Surgical Innovation最新文献_第2页

Letter re: A Common System of Communication, Terminology and Instructions for Use in Laparoscopic Surgery. 关于：腹腔镜手术中使用的通信、术语和说明通用系统的信函。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-07-21 DOI: 10.1177/15533506241265156

James Todd

引用次数: 0

3D 4K Exo-Endoscopic Temporal Bone Dissection: A Novel Approach for Sharing the Anatomy. 3D 4K 外内窥镜颞骨解剖：分享解剖的新方法。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI: 10.1177/15533506241273451

Matteo Di Bari, Raul Nucci, Daniele Bernardeschi, Davide Lepera, Lauranne Alciato, Fabio Ferreli, Giovanni Colombo

{"title":"3D 4K Exo-Endoscopic Temporal Bone Dissection: A Novel Approach for Sharing the Anatomy.","authors":"Matteo Di Bari, Raul Nucci, Daniele Bernardeschi, Davide Lepera, Lauranne Alciato, Fabio Ferreli, Giovanni Colombo","doi":"10.1177/15533506241273451","DOIUrl":"10.1177/15533506241273451","url":null,"abstract":"Background: Temporal bone dissection is overwide recognized as an ideal training method for otologic surgeons. The knowledge of temporal bone anatomy and especially of the course of infratemporal facial nerve is pivotal in practice. The 3D exoscope is an innovative and promising tool, that was recently introduced in ear surgery.Methods: A high-definition 3D exoscope (3D VITOM®) mounted on the VERSACRANETM holding system (Karl Storz) was used to perform two temporal bone dissection, with the aim to study the anatomy of infratemporal facial nerve. The 3D endoscope (TIPCAM®1 S 3D ORL, Karl Storz) was used in combination to provide a close-up high-quality view and to provide a different angle of view on fine anatomical relationships.Results: The high-definition 3D exoscope allowed to conduct the dissection with high quality visualization and to share the same surgical field with trainees. Moreover, it showed a high interchangeability with the 3D endoscope.Conclusions: 3D 4 K Exo-endoscopic temporal bone dissection seems to have benefits in terms of educational purpose, especially concerning anatomy understanding. The superiority in teaching value of this tool should be further investigated in cohort studies.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879459","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

Novel Vaginal Cerclage Assisted Laparoscopic Cervico-Sacropexy Technique for Uterovaginal Prolapse. 治疗子宫脱垂的新型阴道瓣膜缝合术辅助腹腔镜宫颈骶骨固定术

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1177/15533506241273447

Serdar Aydın, Sebile Güler Çekiç

{"title":"Novel Vaginal Cerclage Assisted Laparoscopic Cervico-Sacropexy Technique for Uterovaginal Prolapse.","authors":"Serdar Aydın, Sebile Güler Çekiç","doi":"10.1177/15533506241273447","DOIUrl":"10.1177/15533506241273447","url":null,"abstract":"Aim: Laparoscopic hysteropexy is a complicated procedure that requires specialized surgical skills, including precise dissection and suturing. The aim is to describe the technical considerations for performing a new, feasible, and minimally invasive technique to correct apical and concurrent apical and anterior vaginal wall defects.Method: A retrospective analysis was conducted on 70 consecutive women who underwent surgery for stage ≥3 uterovaginal prolapse. As a part of the technique, an anterior 2-cm long transverse incision was made at the anterior cervicovaginal junction, and the bladder was dissected through blunt and sharp dissection to the level of the isthmus. A posterior colpotomy was performed. A polypropylene tape was inserted into the cervical connective tissue, and the free arms of the tape were inserted into the peritoneum via the posterior colpotomy. Two arms of the tape were passed from the tunnel parallel and medial to a right sacrouterine fold, then fixed to the anterior longitudinal ligament via the laparoscopic route.Results: The tape can be inserted into the cervix in a median of 15 min, and the laparoscopy procedure can be completed in 24 min. No mesh erosion or long-term complications occurred. At a 1-year control, there were no cases of recurrence.Conclusions: This novel cervico-sacrocolpopexy technique is a feasible and safe, minimally invasive way to correct apical or multicompartment defects, with a short operation time and an anatomical result that mimics the normal sacrouterine ligament.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879497","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 Effect of Time Pressure on Surgical Skill Retention in Novices: A Randomized Controlled Trial. 时间压力对新手外科技能保持的影响：随机对照试验

