Surgical Innovation最新文献

筛选
英文 中文
Insufflation-Free, Perianal Work Platform. 无充气、肛周工作平台。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-20 DOI: 10.1177/15533506241255435
Henry Buchwald, Hector Menchaca, Van Michalek, Arthur Erdman
{"title":"Insufflation-Free, Perianal Work Platform.","authors":"Henry Buchwald, Hector Menchaca, Van Michalek, Arthur Erdman","doi":"10.1177/15533506241255435","DOIUrl":"10.1177/15533506241255435","url":null,"abstract":"<p><p>There is an ever increasing volume of colorectal surgery being performed endoscopically by anal access, as well as greater employment of robotics for these procedures. Intraluminal visualization for perianal operations is today dependent on insufflation of the bowel. When full-thickness resections above the peritoneal reflection become necessary, the peritoneal cavity becomes inflated, facilitating infection and necessitating general anesthesia and patient intubation. Our patented tool was originally envisioned to enable abdominal cavity access via a single 2cm port incision, suitable for insufflation-free laparoscopic surgery, under local anesthesia (e.g., cholecystectomy). On further consideration, this instrument was modified to be used for perianal colorectal surgery.</p>","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":"141071859","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 Endoscopic Approach for Treating Breast Cancer: Haigui-1 Hole. 治疗乳腺癌的新型内窥镜方法:Haigui-1 孔。
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1177/15533506241262563
Pingming Fan, Pengfei Lyu, Fangfang Gao, Jingtai Li, Changyuan Wei, Guankui Du
{"title":"A Novel Endoscopic Approach for Treating Breast Cancer: Haigui-1 Hole.","authors":"Pingming Fan, Pengfei Lyu, Fangfang Gao, Jingtai Li, Changyuan Wei, Guankui Du","doi":"10.1177/15533506241262563","DOIUrl":"10.1177/15533506241262563","url":null,"abstract":"<p><strong>Objective: </strong>Endoscopic surgery is an effective technique for preserving the nipple and areola, as well as for sentinel lymph node biopsy and breast implant reconstruction. However, the technical challenges associated with endoscopic surgery have limited its widespread adoption.</p><p><strong>Methods: </strong>In the normal single-port endoscopic surgery, the ultrasonic knife was accessed through the retractor. In our modified procedure, a tiny 5 mm incision was made at the lateral margin underneath the breast, serving as the second entry port for the ultrasonic scalpel, which was referred to as the \"Haigui-1 hole\". Preoperative and postoperative indicators such as blood loss, operative time, and postoperative drainage volume were collected. Differences between parameters were compared using Student's <i>t</i> test.</p><p><strong>Results: </strong>Endoscopic surgery with the assistance of the \"Haigui-1 hole\" led to preserved breast aesthetics with minimal scarring. Moreover, \"Haigui-1 hole\" surgery significantly reduced the operation time, intraoperative bleeding, and postoperative drainage volume compared to normal single-port endoscopic surgery.</p><p><strong>Conclusion: </strong>The \"Haigui-1 hole\" procedure, which involves the addition of a second entrance to improve the maneuverability of the ultrasonic knife, is worthy of further promotion.</p>","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":"141311758","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
Efficacy of Unilateral External Oblique Intercostal Fascial Plane Block Versus Subcostal TAP Block in Laparoscopic Cholecystectomy: Randomized, Prospective Study. 腹腔镜胆囊切除术中单侧外斜肋间筋膜平面阻滞与肋下 TAP 阻滞的疗效:随机前瞻性研究
IF 1.2 4区 医学
Surgical Innovation Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1177/15533506241256529
Çömez Mehmet Selim, Sağlambilen Halide, Çelik Erkan Cem, Koyuncu Onur, Hakimoğlu Sedat, Urfalı Senem
{"title":"Efficacy of Unilateral External Oblique Intercostal Fascial Plane Block Versus Subcostal TAP Block in Laparoscopic Cholecystectomy: Randomized, Prospective Study.","authors":"Çömez Mehmet Selim, Sağlambilen Halide, Çelik Erkan Cem, Koyuncu Onur, Hakimoğlu Sedat, Urfalı Senem","doi":"10.1177/15533506241256529","DOIUrl":"10.1177/15533506241256529","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effectiveness of unilateral external oblique intercostal nerve block (EOIB) in laparoscopic cholecystectomy surgery.