Surgical Innovation最新文献_第2页

Evaluation of Veress Needle as a Liver Retraction Technique in Laparoscopic Sleeve Gastrectomy. Veress针在腹腔镜袖式胃切除术中肝回缩技术的评价。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2024-12-05 DOI: 10.1177/15533506241305894

Suleyman Caglar Ertekin, Gökhan Akbulut, Emre Turgut, Hüseyin Akyol, Muhammer Ergenç, Cumhur Yeğen

{"title":"Evaluation of Veress Needle as a Liver Retraction Technique in Laparoscopic Sleeve Gastrectomy.","authors":"Suleyman Caglar Ertekin, Gökhan Akbulut, Emre Turgut, Hüseyin Akyol, Muhammer Ergenç, Cumhur Yeğen","doi":"10.1177/15533506241305894","DOIUrl":"10.1177/15533506241305894","url":null,"abstract":"BackgroundLiver retraction management in laparoscopic sleeve gastrectomy (LSG) is challenging for surgeons, especially in patients with enlarged livers. Traditional methods, such as the Nathanson retractor (NR), often necessitate additional incisions, potentially increasing liver enzymes and increasing the risk of complications. The aim of this study was to evaluate the efficacy of the use of a Veress needle (VN), an alternative liver retraction technique, in LSG surgery compared with NR.Materials and MethodsThis study was conducted at a university-affiliated hospital between May 2022 and December 2022. Patients who underwent LSG were divided into two groups: one utilizing the NR and the other employing the VN for liver retraction. Parameters such as operation duration, retraction time, liver laceration, trocar-induced hemorrhage, subxiphoid trocar site infections, pain scores measured via the visual analog scale (VAS) at various time points, pre- and postoperative liver enzyme levels (AST, ALT, GGT, ALP) and CRP levels were analyzed.ResultsData from 151 patients were analyzed. The AST/ALT elevations (P < 0.001) were significantly lower in the VN group (73 patients) than in the NR group (78 patients), while there was no significant difference in GGT/ALP levels. Retraction-related bleeding was significantly greater in the NR group than in the VN group (6.4% vs 0%, P = 0.035). Postoperative infection rate was lower in the VN group but not statistically significant (0% vs 3.8%, P = 0.135). CRP differences were significant on the first postoperative day (P < 0.001). Postoperative VAS scores were significantly lower in the VN group at all measured time points except at the 48th hour and 10th day.ConclusionsThe VN technique in LSG significantly reduces liver enzyme elevation and the need for an extra trocar and incision, potentially lowering complication risk and enhancing patient outcomes.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"85-93"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787056","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

First Experience with the NPseal®: A Novel Mechanically Powered Negative Pressure Dressing Applied to Colorectal Surgery Wounds. 首次使用NPseal®：一种用于结直肠手术伤口的新型机械负压敷料。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1177/15533506241307729

Johnny Wang, Brian Williams, Jordan R Wlodarczyk, Abhinav Gupta, Debora Kim, Kyle G Cologne, Sarah E Koller, Christine Hsieh, Marjun P Duldulao, Joongho Shin

{"title":"First Experience with the NPseal®: A Novel Mechanically Powered Negative Pressure Dressing Applied to Colorectal Surgery Wounds.","authors":"Johnny Wang, Brian Williams, Jordan R Wlodarczyk, Abhinav Gupta, Debora Kim, Kyle G Cologne, Sarah E Koller, Christine Hsieh, Marjun P Duldulao, Joongho Shin","doi":"10.1177/15533506241307729","DOIUrl":"10.1177/15533506241307729","url":null,"abstract":"BackgroundThe use of prophylactic closed-incisional negative pressure wound therapy after colorectal procedures has been shown to reduce postoperative wound complications and surgical site infection. We present our experience with a novel, closed-incision, mechanically powered negative pressure (MP-NPD) dressing after colorectal procedures.MethodsThis was a prospective, single-center, single-arm observational study assessing patient reported and wound healing outcomes of colorectal surgical incisions dressed with a MP-NPD. Consecutive patients, 18 years and older, that met inclusion criteria were enrolled between May 2021 and December 2021.ResultsThirty patients were included (13 male/17 female) with a mean age of 62.7 ± 11.8 years and mean body mass index of 25.5 ± 4.4 kg/m2. The mean incision length covered was 3.0 ± 1.8 cm. The median number of manual pinches required to initially activate the dressing with negative pressure within -75 to -125 mmHg was 12 (range 7-20). Four dressings were changed (13.3%) after drainage was noted inside the pump; not including these, 88.5% (23/26) of dressings held pressure consistently without any re-pinching during the 72-h period since they were first applied in the operating room. 75.9% of patients reported the dressing was \"very comfortable\" and none reported the dressing restricted mobility. 79.3% of patients reported the dressing was \"very easy\" to use. There were no cases of major wound complication or surgical site infection within 30 days.ConclusionThe use of MP-NPD appears to be feasible on primarily-closed colorectal incisions. Further randomized controlled study is warranted to ascertain its clinical efficacy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"127-140"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801591","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

Validation of a Novel "Windshield Wiper" for Laparoscopes in Cadaver and Live Porcine Models.