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-04 DOI: 10.1177/15533506241273359

Allyson G Molzahn, Marissa K Lovett, David Biffar, Gustavo de Oliveira Almeida, Allan J Hamilton

{"title":"The Effect of Time Pressure on Surgical Skill Retention in Novices: A Randomized Controlled Trial.","authors":"Allyson G Molzahn, Marissa K Lovett, David Biffar, Gustavo de Oliveira Almeida, Allan J Hamilton","doi":"10.1177/15533506241273359","DOIUrl":"10.1177/15533506241273359","url":null,"abstract":"Background: There are limited opportunities to practice surgical skills and techniques in residency. Therefore, it is important to explore strategies which optimize surgical simulation experiences to enhance learning outcomes and skill retention.Methods: Novice medical students (n = 29) were recruited to participate in a Fundamentals of Laparoscopic Surgery (FLS) peg transfer task training. Participants were randomly assigned to a control group, practicing the peg transfer task independently, or an experimental group, practicing with time pressure. Participant skill assessments were completed before the training, after the training, and 8-weeks after the training. Subjective and objective stress measurements were taken in the form of self-report surveys and heart rate variability data, respectively.Results: For all the skill assessment measurements, there was no difference between groups in performance on the FLS task. Both groups showed improvement in performance after the training compared to before. The experimental group reported higher stress during and after the training period compared to the control group; however, there was no difference between groups on heart rate variability metrics.Conclusion: Time pressure while practicing an FLS task did not significantly impact learning acquisition or retention. However, the experimental group reported higher levels of stress. This preliminary study suggests time pressure does not confer an enhanced surgical skill learning experience for novices.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890103","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

Metrics for Success in a Surgical Innovation Fellowship. 外科创新奖学金的成功衡量标准。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-07-19 DOI: 10.1177/15533506241265160

Gardner Yost, Jaes Jones, Taylor Kantor, Candice Stegink, Gorav Ailawadi, Rishindra Reddy

引用次数: 0

The Use of the Symani Surgical System® in Emergency Hand Trauma Care. 在手部创伤急救护理中使用 Symani Surgical System®。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1177/15533506241262568

Nadjib Dastagir, Doha Obed, Martynas Tamulevicius, Khaled Dastagir, Peter Maria Vogt

{"title":"The Use of the Symani Surgical System® in Emergency Hand Trauma Care.","authors":"Nadjib Dastagir, Doha Obed, Martynas Tamulevicius, Khaled Dastagir, Peter Maria Vogt","doi":"10.1177/15533506241262568","DOIUrl":"10.1177/15533506241262568","url":null,"abstract":"Background: The use of robotic systems for microsurgery has gained popularity in recent years. Despite its drawbacks, such as increased learning time and lack of haptic feedback, robot-assisted microsurgery is beneficial for emergency care due to its reduced risk of tremor and fatigue. The Symani Surgical System® is 1 example of this advanced technology. The device offers a range of possibilities in the field of microsurgery by combining precision and dexterity, revolutionizing microsurgical procedures. This article explores the applications of the Symani in microsurgical procedures in emergency hand trauma care, highlighting its advantages and limitations. Material and Methods: We present the results of 62 anastomoses of blood vessels under .8 mm diameter after hand trauma. 31 anastomoses were conducted using the Symani Surgical System®, and the other 31 were done as a control group in hand-sewn technique. Study Sample: The patient characteristics, including sex, age, and risk factors, were matched. Results: We found no significant differences in the anastomosis surgery length when performed with the Symani (arterial 17.3 ± 1.9 min; venous 11.5 ± 1.3 min) vs the hand-sewn technique (arterial 16.1 ± 1.4 min; venous 10.2 ± 1.8 min). Additionally, the learning curve consistently decreased over time, with the 10th surgery taking 30% (arterial) less time. Conclusion: Our study indicates that robot-assisted microsurgery can help surgeons maintain a relaxed and focused state while producing results comparable to hand-sutured procedures in emergency care.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11408963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331674","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

