Videosurgery and Other Miniinvasive Techniques最新文献

{"title":"Type 2 diabetes mellitus remission 10 years after metabolic and bariatric surgery: a multicenter retrospective study in Poland (BARI‑10‑POL).","authors":"Paweł Jaworski, Natalia Dowgiałło-Gornowicz, Michał Orłowski, Paula Franczak, Izabela Karpińska, Piotr Major, Wiesław Tarnowski","doi":"10.20452/wiitm.2026.18020","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18020","url":null,"abstract":"<p><strong>Introduction: </strong>Type 2 diabetes mellitus (T2DM), a chronic metabolic disease, affects millions of people worldwide, causes numerous complications, (eg, cardiovascular disease, kidney damage, neuropathy), and is strongly associated with obesity, a primary risk factor for its development and progression. In this paper, we presented 10-year outcomes of patients with T2DM who underwent metabolic and bariatric surgery (MBS), focusing on factors contributing to T2DM remission.</p><p><strong>Aim: </strong>This 10-year study evaluated MBS efficacy, focusing on T2DM remission predictors and complications.</p><p><strong>Materials and methods: </strong>We analyzed data of 113 patients with T2DM who underwent primary MBS between 2008 and 2014. Individuals with missing / inconsistent data or follow-up shorter than10 years were excluded. Information on surgery and treatment outcomes (described via standardized reporting) was analyzed.</p><p><strong>Results: </strong>The most frequently performed surgery was sleeve gastrectomy (57.5%). Among the analyzed cohort, 10 years postsurgery, 80 patients (70.8%) experienced T2DM remission, 19 (16.8%) T2DM improvement, and 14 (12.4%) had no T2DM-related changes. Median (interquartile range) follow-up was 10.9 (10.4-11.7) years. Multivariable logistic regression showed that T2DM duration of over 10 years was associated with lower likelihood of T2DM remission, whereas the type of surgery was not a significant factor influencing it. However, undergoing one anastomosis gastric bypass (OAGB) tended to increase the probability of T2DM remission.</p><p><strong>Conclusions: </strong>Although T2DM duration remains a significant predictor of remission, the study suggests a potential trend toward higher remission rates after OAGB, which requires confirmation in larger studies.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"52-57"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787311","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}

{"title":"Urgent laparoscopic repair of coexisting incarcerated giant Morgagni and hiatal hernias in an elderly patient: a case‑based technical note from a high‑volume surgical center.","authors":"Jakub Radulski, Kamil Nurczyk","doi":"10.20452/wiitm.2026.18018","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18018","url":null,"abstract":"<p><p>The co-occurrence of a giant Morgagni hernia (MH) and a large hiatal hernia (HH) is exceedingly rare. We describe key operative steps of simultaneous surgical treatment of a large MH and HH, including surgical qualification, operating room setting, instrumentation, port placement, reduction of herniated viscera, methods of defect closure, and postoperative care. We present an unusual case of a 77-year-old woman with chronic constipation, abdominal pain, and loss of appetite, who was referred to a tertiary gastrointestinal surgery center after initial evaluation due to acute symptoms of gastrointestinal obstruction. Computed tomography showed a giant MH containing an incarcerated transverse colon and greater omentum, causing a considerable mediastinal shift toward the left. The examination also demonstrated a giant type III HH with most of the stomach displaced into the posterior mediastinum. The patient subsequently underwent a successful urgent minimally-invasive surgical repair. This technical note outlines the diagnostic challenges and details the laparoscopic approach used for the simultaneous repair of both complex diaphragmatic defects. This case highlights that even large, combined diaphragmatic hernias can be safely and effectively managed using advanced laparoscopic techniques, also in elderly patients.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"100-104"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786819","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}

{"title":"Efficacy and safety of radiofrequency ablation combined with high ligation vs simple radiofrequency ablation for lower extremity varicose veins: a retrospective comparative study.","authors":"Jianli Zhang, Xinyu Zhang, Rui Zhang","doi":"10.20452/wiitm.2026.18017","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18017","url":null,"abstract":"<p><strong>Introduction: </strong>Simple radiofrequency ablation (RFA) is a standard minimally-invasive treatment for lower extremity varicose veins (LEVV), yet concerns regarding recurrence and efficacy in severe cases persist.</p><p><strong>Aim: </strong>We aimed to evaluate clinical efficacy, safety, and long-term prognosis of RFA combined with high ligation (RFHL) vs simple RFA.</p><p><strong>Materials and methods: </strong>This retrospective study analyzed 108 LEVV patients (from January 2020 to November 2024) divided into 2 groups based on the procedure they underwent: RFHL (n = 54) and RFA (n = 54). The comparisons included perioperative indicators, clinical efficacy, complications, and 1-year recurrence rates. A stratified analysis was performed for severe cases (Clinical-Etiology-Anatomy-Pathophysiology [CEAP] classification, C4-C6).</p><p><strong>Results: </strong>Perioperative metrics (operative time, blood loss, recovery, and pain intensity) showed no differences between the groups. However, RFHL achieved a significantly higher total effective rate than RFA. Notably, in severe cases (C4-C6), RFHL efficacy was superior. The RFHL group demonstrated markedly lower complication and 1-year recurrence rates. Additionally, 6-month venous function was considerably better in the RFHL group.</p><p><strong>Conclusions: </strong>RFHL is associated with comparable perioperative recovery to RFA but offers significantly higher efficacy, better safety, and lower long-term recurrence, especially in severe LEVV (CEAP, C4-C6). RFHL should be considered the preferred surgical approach for severe cases.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"45-51"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787322","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}