IF 1.2 4区医学

Surgical Innovation Pub 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":"https://doi.org/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":"15533506251329635"},"PeriodicalIF":1.2,"publicationDate":"2025-03-25","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

An Innovative Low Cost Technique of Hand Port Creation for Hand Assisted Laparoscopic Surgery (HALS)- the AIIMS Technique.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-03-19 DOI: 10.1177/15533506251328761

Asuri Krishna, Sushant Soren, Ramita Mukherjee, V Seenu

引用次数: 0

The Role of AI in Modern Hernia Surgery: A Review and Practical Insights.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-03-19 DOI: 10.1177/15533506251328481

Gabriela Restrepo-Rodas, Juan S Barajas-Gamboa, Freddy Miguel Ortiz Aparicio, Juan Pablo Pantoja, Carlos Abril, Suleiman Al-Baqain, John Rodriguez, Alfredo D Guerron

{"title":"The Role of AI in Modern Hernia Surgery: A Review and Practical Insights.","authors":"Gabriela Restrepo-Rodas, Juan S Barajas-Gamboa, Freddy Miguel Ortiz Aparicio, Juan Pablo Pantoja, Carlos Abril, Suleiman Al-Baqain, John Rodriguez, Alfredo D Guerron","doi":"10.1177/15533506251328481","DOIUrl":"https://doi.org/10.1177/15533506251328481","url":null,"abstract":"BackgroundArtificial intelligence (AI) is revolutionizing various aspects of health care, particularly in the surgical field, where it offers significant potential for improving surgical risk assessment, predictive analytics, and research advancement. Despite the development of numerous AI models in surgery, there remains a notable gap in understanding their specific application within the context of hernia surgery.PurposeThis review aims to explore the evolution of AI utilization in hernia surgery over the past 2 decades, focusing on the contributions of Machine Learning (ML), Natural Language Processing (NLP), Computer Vision (CV), and Robotics.ResultsWe discuss how these AI fields enhance surgical outcomes and advance research in the domain of hernia surgery. ML focuses on developing and training prediction models, while NLP enables seamless human-computer interaction through the use of Large Language Models (LLMs). CV assists in critical view detection, which is crucial in procedures such as inguinal hernia repair, and robotics improves minimally invasive techniques, dexterity, and precision. We examine recent evidence and the applicability of various AI models on hernia patients, considering the strengths, limitations, and future possibilities within each field.ConclusionBy consolidating the impact of AI models on hernia surgery, this review provides insights into the potential of AI for advancing patient care and surgical techniques in this field, ultimately contributing to the ongoing evolution of surgical practice.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251328481"},"PeriodicalIF":1.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658190","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.

IF 1.2 4区医学

Surgical Innovation Pub 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":"https://doi.org/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":"15533506251328473"},"PeriodicalIF":1.2,"publicationDate":"2025-03-19","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

Imaging Derived Holograms Improve Surgical Outcome in Inexperienced Surgeons: A Meta-Analysis.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-03-18 DOI: 10.1177/15533506251325351

Andrea Demeco, Francesco Renzi, Antonio Frizziero, Stefano Palermi, Antonello Salerno, Ruben Foresti, Chiara Martini, Cosimo Costantino

{"title":"Imaging Derived Holograms Improve Surgical Outcome in Inexperienced Surgeons: A Meta-Analysis.","authors":"Andrea Demeco, Francesco Renzi, Antonio Frizziero, Stefano Palermi, Antonello Salerno, Ruben Foresti, Chiara Martini, Cosimo Costantino","doi":"10.1177/15533506251325351","DOIUrl":"https://doi.org/10.1177/15533506251325351","url":null,"abstract":"BackgroundMixed reality (MR) is an emerging technology that has been employed in medicine, providing a holographic representation of patient anatomy.PurposeThe aim of this review is to examine the use of imaging-derived holograms in the management of musculoskeletal conditions.Research DesingA literature search was performed on PubMed, Embase, Web of Science, Scopus, and Google Scholar up to June 2023, a total of 31 studies were included. A random-effects model was employed for the meta-analysis.ResultsMR has been extensively used in orthopedic surgery, spinal surgery, and interventional procedures for pain management. A 3D model is derived from DICOM images and superimposed on the surgical field. The procedure's accuracy has yielded remarkable results, especially for operators with less surgical experience. Furthermore, this technology minimises the need for intra-procedure imaging, thus reducing radiation exposure.ConclusionThe meta-analysis showed an impact of MR in reducing operatory time and improving inexperienced surgeons' accuracy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251325351"},"PeriodicalIF":1.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658015","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

