Surgical Innovation最新文献_第4页

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

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

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

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

Coatings for Permanent Meshes Used to Enhance Healing in Abdominal Hernia Repair: A Scoping Review. 用于增强腹部疝气修复愈合的永久性网片涂层：范围审查。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-27 DOI: 10.1177/15533506241255258

Jason Joe Baker, Jacob Rosenberg

{"title":"Coatings for Permanent Meshes Used to Enhance Healing in Abdominal Hernia Repair: A Scoping Review.","authors":"Jason Joe Baker, Jacob Rosenberg","doi":"10.1177/15533506241255258","DOIUrl":"10.1177/15533506241255258","url":null,"abstract":"Introduction: Hernia meshes are used to reduce recurrence and pain rates, but the rates are still high. This could be improved with coatings of the mesh. This scoping review aimed to provide an overview of mesh coatings used to promote healing in abdominal hernia repair and to report beneficial and unbeneficial effects.Methods: We included human and animal studies with abdominal hernias that were repaired with non-commercially coated meshes. We searched Pubmed, Embase, Cochrane Central, LILACS, and CNKI without language constraints.Results: Of 2933 identified studies, 58 were included: six studies had a total of 408 humans and 52 studies had 2679 animals. The median follow-up was 12 months (range 1-156), and 95% of the hernias were incisional. There were 44 different coatings which included platelet-rich plasma, mesenchymal stem cells, growth factors, vitamin E, collagen-derived products, various polysaccharides, silk proteins, chitosan, gentamycin, doxycycline, nitrofurantoin, titanium, and diamond-like carbon. Mesenchymal stem cells and platelet-rich plasma were the most researched. Mesenchymal stem cells notably reduced inflammation and foreign body reactions but did not impact other healing metrics. In contrast, platelet-rich plasma positively influenced tissue ingrowth, collagen deposition, and neovascularization and had varying effects on inflammation and foreign body reactions.Conclusion: We identified 44 different mesh coatings and they showed varying results. Mesenchymal stem cells and platelet-rich plasma were the most studied, with the latter showing considerable promise in improving biomechanical properties in hernia repair. Further investigations are needed to ascertain their definitive use in humans.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159197","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 Novel Cooling Device for Kidney Transplant Surgery. 用于肾移植手术的新型冷却装置

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-06-03 DOI: 10.1177/15533506241260087

Ali Dergham, Luke Witherspoon, Liam Power, Joseph Y Nashed, Thomas A A Skinner

{"title":"A Novel Cooling Device for Kidney Transplant Surgery.","authors":"Ali Dergham, Luke Witherspoon, Liam Power, Joseph Y Nashed, Thomas A A Skinner","doi":"10.1177/15533506241260087","DOIUrl":"10.1177/15533506241260087","url":null,"abstract":"Background: Prolonged warm ischemia time (WIT) in kidney transplantation is associated with numerous adverse outcomes including delayed graft function and decreased patient and graft survival. Circumventing WIT lies in maintaining renal hypothermia and efficiently performing the vascular anastomosis during this portion of the procedure. Although numerous methods of intra-operative renal cooling have been proposed, most suffer from practical limitations, and none have been widely adopted. Herein we describe a novel device specifically designed to maintain renal hypothermia during kidney transplant surgery.Methods: Aluminum tubing was organized in a serpentine pattern to create a malleable, form-fitting cooling jacket to manipulate renal allografts during transplant surgery. Adult porcine kidneys were used to test the device with 4°C saline as coolant. Kidneys were placed at 24°C; surface and core temperatures were monitored using implanted thermocouples. Anastomosis of porcine kidney vessels to GORE-TEX® vascular grafts in an ex-vivo operative field was performed to assess the functionality of the device.Results: The device maintained surface and core graft temperatures of ≤5°C after 60 minutes of WIT. Furthermore, the device provided hands-free retraction and support for the allograft. We found that ex-vivo anastomosis testing was enhanced by the presence of the cooling jacket.Conclusions: This proof-of-concept study demonstrated that our novel device is a practical tool for renal transplantation and can maintain sufficiently cool graft temperatures to mitigate WIT in an ex-vivo setting. This device is the first of its kind and has the potential to improve kidney transplant outcomes by eliminating WIT during graft implantation.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238060","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

Assessment of the Quality of Patient-Oriented Internet Information on Fluorescence Imaging in Surgery. 以患者为导向的外科荧光成像互联网信息质量评估。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-24 DOI: 10.1177/15533506241256827

