Surgical Technology Online最新文献

Ex Vivo Donor Heart Perfusion using the TransMedics Organ Care System in Orthotopic Heart Transplant 利用TransMedics器官护理系统在原位心脏移植中的体外供体心脏灌注

Surgical Technology Online Pub Date : 2022-02-01 DOI: 10.52198/22.sti.40.tr1560

S. Ohira, D. Spielvogel, S. Lansman, M. Kai

引用次数: 0

Use of Vivostat® Autologous Fibrin Sealant in Thyroid Surgery Vivostat®自体纤维蛋白密封剂在甲状腺手术中的应用

Surgical Technology Online Pub Date : 2021-05-27 DOI: 10.52198/21.STI.38.SO1441

A. Pino, F. Frattini, Hui Sun, Daqi Zhang, Che‐Wei Wu, H. Kim, G. Dionigi

{"title":"Use of Vivostat® Autologous Fibrin Sealant in Thyroid Surgery","authors":"A. Pino, F. Frattini, Hui Sun, Daqi Zhang, Che‐Wei Wu, H. Kim, G. Dionigi","doi":"10.52198/21.STI.38.SO1441","DOIUrl":"https://doi.org/10.52198/21.STI.38.SO1441","url":null,"abstract":"Introduction: Post-thyroidectomy hemorrhage is a rare but potentially life-threatening and unpredictable complication of thyroid surgery. Therefore, intraoperative bleeding control and hemostasis are crucial. However, the most efficient, cost-effective, and standardized way to achieve this is not clear. This study aimed to evaluate the outcome of total thyroidectomy (TT) and partial thyroidectomy (PT) performed using the Vivostat® hemostatic system (Vivostat A/S, Lillerød, Denmark). \u0000Methods: Patients underwent TT and PT for benign and malignant diseases (multinodular goiter, Graves’ disease, differentiated thyroid carcinoma). The primary endpoint was 1st-day postoperative drain output and bleeding that required reintervention. Secondary endpoints included surgery duration and postsurgical complications (vocal fold palsy, hypocalcemia, seroma, wound infection). \u0000Results: Between October 2020 and December 2020, 56 patients were enrolled; 69.6% female; mean age 49.5 years. The mean 24-h drain output was 40 ml. No redo surgery was needed. Seroma was present in 5.3% of cases; no permanent vocal palsy or hypocalcemia was observed. \u0000Conclusion: This study shows that the Vivostat® system is both safe and effective for hemostasis during thyroid surgery.","PeriodicalId":387234,"journal":{"name":"Surgical Technology Online","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123480186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pre-clinical Comparison of a High-Definition 3-Dimensional Exoscope and an Operating Microscope: A Prospective Randomized Crossover Study 高清晰度三维外窥镜和手术显微镜的临床前比较:一项前瞻性随机交叉研究

Surgical Technology Online Pub Date : 2021-05-17 DOI: 10.52198/22.sti.40.so1583

A. De Virgilio, A. Costantino, B. M. Festa, F. Nicolosi, C. Ebm, G. Spriano, G. Mercante

{"title":"Pre-clinical Comparison of a High-Definition 3-Dimensional Exoscope and an Operating Microscope: A Prospective Randomized Crossover Study","authors":"A. De Virgilio, A. Costantino, B. M. Festa, F. Nicolosi, C. Ebm, G. Spriano, G. Mercante","doi":"10.52198/22.sti.40.so1583","DOIUrl":"https://doi.org/10.52198/22.sti.40.so1583","url":null,"abstract":"Objective: The high-definition 3D operating exoscope is a new tool for surgical visualization and magnification that was designed to replace the operating microscope. However, the paucity of studies that have prospectively compared the two systems has made it difficult to draw clear recommendations. The purpose of this study was to compare the operating exoscope and the operating microscope in first-time users in a pre-clinical setting. Methods: Twenty-eight consecutive medical students were prospectively enrolled and randomized in a crossover design. Each student performed four exercises that required basic microsurgical skills. A tailored questionnaire (Comparison Assessment Tool) was used to subjectively compare the two systems using a 5-point Likert scale. The time needed to perform each task was recorded. A post-intervention cross-sectional survey was conducted to assess the overall quality of the trial session. Results: The operating exoscope was preferred over the operating microscope by most of the students in all items of the Comparison Assessment Tool, particularly with regard to “focusing” and “image quality” (n = 25, 92.6%). A significant difference between groups was found in two exercises that were easier to perform with the operating exoscope. Most of the students considered the overall quality of the evaluation experience to be “very good” (n = 25, 92.6%). Conclusions: The exoscope allows first-time users to better perform basic microsurgical tasks in a simulated clinical scenario compared to the operating microscope. Further prospective comparative studies will be needed to validate our preliminary findings in an actual clinical scenario.","PeriodicalId":387234,"journal":{"name":"Surgical Technology Online","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127597405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

nguinal Hernia Repair but No Hernia Present: A Nationwide Cohort Study 腹股沟疝修补但未出现疝:一项全国队列研究

Surgical Technology Online Pub Date : 2021-05-17 DOI: 10.52198/22.sti.40.hr1585

S. Gamborg, Mette Marcussen, S. Öberg, J. Rosenberg

{"title":"nguinal Hernia Repair but No Hernia Present: A Nationwide Cohort Study","authors":"S. Gamborg, Mette Marcussen, S. Öberg, J. Rosenberg","doi":"10.52198/22.sti.40.hr1585","DOIUrl":"https://doi.org/10.52198/22.sti.40.hr1585","url":null,"abstract":"Introduction: Groin hernia repair can relieve pain from conditions other than groin hernias, such as “sports groin.” The aim of this study was to assess the nationwide frequency of surgically treated sports groins and identify conditions found during groin hernia surgery with no hernia present. Materials and Methods: In this nationwide cohort study, we included patients with no hernia found during groin hernia repair. Patients were identified in the nationwide Danish Hernia Database. Outcomes were assessed from medical and surgical records. Medical history, preoperative examinations, and operative details were extracted. Results: Data from 259 patients were included. Of these, 152 (58%) were considered to have a sports groin. A weak posterior inguinal wall was identified in 41 sports groins, a wide profound inguinal ring in 10, and no specific anatomic pathology was described in the remaining patients with a sports groin. A lipoma was found in addition to a sports groin in 60 patients. Findings in patients without a sports groin were predominantly lipomas, and less frequent findings were a cyst and hydrocele. Conclusions: More than half of the patients were assessed to have a sports groin. Frequent findings that co-existed with a sports groin were weak posterior inguinal wall and/or lipoma.","PeriodicalId":387234,"journal":{"name":"Surgical Technology Online","volume":"21 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132285682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0