethodsA single-institution, retrospective chart review was conducted to identify patients who underwent a left-sided colectomy with primary colorectal anastomosis and developed clinically significant anastomotic leaks between 2018 and 2021. These patients were categorized as managed with surgery alone vs with endoscopic intervention, and patient demographics and anastomotic leak characteristics were analyzed.ResultsOf the 14 total patients identified, seven were managed with surgery alone and seven were managed with endoscopic intervention. When compared to patients managed with surgery alone, those managed endoscopically were more often hemodynamically normal; however, differences in bowel defect size or time to leak identification were not statistically significant. In three cases, the application of advanced endoscopic techniques prevented the need for further intervention. For three other patients, multidisciplinary management with endoscopy facilitated surgical creation of diverting loop ileostomy instead of a higher-morbidity end colostomy.ConclusionsThis study demonstrates a diversity of scenarios in which endoscopic management can be integrated into management of anastomotic leaks and, in some cases, avoid the need for reoperation. When feasible, a multidisciplinary approach including interventional gastroenterology should be utilized to potentially mitigate the need for end colostomy creation and optimize patient outcomes.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251381980"},"PeriodicalIF":1.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178621","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":"Operating Room Black Box (ORBB): Examining Nurses' Perceptions in a Surgical Setting.","authors":"Pria Nippak, Victoria Ross, Housne Begum, Kimberley Okafor, Mya Rana-Nippak, Stanley J Hamstra, Markku Nousianinen","doi":"10.1177/15533506251383336","DOIUrl":"https://doi.org/10.1177/15533506251383336","url":null,"abstract":"<p><p>BackgroundDespite numerous efforts to improve surgical safety, adverse events and serious surgical complications are still common. This cross-sectional study at a tertiary hospital in Ontario, Canada, aimed to examine nurses' perceptions, awareness, comfort, and readiness to use Operating Room Black Box (ORBB) technology, implemented to reduce surgical errors.MethodsA mixed method was used and data was collected through a 14-item questionnaire in summer 2022.ResultsAmong 50 nurse participants, nurses with work experience <20 years had higher overall mean scores on 9 questions than nurses working >20 years. The majority (88.0%) had no prior ORBB experience but somewhat agreed that ORBB had the potential to improve the safety culture in the operating room.ConclusionOverall, nurses demonstrated positive attitudes towards ORBB technology, indicating its potential to enhance safety culture, team communication, teamwork, situational awareness, feedback on performance, the debriefing process, transparency, and lead to technological advancements in healthcare.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251383336"},"PeriodicalIF":1.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131811","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":"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":"<p><p>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.</p>","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}

{"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":"<p><p>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 (<i>P</i> = 0.004). The 3D group had significantly less blood loss compared to the non-3D group (<i>P</i> = 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.</p>","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}

{"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":"<p><p>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.</p>","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}

{"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":"<p><p>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.</p>","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}