</p><p><strong>Material and methods: </strong>After ethics committee approval, ASA I-II patients aged 18-70 who would undergo laparoscopic cholecystectomy surgery were included in the study. The patients were divided into two groups, external oblique intercostal nerve block (Group EOIB) and oblique subcostal transversus abdominis plane block (Group OSTAP). After surgery, EOIB or OSTAP block was administered with 20 mL of .25% bupivacaine then routine analgesia protocol was applied with iv paracetamol, and tramadol. Visual analog scale (VAS) scores and patient-controlled analgesia (PCA) consumption were monitored 24 hours after the operation. It was administered 25 mg pethidine as a rescue analgesic to patients with VAS ≥4.</p><p><strong>Results: </strong>Thirty six patients for Group EOIB and thirty four patients for Group OSTAP were included in the study. Lower VAS scores were observed in all groups. When PCA consumption, side effects, rescue analgesia consumption, and patient satisfaction were evaluated, there was no statistically significant difference between the groups (<i>P</i> > .05).</p><p><strong>Conclusion: </strong>It was observed that EOIB showed similar analgesic activity to the OSTAP block. EOIB may also be a part of postoperative multimodal analgesia by reducing postoperative opioid consumption in LC.</p>","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/PMC11264529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082400","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
Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report. 显微外科精索静脉曲张切除术中的视频辅助望远镜操作显示器 3D 系统:初步报告。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-04 DOI: 10.1177/15533506241237555
Gede Wirya Kusuma Duarsa, Yudhistira Pradnyan Kloping, Gede Wirya Diptanala Duarsa, Besut Daryanto, Paksi Satyagraha
{"title":"Video-Assisted Telescope Operating Monitor 3D System in Microsurgical Varicocelectomy: A Preliminary Report.","authors":"Gede Wirya Kusuma Duarsa, Yudhistira Pradnyan Kloping, Gede Wirya Diptanala Duarsa, Besut Daryanto, Paksi Satyagraha","doi":"10.1177/15533506241237555","DOIUrl":"10.1177/15533506241237555","url":null,"abstract":"<p><strong>Introduction: </strong>Video-assisted telescope operating monitor (VITOM®) with 3D Visualization technology was developed and has been used with favorable results by several surgical specialties. Our study aims to be a preliminary report for initial experience using the VITOM® 3D system for microsurgical varicocelectomy on varicocele patients.</p><p><strong>Methods: </strong>We performed 35 microsurgical varicocelectomy procedures using the VITOM® 3D system on varying types and grades of varicoceles. The surgeon had the option of using either a 2.5 or 3.5 magnifying loupe in addition to the exoscope for each operation evaluated. The exoscope is a standalone camera head with an integrated 3D telescope and remote control with zoom and focus functions. It is connected to the 3D monitor via a mechanical holding arm. During the procedure, surgeons, assistants, and observers were able to view the 3D high-definition stream displayed on a 26-inch 3D monitor at a convenient viewing angle and distance. The varicocele ligation was performed using a Carl Zeiss Meditec AG microscope.</p><p><strong>Results: </strong>There were 35 patients with varicocele aged 31.51 years old on average, which were included in this report. Most patients had grade 3 bilateral varicocele (n = 13, 37.1%). All procedures were performed without any intraoperative complications. After the procedures, only a few patients suffered from postoperative complications. Three patients suffered scrotal edema (8.6%), while another had hydrocele (2.9%). The postoperative pain results were also very minimal from .89 1 day after the operation to .26 3 days after the operation.</p><p><strong>Conclusion: </strong>The VITOM® 3D system showed promise in microsurgical varicocelectomy.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029085","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
Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review. 研究结果有利于虚拟仿真手术教育中的触觉反馈:最新系统性和范围界定综述。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-14 DOI: 10.1177/15533506241238263
Sayed Azher, Aralia Mills, Jinzhi He, Taliah Hyjazie, Junko Tokuno, Andrea Quaiattini, Jason M Harley