Using Pre-operative Insulin Dose to Predict Diabetes Remission After Roux-En-Y Gastric Bypass and Sleeve Gastrectomy. 利用术前胰岛素剂量预测鲁-恩-Y 胃旁路术和袖状胃切除术后糖尿病缓解情况。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI: 10.1177/15533506241273368

Wissam Ghusn, Yara Salameh, Kamal Abi Mosleh, Meera Shah, Andrew C Storm, Barham K Abu Dayyeh, Omar M Ghanem

{"title":"Using Pre-operative Insulin Dose to Predict Diabetes Remission After Roux-En-Y Gastric Bypass and Sleeve Gastrectomy.","authors":"Wissam Ghusn, Yara Salameh, Kamal Abi Mosleh, Meera Shah, Andrew C Storm, Barham K Abu Dayyeh, Omar M Ghanem","doi":"10.1177/15533506241273368","DOIUrl":"10.1177/15533506241273368","url":null,"abstract":"Background: Obesity is intricately associated with type-2 diabetes (T2D) and other cardiovascular conditions, increasing morbidity, mortality, and health care costs. Metabolic and bariatric surgeries (MBS) have shown promising results in significant weight loss and T2D remission, but existing predictive scores for post-MBS diabetes remission do not consider insulin dosage, potentially overlooking a critical factor.Methods: A retrospective analysis of patients with T2D who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). The study focused on insulin dosage impact, divided into quartiles, on remission rates post-MBS. The effectiveness of RYGB vs SG was compared within insulin dose quartiles with up to 5 years of follow up.Results: A total of 508 patients (64% female, 94.9% White, mean age 53.5 ± 10.5 years, BMI (46.0 ± 8.3 kg/m2) were included in the analysis. This study demonstrates a profound association between insulin dosage quartiles and T2D remission after MBS. Patients with lower insulin requirements showed superior remission rates; those in the lowest quartile had remission rates of 73%, 70%, and 62% at 1, 3, and 5 years, respectively, compared to 34%, 37%, and 36% in the highest quartile (P < 0.001 across all intervals). RYGB surgery showed a significantly better remission in the second and third insulin quartiles, suggesting its effectiveness over SG for patients with mid-range insulin requirements.Conclusion: This study underscores the importance of considering insulin dosage when predicting T2D remission post-MBS. The findings advocate for a more nuanced selection of MBS procedures based on individual insulin profiles, potentially enhancing diabetes remission outcomes.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894398","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 Reconstructive Metaverse - Collaboration in Real-Time Shared Mixed Reality Environments for Microsurgical Reconstruction. 重建元宇宙--在实时共享混合现实环境中协作进行显微外科重建。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI: 10.1177/15533506241262946

Fabian N Necker, David J Cholok, Mohammed S Shaheen, Marc J Fischer, Kyle Gifford, Trishia El Chemaly, Christoph W Leuze, Michael Scholz, Bruce L Daniel, Arash Momeni

