Surgical Innovation最新文献_第3页

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 : 2025-04-29 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":"https://doi.org/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":"15533506251339920"},"PeriodicalIF":1.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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 : 2025-04-18 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":"https://doi.org/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":"15533506251328479"},"PeriodicalIF":1.2,"publicationDate":"2025-04-18","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

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 : 2025-04-14 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":"https://doi.org/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":"15533506251334690"},"PeriodicalIF":1.2,"publicationDate":"2025-04-14","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

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 : 2025-04-13 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":"https://doi.org/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":"15533506251334694"},"PeriodicalIF":1.2,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 : 2025-04-10 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":"https://doi.org/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":"15533506251334693"},"PeriodicalIF":1.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 : 2025-04-08 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":"https://doi.org/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":"15533506251328456"},"PeriodicalIF":1.2,"publicationDate":"2025-04-08","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

Improved Gynecomastia Surgery: Power-Assisted Liposuction With Stab-Flatten Technique Without Resection. 改良的男性乳房发育手术：不切除刺压技术的动力辅助吸脂术。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1177/15533506241307270

Bingwen Yan, Dongyue Hao, Liming Sun, Zhengqiang Cang, Bofu Xiao, Yongjun Chen, Haixia Qiao, Ying Ma, Baoqiang Song, Chaohua Liu

{"title":"Improved Gynecomastia Surgery: Power-Assisted Liposuction With Stab-Flatten Technique Without Resection.","authors":"Bingwen Yan, Dongyue Hao, Liming Sun, Zhengqiang Cang, Bofu Xiao, Yongjun Chen, Haixia Qiao, Ying Ma, Baoqiang Song, Chaohua Liu","doi":"10.1177/15533506241307270","DOIUrl":"10.1177/15533506241307270","url":null,"abstract":"BackgroundGynecomastia, the enlargement of male breast tissue, significantly impacts both physical and psychological health. Surgical intervention is often necessary, utilizing various techniques to reduce glandular and fatty tissue. This paper introduces an innovative surgical method combining power-assisted liposuction with the stab-flatten technique to enhance precision and cosmetic results. We present our clinical experience and evaluate its effectiveness in gynecomastia treatment.MethodsFrom June 2021 to January 2023, 128 gynecomastia patients underwent power-assisted liposuction and the stab-flatten method via a single axillary incision. We collected demographic and clinical data, including surgery duration, complications, and patient satisfaction regarding physical appearance, mental state, and social interactions. The BODY-Q questionnaire was used preoperatively and 3 months postoperatively for assessment.ResultsThe study included 128 male patients, treating 252 breasts, with an average age of 35 years and a mean BMI of 27.7 kg/m2. Most procedures were bilateral (96.9%), with an average fat removal of 224.5 mL and a surgery duration of 147 minutes. The complication rate was low at 2.0%, with bruises in 5 breasts. The average hospital stay was 2 days. Significant improvements were noted in BODY-Q scores for appearance satisfaction and health-related quality of life, with increased appearance satisfaction and reduced appearance-related distress.ConclusionSince June 2021, the combined use of power-assisted liposuction and the stab-flatten technique has been effective in managing gynecomastia. This synergistic approach not only achieves aesthetically pleasing outcomes but also minimizes the surgical risks associated with traditional methods.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"118-126"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Nomogram for Predicting Perirenal Hematoma After Percutaneous Nephrolithotomy. 预测经皮肾镜取石术后肾周血肿的Nomogram。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1177/15533506241313173

Chi Feng, Jun-Tao Tan, Qi-Hua Jiang, Zhi-Hua Li, Bei Mo

{"title":"A Nomogram for Predicting Perirenal Hematoma After Percutaneous Nephrolithotomy.","authors":"Chi Feng, Jun-Tao Tan, Qi-Hua Jiang, Zhi-Hua Li, Bei Mo","doi":"10.1177/15533506241313173","DOIUrl":"10.1177/15533506241313173","url":null,"abstract":"BackgroudPerirenal hematoma (PRH) is a notable complication following percutaneous nephrolithotomy (PCNL) with significant implications for patient outcomes. This study aimed to develop a nomogram predictive model for PRH after PCNL.MethodsRetrospective data from patients who underwent PCNL were analyzed. Patient demographics, stone characteristics, and operative details were assessed for their association with PRH using univariate and multivariate analyses. A nomogram was constructed based on identified predictors.ResultsAmong 1047 patients, 6.2% developed PRH. Factors significantly associated with PRH included age, urine culture, stone surface area, operative time and estimate blood loss. These factors were incorporated into the nomogram, providing a user-friendly tool for preoperative risk assessment of PRH following PCNL.ConclusionWe developed a nomogram predictive model for PRH after PCNL, facilitating individualized risk assessment and preventive strategies. Implementation of this nomogram may enhance patient safety and optimize surgical outcomes in PCNL procedures. Further validation studies are warranted to assess its generalizability and accuracy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"109-117"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955577","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