{"title":"Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review.","authors":"Sayed Azher, Aralia Mills, Jinzhi He, Taliah Hyjazie, Junko Tokuno, Andrea Quaiattini, Jason M Harley","doi":"10.1177/15533506241238263","DOIUrl":"10.1177/15533506241238263","url":null,"abstract":"<p><strong>Background: </strong>Virtual simulations (VSs) enhance clinical competencies and skills. However, a previous systematic review of 9 RCT studies highlighted a paucity of literature on the effects of haptic feedback in surgical VSs. An updated systematic and scoping review was conducted to encompass more studies and a broader range of study methodologies.</p><p><strong>Methods: </strong>A systematic literature search was conducted on July 31, 2023, in MEDLINE, Embase, and Cochrane. English language studies comparing haptic vs non-haptic conditions and using VSs were included. Studies were evaluated and reported using PRISMA-ScR guidelines.</p><p><strong>Results: </strong>Out of 2782 initial studies, 51 were included in the review. Most studies used RCT (21) or crossover (23) methodologies with medical residents, students, and attending physicians. Most used post-intervention metrics, while some used pre- and post-intervention metrics. Overall, 34 performance results from studies favored haptics, 3 favored non-haptics, and the rest showed mixed or equal results.</p><p><strong>Conclusion: </strong>This updated review highlights the diverse application of haptic technology in surgical VSs. Haptics generally enhances performance, complements traditional teaching methods, and offers personalized learning with adequate simulator validation. However, a sparsity of orienting to the simulator, pre-/post-study designs, and small sample sizes poses concerns with the validity of the results. We underscore the urgent need for standardized protocols, large-scale studies, and nuanced understanding of haptic feedback integration. We also accentuate the significance of simulator validation, personalized learning potential, and the need for researcher, educator, and manufacturer collaboration. This review is a guidepost for navigating the complexities and advancements in haptic-enhanced surgical VSs.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132624","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
Economic Analysis of AbClo, a Novel Abdominal Fascia Closure Device, for Patients With an Open Abdomen Following Trauma or Acute Abdominal Surgery. 针对创伤或急性腹部手术后开腹患者的新型腹部筋膜闭合装置 AbClo 的经济性分析。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI: 10.1177/15533506241236745
Derek S Chew, Taranvir Dayal
{"title":"Economic Analysis of AbClo, a Novel Abdominal Fascia Closure Device, for Patients With an Open Abdomen Following Trauma or Acute Abdominal Surgery.","authors":"Derek S Chew, Taranvir Dayal","doi":"10.1177/15533506241236745","DOIUrl":"10.1177/15533506241236745","url":null,"abstract":"<p><strong>Background: </strong>Open Abdomen (OA) cases represent a significant surgical and resource challenge. AbClo is a novel non-invasive abdominal fascial closure device that engages lateral components of the abdominal wall muscles to support gradual approximation of the fascia and reduce the fascial gap. The study objective was to assess the economic implications of AbClo compared to negative pressure wound therapy (NPWT) alone on OA management.</p><p><strong>Methods: </strong>We conducted a cost-minimization analysis using a decision tree comparing the use of the AbClo device to NPWT alone among patients with midline laparotomy for trauma or acute abdominal surgery who were ineligible for primary fascial closure. The time horizon was limited to the length of the inpatient hospital stay, and costs were considered from the perspective of the US Medicare payer. Clinical effectiveness data for AbClo was obtained from a randomized clinical trial. Cost data was obtained from the published literature. Probabilistic and deterministic sensitivity analyses were performed. The primary outcome was incremental cost.</p><p><strong>Results: </strong>The mean cumulative costs per patient were $76 582 for those treated with NPWT alone and $70,582 for those in the group treated with the AbClo device. Compared to NPWT alone, AbClo was associated with lower incremental costs of -$6012 (95% CI -$19 449 to +$1996). The probability that AbClo was cost-savings compared to NPWT alone was 94%.</p><p><strong>Conclusions: </strong>The use of AbClo is an economically attractive strategy for management of OA in in patients with midline laparotomy for trauma or acute abdominal surgery who were ineligible for primary fascial closure.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973552","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
Application Value of High-Quality Nursing in Operating Room in Rectal Cancer Operation and its Influence on Postoperative Rehabilitation. 手术室优质护理在直肠癌手术中的应用价值及其对术后康复的影响