{"title":"Uniportal robotic‑assisted thoracic surgery for anatomical lung resections: initial experience and technical feasibility.","authors":"Mehlika İşcan, Ömer Yavuz","doi":"10.20452/wiitm.2026.18021","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18021","url":null,"abstract":"<p><strong>Introduction: </strong>Uniportal robotic-assisted thoracic surgery (URATS) combines the precision of robotic systems with the minimal invasiveness of single-incision surgery. However, its widespread adoption is currently limited by technical challenges regarding external robotic arm collision and setup complexity.</p><p><strong>Aim: </strong>We aimed to evaluate the feasibility, safety, and early adaptation of URATS using a standardized \"vertical parallel\" docking strategy during our initial experience.</p><p><strong>Materials and methods: </strong>Data from the first 12 consecutive patients undergoing URATS anatomical lung resections were retrospectively analyzed. A strict vertical parallel docking configuration was employed, stacking the robotic arms linearly within the incision to prevent collision. The early learning trends were assessed using trend analysis of docking and console times.</p><p><strong>Results: </strong>The cohort included 7 lobectomies, 4 segmentectomies, and 1 pneumonectomy. All procedures were successfully completed without conversion to thoracotomy or multiportal RATS. Median total operative time was 211 minutes (range, 122-368 min). A rapid standardization of the setup phase was observed, with median docking time stabilizing at 5 minutes (range, 4-7 min). Correlation analysis demonstrated rapid adaptation to the setup process within the initial cases (Spearman ρ = -0.92; <i>P</i> <⁠0.001). Console times fluctuated according to patient-specific complexity (eg, obesity, adhesions) rather than case sequence. No major intraoperative complications occurred.</p><p><strong>Conclusions: </strong>URATS is a safe and feasible technique for complex anatomical resections, including pneumonectomy, even during the initial experience. The adoption of a vertical parallel docking strategy may shorten the initial adaptation phase by preventing robotic arm collisions, thereby making the procedure more reproducible.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"63-70"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844623","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}

{"title":"Navigation-assisted vs robot -assisted unilateral biportal endoscopic lumbar interbody fusion for single-level lumbar degenerative disease: a retrospective comparative study.","authors":"Jipeng Song, Shijie Liu, Siyuan Yao, Yao Zhang, Wancheng Lin, Lixiang Ding","doi":"10.20452/wiitm.2026.18019","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18019","url":null,"abstract":"<p><strong>Introduction: </strong>Lumbar degenerative disease (LDD) is increasingly common, and causes back and leg pain that impairs quality of life. Lumbar interbody fusion (LIF) is effective for patients with neural compression and segmental instability. Unilateral biportal endoscopic LIF (UBE-LIF) allows for minimally-invasive decompression and fixation, while navigation- and robot-assisted systems improve pedicle screw accuracy and intraoperative guidance.</p><p><strong>Aim: </strong>This study compared perioperative outcomes and clinical efficacy of navigation-assisted vs robot-assisted single-level UBE-LIF.</p><p><strong>Materials and methods: </strong>Patients with single-level LDD who underwent navigation-assisted (Na group; n = 23) or robot-assisted (Ra group; n = 29) UBE-LIF between January 2020 and December 2024 were retrospectively enrolled. Clinical outcomes were assessed using the Numeric Rating Scale, Oswestry Disability Index, and modified MacNab criteria. Pedicle screw placement and radiological parameters, including disc height, lumbar lordosis, and segmental lumbar lordosis, were evaluated, and IF was assessed at 12 months postoperatively.</p><p><strong>Results: </strong>Endoscopic operative time was shorter in the Na group than in the Ra group (116.74 vs 127.86 min; <i>P</i> = 0.03), whereas screw insertion time and pedicle screw placement were superior in the Ra group (39.55 vs 46.52 min; <i>P</i> = 0.001 and 98.5% vs 92.4%; <i>P</i> = 0.04, respectively). Both groups showed comparable improvements in clinical outcomes, radiological parameters, and fusion rates, with similarly low complication rates.</p><p><strong>Conclusions: </strong>Navigation- and robot-assisted UBE-LIF are safe and effective procedures. Robot-assisted surgery offers higher screw accuracy and faster insertion, while the navigation-assisted approach reduces endoscopic operating time. Clinical outcomes and fusion rates between the 2 techniques are similar.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"91-99"},"PeriodicalIF":1.9,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845239","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}