Comparative Evaluation of Laparoscopic Origami Crane Training With 3D and 2D Laparoscopy: Correlation With Fundamentals of Laparoscopic Surgery Scores.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-03-04 DOI: 10.1177/15533506251324486

Shoichiro Mizukami, Tatsuya Shonaka, Tomohiro Takeda, Hiroki Takahata, Ryotaro Shimazaki, Masahide Otani, Mizuho Ohara, Chikayoshi Tani, Kimiharu Hasegawa, Hideki Yokoo

{"title":"Comparative Evaluation of Laparoscopic Origami Crane Training With 3D and 2D Laparoscopy: Correlation With Fundamentals of Laparoscopic Surgery Scores.","authors":"Shoichiro Mizukami, Tatsuya Shonaka, Tomohiro Takeda, Hiroki Takahata, Ryotaro Shimazaki, Masahide Otani, Mizuho Ohara, Chikayoshi Tani, Kimiharu Hasegawa, Hideki Yokoo","doi":"10.1177/15533506251324486","DOIUrl":"https://doi.org/10.1177/15533506251324486","url":null,"abstract":"Objective. This prospective comparative study evaluated the efficacy and relationship between laparoscopic origami crane training (LOCT) and the Fundamentals of Laparoscopic Surgery (FLS) score using 3D vs 2D laparoscopy.Methods. From 2020 to 2023, fourth-year medical students at Asahikawa Medical University created 20 origami cranes (1 per day) in a laparoscopic dry box. FLS scores were assessed 5 times, corresponding to every fifth crane. Primary outcomes included LOCT production time, quality, and FLS scores, analyzed using the Mann-Whitney U test and repeated-measures ANOVA.Results. Eighteen participants were divided into 2 groups: 8 in the 3D laparoscopy (3D) group and ten in the 2D laparoscopy (2D) group. At the end of the study, the 3D group (16.5 min) produced cranes significantly faster than the 2D group (27 min, P = 0.02). Repeated-measures ANOVA showed that the production time, origami crane score, and FLS score improved over time. The 3D group had a significantly shorter production time (F (1, 16) = 8, P = 0.01). The origami crane score was not significantly different between the groups (F (1, 7) = 3, P = 0.13) but tended to be higher in the 3D group. No significant differences were found in the FLS scores between the groups for any task. A significant negative correlation between LOCT production time and FLS score in both groups confirmed that shorter production time correlated with higher FLS scores.Conclusions. LOCT is effective for extraclinical laparoscopic training and correlates with FLS scores. 3D laparoscopy may help beginners develop depth perception, improve bimanual and hand-eye coordination, and enhance LOCT effectiveness.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251324486"},"PeriodicalIF":1.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543572","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 Colonoscopy: Retrospective Comparison of the Findings in Supine and Prone Positions.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-03-03 DOI: 10.1177/15533506251325349

Mehmet Gürdal Demirci, Yasir Musa Kesgin

{"title":"Virtual Colonoscopy: Retrospective Comparison of the Findings in Supine and Prone Positions.","authors":"Mehmet Gürdal Demirci, Yasir Musa Kesgin","doi":"10.1177/15533506251325349","DOIUrl":"https://doi.org/10.1177/15533506251325349","url":null,"abstract":"Background: Early detection of colorectal cancer (CRC) is significantly associated with reduced morbidity and mortality. Virtual colonoscopy (VC) is a minimally invasive, safe and well-tolerated alternative procedure to traditional colonoscopy. Therefore, we aimed to evaluate the findings of VC particularly in supine and prone positions as well as to contribute to the practical challenges of procedure.Methods: Total number of 20 patients who underwent VC were included in this retrospective study. After proper bowel cleansing was achieved, intestinal dilatation was performed by injecting air into the rectum. Two different shots were performed in the supine and prone positions. Additionally, intestinal diameters were measured from the cecum to the rectum at their widest point via 2-dimensional coronal reformat.Results: Polyps were detected in 3 patients which were confirmed by optical colonoscopy. The mean cecum diameter was detected as the largest diameter in the supine and prone examinations. In both supine and prone examinations, the distal descending colon was the most challenging site. Additionally, the mean descending colon diameter calculated in the prone position (40.9 ± 6.4 mm) was found to be statistically larger than descending colon diameter calculated in the supine position (36.1 ± 5.3 mm) (P = 0.001).Conclusions: Our findings clearly demonstrated that combination of prone and supine scanning provides clear field of vision on narrow parts of the colon which improves accurate estimation for polyp detection. Furthermore, VC appears to be more comfortable, safe, fast, and cost-efffective procedure for CRC screening with advantages of low radiation exposure, extracolonic findings and lack of sedation requirements.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251325349"},"PeriodicalIF":1.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543574","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 in Breast Surgery: A Paradigm Shift With Unresolved Questions.

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-02-13 DOI: 10.1177/15533506251321209

Muheem Khan

引用次数: 0