{"title":"The Reconstructive Metaverse - Collaboration in Real-Time Shared Mixed Reality Environments for Microsurgical Reconstruction.","authors":"Fabian N Necker, David J Cholok, Mohammed S Shaheen, Marc J Fischer, Kyle Gifford, Trishia El Chemaly, Christoph W Leuze, Michael Scholz, Bruce L Daniel, Arash Momeni","doi":"10.1177/15533506241262946","DOIUrl":"10.1177/15533506241262946","url":null,"abstract":"Plastic surgeons routinely use 3D-models in their clinical practice, from 3D-photography and surface imaging to 3D-segmentations from radiological scans. However, these models continue to be viewed on flattened 2D screens that do not enable an intuitive understanding of 3D-relationships and cause challenges regarding collaboration with colleagues. The Metaverse has been proposed as a new age of applications building on modern Mixed Reality headset technology that allows remote collaboration on virtual 3D-models in a shared physical-virtual space in real-time. We demonstrate the first use of the Metaverse in the context of reconstructive surgery, focusing on preoperative planning discussions and trainee education. Using a HoloLens headset with the Microsoft Mesh application, we performed planning sessions for 4 DIEP-flaps in our reconstructive metaverse on virtual patient-models segmented from routine CT angiography. In these sessions, surgeons discuss perforator anatomy and perforator selection strategies whilst comprehensively assessing the respective models. We demonstrate the workflow for a one-on-one interaction between an attending surgeon and a trainee in a video featuring both viewpoints as seen through the headset. We believe the Metaverse will provide novel opportunities to use the 3D-models that are already created in everyday plastic surgery practice in a more collaborative, immersive, accessible, and educational manner.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11411343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437571","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

Letter re: Comparing Analgesic Efficacy of Different Regional Blocks After Laparoscopic Cholecystectomy 信函回复：比较腹腔镜胆囊切除术后不同区域阻滞的镇痛效果

IF 1.5 4区医学

Surgical Innovation Pub Date : 2024-09-10 DOI: 10.1177/15533506241284315

Fei Gao, Dan-Feng Wang, Fu-Shan Xue

引用次数: 0

Early Experience With a Novel Super-Hydrophilic Laparoscopic Scope Cleaning Device and Narrative Review of Available Cleaning Strategies. 新型超亲水性腹腔镜探头清洁装置的早期使用经验及现有清洁策略的叙述性回顾。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-09-01 DOI: 10.1177/15533506241281316

Graham J Spurzem, Ryan C Broderick, Patricia R Cota, Bryan J Sandler, Garth R Jacobsen, Santiago Horgan

{"title":"Early Experience With a Novel Super-Hydrophilic Laparoscopic Scope Cleaning Device and Narrative Review of Available Cleaning Strategies.","authors":"Graham J Spurzem, Ryan C Broderick, Patricia R Cota, Bryan J Sandler, Garth R Jacobsen, Santiago Horgan","doi":"10.1177/15533506241281316","DOIUrl":"https://doi.org/10.1177/15533506241281316","url":null,"abstract":"Background: Impaired visibility is a challenge in laparoscopic surgery. Frequent scope removal increases operative time, reduces efficiency, and potentially compromises patient safety. We examine our initial experience with a novel cleaning device that applies cold plasma to the scope lens and review current available laparoscope cleaning methods.Methods: The novel device was used in a variety of laparoscopic general surgery cases from April to November 2023. Primary outcome was number of scope removals per case. Secondary outcomes were time spent cleaning and number of times the scope became smudged or dirty with blood/tissue debris (debris events). An existing device that utilizes heated anti-fogging solution was used for comparison.Results: 97 cases were included (31 with novel device and 66 with existing device). Scope removal rate for the novel device was lower compared to the existing device (0.87 ± 1.02 vs 0.97 ± 1.20 removals/case, P = 0.69), but not statistically significant. Average number of debris events was also lower for the novel device, but not statistically significant (0.90 ± 0.94 vs 1.0 ± 1.18 debris events/case, P = 0.69). Average total time spent cleaning per case was similar between devices (16.9 ± 24.0 vs 15.9 ± 18.7 seconds, P = 0.82).Conclusion: This study demonstrates that a hydrophilic scope cleaning device has comparable performance to heated anti-fogging solution and may reduce scope removals and debris events. Direct comparisons between cleaning products are lacking. Surgeons are most likely to be successful with the cleaning strategy that best suits one's surgical practice.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112260","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