{"title":"Thulium laser enucleation of the prostate vs bipolar transurethral resection of the prostate in moderate-to-large prostates: perioperative and functional outcomes.","authors":"Samer Al-Rawashdah","doi":"10.20452/wiitm.2026.18016","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18016","url":null,"abstract":"<p><strong>Introduction: </strong>Thulium laser enucleation of the prostate (ThuLEP) and bipolar transurethral resection of the prostate (bipolar TURP) are established surgical therapy alternatives that have proved effective in treating benign prostatic hyperplasia (BPH).</p><p><strong>Aim: </strong>This study aimed to compare perioperative and functional results obtained in patients with moderate-to-large BPH treated with ThuLEP and bipolar TURP.</p><p><strong>Materials and methods: </strong>This was a retrospective multicenter study of 154 men at a mean (SD) age of 68.4 (7.9) years, who received ThuLEP (n = 78) or bipolar TURP (n = 76) in 2018-2024 in 2 hospitals in Amman, Jordan. The collected data included demographics, comorbidities, perioperative variables, complications, and functional outcomes at 1 and 6 months postoperatively.</p><p><strong>Results: </strong>ThuLEP was associated with greater mean (SD) tissue removal (61.4 [18.2] vs 44.9 [14.6] g; <i>P</i> = 0.001), lower estimated blood loss (120 [65] vs 260 [110] ml; <i>P</i> = 0.001), shorter catheterization time (29.4 [9.8] vs 52.1 [14.3] h; <i>P</i> = 0.001), and shorter hospital stay (1.6 [0.7] vs 3.1 [1.2] d; <i>P</i> <⁠0.001), as compared with TURP. At 6 months, ThuLEP also resulted in a lower mean (SD) International Prostate Symptom Score (6.1 [2.8] vs 8.7 [3.4]; <i>P</i> <⁠0.001), better quality of life score (1.1 [0.6] vs 1.8 [0.8]; <i>P</i> <⁠0.001), and a higher maximum urinary flow rate (22.4 [5.2] vs 17.6 [4.7] ml/s; <i>P</i> <⁠0.001). ThuLEP was an independent predictor of a favorable perioperative outcome (adjusted odds ratio, 2.74; 95% CI, 1.32-5.68; <i>P</i> = 0.006).</p><p><strong>Conclusions: </strong>ThuLEP is safer and more effective in patients with moderate-to-large volume prostates.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"71-77"},"PeriodicalIF":1.9,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787296","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}

{"title":"Transarterial chemoembolization with radioactive seed implantation for multitumor hepatocellular carcinoma.","authors":"Fu-Lei Gao, Zhe Su, Dong-Kai Chen, Xiang-Zhong Huang, Gao-Lei Ma","doi":"10.20452/wiitm.2026.18015","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18015","url":null,"abstract":"<p><strong>Introduction: </strong>Transarterial chemoembolization (TACE) combined with radioactive seed implantation has emerged as an effective locoregional strategy for treating hepatocellular carcinoma (HCC). Nevertheless, evidence supporting the use of this combined approach in patients with multitumor HCC remains limited.</p><p><strong>Aim: </strong>We aimed to evaluate the effectiveness and safety of TACE in combination with radioactive seed implantation for multitumor HCC.</p><p><strong>Materials and methods: </strong>This retrospective study analyzed consecutive patients with multitumor HCC who underwent TACE with or without radioactive seed implantation at our institutions between January 2022 and December 2024. Clinical data, therapeutic responses, long-term outcomes, and treatment-related adverse events were collected and compared between the 2 cohorts.</p><p><strong>Results: </strong>A total of 120 individuals were enrolled, of whom 59 were treated with TACE alone, and 61 with TACE combined with radioactive seed implantation. The 2 groups were comparable in terms of demographics and clinical characteristics at baseline. As compared with TACE monotherapy, the combined treatment group demonstrated better total response rate (49.2% vs 30.5%; <i>P</i> = 0.04), objective response rate (83.6% vs 61%; <i>P</i> = 0.01), progression-free survival (PFS; 14 vs 11 mo; <i>P</i> = 0.001), and overall survival (OS; 24 vs 20 mo; <i>P</i> = 0.02). The multivariable analysis showed that the combined treatment was independently predictive of better PFS and OS. Adverse event incidence was comparable between the groups.</p><p><strong>Conclusions: </strong>In comparison with TACE alone, TACE combined with radioactive seed implantation significantly enhances treatment efficacy without compromising safety in patients with multitumor HCC.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"78-84"},"PeriodicalIF":1.9,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845212","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}