Use of a Novel Steerable Tip Suction Cannula in Large and Giant Pituitary Adenomas: A Cadaveric Feasibility Study. 一种新型可操纵尖端吸引管在大、巨型垂体腺瘤中的应用：尸体可行性研究。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI: 10.1177/15533506251313861

Mustafa Selim Sahin, Cafer Ikbal Gulsever, Metehan Ozturk, Duygu Dolen, Ilyas Dolas, Latif Saglam, Osman Coskun, Ozcan Gayretli, Pulat Akin Sabanci

{"title":"Use of a Novel Steerable Tip Suction Cannula in Large and Giant Pituitary Adenomas: A Cadaveric Feasibility Study.","authors":"Mustafa Selim Sahin, Cafer Ikbal Gulsever, Metehan Ozturk, Duygu Dolen, Ilyas Dolas, Latif Saglam, Osman Coskun, Ozcan Gayretli, Pulat Akin Sabanci","doi":"10.1177/15533506251313861","DOIUrl":"10.1177/15533506251313861","url":null,"abstract":"ObjectiveThe endoscopic transsphenoidal approach is commonly used for sellar and suprasellar pathologies. However, reaching above the diaphragma sella, especially for posterosuperior and retrocavernous orientation, still poses some challenges. We designed and developed a steerable tip suction cannula (STSC) that has distinct leverage for endoscopic resection of such pathologies.MethodsThe entire suction cannula is made of stainless steel. The instrument consists of a handle, vacuum tube, suction tip bed, suction tip, finger knuckle, wire path, countersunk headpin, and isolated steel wire. The working principle of the product is to enable the surgeon to move the aspiration tip in the desired direction by steering the finger knuckle. Five cadaveric specimens fixed with the saturated salt solution were used to evaluate the instrument and obtain measurements.ResultsIn the straight position, the STSC aspirated 2.67% slower than the control aspirator tip and 13.24% faster than that at 30° angulation. Based on the CT measurements, the mean angulation of the instrument from the frontobasal axis was 38.3°. The mean distance from the frontobasal axis was 1.3 cm. The average angulation of the tip of the instrument in the cranium was 25.5°.ConclusionThe designed STSC might effectively resect large to giant pituitary adenomas, especially those with supradiaphragmatic extension. Its suction capability is comparable to that of conventional suction tubes.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"149-154"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comparison Between Combined Ultrasonic and Bipolar Shears to Other Energy-Based Devices in Otolaryngology: A Systematic Review and Meta-Analysis. 联合超声和双极剪切器与其他能量型耳鼻喉科设备的比较：系统综述和荟萃分析。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-04-01 Epub Date: 2025-01-03 DOI: 10.1177/15533506241313171

Kenny Do, Kurtis Young, Eric Kawana, Jo-Lawrence Bigcas

{"title":"A Comparison Between Combined Ultrasonic and Bipolar Shears to Other Energy-Based Devices in Otolaryngology: A Systematic Review and Meta-Analysis.","authors":"Kenny Do, Kurtis Young, Eric Kawana, Jo-Lawrence Bigcas","doi":"10.1177/15533506241313171","DOIUrl":"10.1177/15533506241313171","url":null,"abstract":"ObjectiveThe Thunderbeat (TB) is a new surgical device that combines ultrasonic and bipolar energy. The objective of this study is to examine how the combined ultrasonic and bipolar shears affect surgical outcomes when compared to other methods.Data Sources and Review MethodsUsing the PRISMA guidelines, the researchers used broad search terms in PubMed, Embase, and Web of Science, which produced a total of 2823 initial results, with years ranging from 1955 to June 2024. After applying inclusion and exclusion criteria, 8 final studies were included in this systematic review and meta-analysis.ResultsThis meta-analysis analyzes energy-based devices used on patients into 2 major groups: (1) thyroidectomy group and (2) neck dissection group. The researchers found that the use of the TB in thyroidectomies reduces operative time when compared to the Harmonic scalpel (HS) and Ligasure (LS). The pooled mean difference in thyroidectomy operation time for the TB vs HS was -5.77 min (95% CI: -11.07 to -.48, P-value: .03) and for the TB vs LS was -4.41 min (95% CI: -8.86 to .04, P-value: .05). We also found reduced operative time with the use of the TB vs standard electrocautery for neck dissection, where the mean difference was -39.76 min (95% CI: -63.00 to -16.51, P-value: .00). No significant differences were seen in blood loss or postoperative complications when comparing TB to other methods.ConclusionThis meta-analysis demonstrated that TB can be equivalent to other energy-based devices and shows potential advantages over traditional electrocautery.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"165-179"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928005","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