Aizaz Khalid, Heena Anuff, Sophie Woodhead, Trevor M Yeung

{"title":"Assessment of the Quality of Patient-Oriented Internet Information on Fluorescence Imaging in Surgery.","authors":"Aizaz Khalid, Heena Anuff, Sophie Woodhead, Trevor M Yeung","doi":"10.1177/15533506241256827","DOIUrl":"10.1177/15533506241256827","url":null,"abstract":"Background: In the digital age, patients are increasingly turning to the Internet to seek medical information to aid in their decision-making process before undergoing medical treatments. Fluorescence imaging is an emerging technological tool that holds promise in enhancing intra-operative decision-making during surgical procedures. This study aims to evaluate the quality of patient information available online regarding fluorescence imaging in surgery and assesses whether it adequately supports informed decision-making.Method: The term \"patient information on fluorescence imaging in surgery\" was searched on Google. The websites that fulfilled the inclusion criteria were assessed using 2 scoring instruments. DISCERN was used to evaluate the reliability of consumer health information. QUEST was used to assess authorship, tone, conflict of interest and complementarity.Results: Out of the 50 websites identified from the initial search, 10 fulfilled the inclusion criteria. Only two of these websites were updated in the last two years. The definition of fluorescence imaging was stated in only 50% of the websites. Although all websites mentioned the benefits of fluorescence imaging, none mentioned potential risks. Assessment by DISCERN showed that 30% of the websites were rated low and 70% were rated moderate. With QUEST, the websites demonstrated an average score of 62.5%.Conclusion: This study highlights the importance of providing patients with accurate and balanced information about medical technologies and procedures they may undergo. Fluorescence imaging in surgery is a promising technology that can potentially improve surgical outcomes. However, patients need to be well-informed about its benefits and limitations in order to make informed decisions about their healthcare.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088982","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

Assessing Muscular Pain and Ergonomics Among Robotic Surgeons in China: A Validation. 中国机器人外科医生肌肉疼痛和人体工学评估：验证。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1177/15533506241255766

Shady Saikali, Ela Patel, Anya Mascarenhas, Abdelrahman Jaber, Ahmad Gamal, Marcio Covas Moschovas, Liang Cui, Xuesong Li, Vipul Patel

{"title":"Assessing Muscular Pain and Ergonomics Among Robotic Surgeons in China: A Validation.","authors":"Shady Saikali, Ela Patel, Anya Mascarenhas, Abdelrahman Jaber, Ahmad Gamal, Marcio Covas Moschovas, Liang Cui, Xuesong Li, Vipul Patel","doi":"10.1177/15533506241255766","DOIUrl":"10.1177/15533506241255766","url":null,"abstract":"Introduction: Robotic surgery has transformed minimally invasive procedures, offering precision and efficiency. However, the ergonomic aspects of robotic consoles and their impact on surgeon health remain understudied. This review investigates the burden of ergonomics and muscle fatigue among robotic surgeons in China, comparing the findings to a multinational study.Methodology: A literature review identified themes related to physical discomfort in robotic surgery. A questionnaire was administered to Chinese robotic surgeons, yielding 40 responses. The study assessed demographic characteristics, surgeon experience, ergonomic practices, reported discomfort, and pain-relief mechanisms.Results: The study revealed that most surgeons experienced shoulder and neck pain, with mixed opinions on whether robotic surgery was the primary cause. Stretching exercises were commonly used for pain relief. Surgeons believed that case volume and surgery duration contributed to discomfort. Comparisons with a multinational study suggested potential demographic and experience-related differences.Conclusion: While the study has limitations, including a small sample size and potential translation issues, it underscores the importance of addressing ergonomic concerns and providing proper training to robotic surgeons to ensure their well-being and longevity in the field. Further research with larger cohorts and platform-specific analyses is warranted.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082399","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

Variability of Guidelines and Disclosures for AI-Generated Content in Top Surgical Journals. 顶级外科期刊中人工智能生成内容的指南和披露的差异性。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-06-11 DOI: 10.1177/15533506241259916

Sina J Torabi, Michael J Warn, Benjamin F Bitner, Yarah M Haidar, Tjoson Tjoa, Edward C Kuan

{"title":"Variability of Guidelines and Disclosures for AI-Generated Content in Top Surgical Journals.","authors":"Sina J Torabi, Michael J Warn, Benjamin F Bitner, Yarah M Haidar, Tjoson Tjoa, Edward C Kuan","doi":"10.1177/15533506241259916","DOIUrl":"10.1177/15533506241259916","url":null,"abstract":"Background: When properly utilized, artificial intelligence generated content (AIGC) may improve virtually every aspect of research, from data gathering to synthesis. Nevertheless, when used inappropriately, the use of AIGC may lead to the dissemination of inaccurate information and introduce potential ethical concerns.Research Design: Cross-sectional. Study Sample: 65 top surgical journals. Data Collection: Each journals submission guidelines and portal was queried for guidelines regarding AIGC use.Results: We found that, in July 2023, 60% of the top 65 surgical journals had introduced guidelines for use, with more surgical journals (68%) introducing guidelines than surgical subspecialty journals (52.5%), including otolaryngology (40%). Furthermore, of the 39 with guidelines, only 69.2% gave specific use guidelines. No included journal, at the time of analysis, explicitly disallowed AIGC use.Conclusions: Altogether, this data suggests that while many journals have quickly reacted to AIGC usage, the quality of such guidelines is still variable. This should be pre-emptively addressed within academia.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301607","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