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.1177/15533506231221895
Juan Liu, Feng Tan, Yihui Zhang, Ping Zhou, Qian Qian, Qiaofang He, Jingpin Xu
{"title":"Application Value of High-Quality Nursing in Operating Room in Rectal Cancer Operation and its Influence on Postoperative Rehabilitation.","authors":"Juan Liu, Feng Tan, Yihui Zhang, Ping Zhou, Qian Qian, Qiaofang He, Jingpin Xu","doi":"10.1177/15533506231221895","DOIUrl":"10.1177/15533506231221895","url":null,"abstract":"<p><strong>Objective: </strong>To study the value of high-quality care in operating room during operation of patients with rectal cancer and the effect of this nursing model on postoperative rehabilitation.</p><p><strong>Methods: </strong>This study recruited 72 patients with rectal cancer, including 36 in the control group and 36 in the observation group. Patients in the control group received routine care, and those in the observation group received high-quality care in operating room.</p><p><strong>Results: </strong>The anxiety score (5.50 ± .77 vs 10. 08 ± 1.13), stress score (6.97 ± .60 vs 8.61 ± .99), and depression score (4.02 ± .65 vs 5.50 ± .91) in the observation group were less than the control group after treatment (<i>P</i> < .05). The measured values of diastolic blood pressure (73.19 ± 1.96 vs 86.13 ± 2.0), systolic blood pressure (121.08 ± 1.62 vs 130.63 ± 2.84), heart rate (73.05 ± 1.63 vs 87.11 ± 2.91) and adrenaline E(E) (58.40 ± 3.02 vs 61.42 ± 3.86) in the observation group were less than the control group after treatment (<i>P</i> < .05). The cooperation degree (94.44 vs 75.00) in the observation group was greater than the control group, but the operation time (308.47 ± 9.92 vs 339.47 ± 12.70), postoperative intestinal function recovery time (16.30 ± 1.14 vs 30.94 ± 2.10) and length of stay (10.47 ± 1.85 vs 13.33 ± 1.95) were all shorter than the control group (<i>P</i> < .05). The nasopharyngeal temperature in the observation group was greater than the control group at 30 minutes during operation (36.16 ± .50 vs 35.19 ± .40) and after operation, and fear score (2.22 ± .42 vs 3.63 ± .72) was less than the control group (<i>P</i> < .05).</p><p><strong>Conclusion: </strong>The application of high-quality care in the operating room during rectal cancer surgery has a significantly good clinical outcome.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102452","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
Single-Incision Laparoscopic Cholecystectomy Using a Set of Novel Needle Instruments. 使用一套新型针式器械的单切口腹腔镜胆囊切除术
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-05 DOI: 10.1177/15533506241237141
Zhengmin Cui, Duoqiang Zhang, Mingguo Tian, Yafei Wang, Xiuping Yang
{"title":"Single-Incision Laparoscopic Cholecystectomy Using a Set of Novel Needle Instruments.","authors":"Zhengmin Cui, Duoqiang Zhang, Mingguo Tian, Yafei Wang, Xiuping Yang","doi":"10.1177/15533506241237141","DOIUrl":"10.1177/15533506241237141","url":null,"abstract":"<p><strong>Background: </strong>Although the technique of single-incision laparoscopic cholecystectomy (SILC) has improved remarkably, problems such as limited exposure and instrument collision persist. We describe a new SILC technique that uses a set of specially-designed needle instruments.</p><p><strong>Methods: </strong>Fifty-six patients with benign gallbladder disease underwent SILC using the newly-designed needle assembly instruments (NAIs). The NAIs comprise an needle assembly exposing hook for operative field exposure and an needle assembly electrocoagulation hook for dissection. During the operation, the NAIs were assembled and disassembled before and after gallbladder removal within the abdominal cavity. The operative efficacy and postoperative complications of this procedure were evaluated.</p><p><strong>Results: </strong>SILC was completed successfully in 52 cases, and four cases (7.14%) required an additional trocar. There were no conversions to open surgery. The mean operative time was 48.2 ± 21.8 min, and the mean operative bleeding volume was 10.5 ± 12.5 mL. Minor postoperative complications occurred in 3 cases, including 2 cases of localized fluid accumulation in the abdominal cavity and 1 case of pulmonary infection, and all of them recovered after conservative treatment. There was no occurrence of bile leak, abdominal bleeding, bile duct injury and incisional hernia. The medical cost of each case was saved by approximately $200. The abdominal scars produced by the needle instruments were negligible.</p><p><strong>Conclusion: </strong>NAIs can make SILC safer, more convenient, and less expensive.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040318","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
Robot Assisted Laparoscopic Surgery in Gynaecology: An Evolving Assistive Technology. 妇科机器人辅助腹腔镜手术:不断发展的辅助技术。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-06 DOI: 10.1177/15533506241238038
Siwen Xie, Thomas Charles Wood, Prokar Dasgupta, Abdullatif Aydin
{"title":"Robot Assisted Laparoscopic Surgery in Gynaecology: An Evolving Assistive Technology.","authors":"Siwen Xie, Thomas Charles Wood, Prokar Dasgupta, Abdullatif Aydin","doi":"10.1177/15533506241238038","DOIUrl":"10.1177/15533506241238038","url":null,"abstract":"<p><p>Laparoscopic surgery is extensively utilized to treat a range of gynaecological conditions and pathologies. The advantages of laparoscopic surgery include the minimalization of blood loss and scarring, improved recovery times, and shorter hospital admissions. However, robotic technologies have had an increasing presence within gynaecological laparoscopic surgery in recent decades. This literature review therefore aims to discuss laparoscopy from 3 perspectives. First, the evolution of laparoscopy is reviewed with a focus on its origins, its transition from a diagnostic to an operative tool, and its role in present-day gynaecology. Second, interventions for benign gynaecological conditions (including excision of benign ovarian tumours, total laparoscopic hysterectomy, and laparoscopic myomectomy) are reviewed. The laparoscopic management of malignant gynaecology (including ovarian cancer, endometrial cancer, and cervical cancer) is also discussed. Finally, whilst robot-assisted laparoscopic surgery is experiencing rapid technological advancement, it is pertinent to consider the extent of its benefits when compared to open or conventional laparoscopic approaches in gynaecological surgery.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040317","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
Contemporary Assessment of Adhesiolysis and Resection for Adhesive Small Bowel Obstruction in the State of New York. 纽约州粘连性小肠梗阻粘连溶解和切除术的当代评估。
IF 1.5 4区 医学
Surgical Innovation Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI: 10.1177/15533506241240580
Matthew M Symer, Xinyan Zheng, Bradley B Pua, Art Sedrakyan, Jeffrey W Milsom
{"title":"Contemporary Assessment of Adhesiolysis and Resection for Adhesive Small Bowel Obstruction in the State of New York.","authors":"Matthew M Symer, Xinyan Zheng, Bradley B Pua, Art Sedrakyan, Jeffrey W Milsom","doi":"10.1177/15533506241240580","DOIUrl":"10.1177/15533506241240580","url":null,"abstract":"<p><strong>Background: </strong>Adhesive small bowel obstruction (aSBO) is a common surgical problem, with some advocating for a more aggressive operative approach to avoid recurrence. Contemporary outcomes in a real-world setting were examined.</p><p><strong>Study design: </strong>A retrospective cohort study was performed using the New York Statewide Planning and Research Cooperative database to identify adults admitted with aSBO, 2016-2020. Patients were stratified by the presence of inflammatory bowel disease (IBD) and cancer history. Diagnoses usually requiring resection were excluded. Patients were categorized into four groups: non-operative, adhesiolysis, resection, and 'other' procedures. In-hospital mortality, major complications, and odds of undergoing resection were compared.</p><p><strong>Results: </strong>58,976 patients were included. 50,000 (84.8%) underwent non-operative management. Adhesiolysis was the most common procedure performed (n = 4,990, 8.46%), followed by resection (n = 3,078, 5.22%). In-hospital mortality in the lysis and resection groups was 2.2% and 5.9% respectively. Non-IBD patients undergoing operation on the day of admission required intestinal resection 29.9% of the time. Adjusted odds of resection were highest for those with a prior aSBO episode (OR 1.29 95%CI 1.11-1.49), delay to operation ≥3 days (OR1.78 95%CI 1.58-1.99), and non-New York City (NYC) residents being treated at NYC hospitals (OR1.57 95%CI 1.19-2.07).</p><p><strong>Conclusion: </strong>Adhesiolysis is currently the most common surgery for aSBO, however nearly one-third of patients will undergo a more extensive procedure, with an increased risk of mortality. Innovative therapies are needed to reduce the risk of resection.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159041","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信