{"title":"Procedure‑specific impact of body mass index on robot‑derived intraoperative telemetry: a retrospective single‑surgeon cohort study.","authors":"Rafał B Drobot","doi":"10.20452/wiitm.2026.18014","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18014","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic platforms automatically record intraoperative telemetry, but body mass index (BMI) effects on these micrometrics are unclear.</p><p><strong>Aim: </strong>This study aimed to evaluate BMI-telemetry associations overall and by procedure, focusing on robot-assisted radical prostatectomy (RARP) and robot-assisted partial nephrectomy (RAPN).</p><p><strong>Materials and methods: </strong>A retrospective consecutive single-surgeon cohort of 100 robot-assisted urologic procedures performed between April 2, 2024 and December 22, 2025 was analyzed. BMI was calculated for all participants. The primary outcome was console time, while secondary outcomes included instrument active time and camera installation rate. The associations were evaluated using the Spearman correlation and prespecified procedure-stratified models (log-linear regression for time outcomes and negative binomial regression with log [console time] offset for rate outcomes).</p><p><strong>Results: </strong>The cohort included RARP (n = 43), RAPN (n = 36), and other procedures (n = 21). BMI and console time were available for 97 cases. BMI correlated with console time overall (<i>r</i> = 0.272; <i>P</i> = 0.007) and in RARP (<i>r</i> = 0.487; <i>P</i> = 0.001; n = 40), but not in RAPN (<i>r</i> = 0.09; <i>P</i> = 0.6; n = 36). In the adjusted RARP models (age and extended pelvic lymph node dissection), each 5 kg/m² increment in BMI was associated with a 16.8% longer console time (95% CI, 4-31.2; <i>P</i> = 0.009), a 17.7% longer instrument active time (95% CI, 4-33.2; <i>P</i> = 0.01), and a higher camera installation rate (incidence rate ratio, 1.36 per +5 kg/m²; 95% CI, 1.07-1.72; <i>P</i> = 0.01). Quantile regression suggested a larger effect in prolonged RARP cases (75th percentile, +45 min per +5 kg/m²; <i>P</i> <⁠0.001).</p><p><strong>Conclusions: </strong>Higher BMI was associated with longer surgeon-controlled times and increased camera management burden in RARP but not in RAPN. Telemetry may support BMI-adapted scheduling and workflow optimization.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"37-44"},"PeriodicalIF":1.9,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787254","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}

{"title":"Early safety and effectiveness of new 3‑dimensional lightweight SWING‑Mesh in minimally‑invasive inguinal hernia repair: a multicenter prospective observational study with 3‑month follow‑up.","authors":"Mateusz Zamkowski, Maciej Bękarski, Jacek Białecki, Jarosław Chudek, Grzegorz Dobkowski, Paula Franczak, Jacek Grabias, Jakub Gołyski, Krystian Kisielewski, Marcin Kontek, Aleksander Król, Volodymyr Lavrynets, Bartosz Molasy, Kryspin Mitura, Dorota Piątek-Czypionka, Michał Putko, Jerzy Ropel, Przemysław Rymkiewicz, Sławomir Saluk, Leszek Sułkowski, Dominik Wieczorek, Marcin Włodarczyk, Marta Wójcik, Maciej Śmietański","doi":"10.20452/wiitm.2025.18012","DOIUrl":"https://doi.org/10.20452/wiitm.2025.18012","url":null,"abstract":"<p><strong>Introduction: </strong>Independent postmarket clinical evidence for newly introduced inguinal meshes remains limited. We conducted a multicenter prospective observational study to assess early safety and effectiveness of fixation-free SWING-Mesh in transabdominal preperitoneal (TAPP) / totally extraperitoneal (TEP) repair.</p><p><strong>Aim: </strong>We aimed to assess early (3-month) safety and effectiveness of fixation-free SWING-Mesh use in TAPP/TEP repair.</p><p><strong>Materials and methods: </strong>A prospective cohort study was conducted in 20 Polish centers, of which 1 was excluded after central monitoring. Consecutive adults underwent elective TAPP or TEP repair with the unfixed polypropylene SWING-Mesh. Exclusion criteria comprised emergency surgery, bowel resection, contraindications to laparoendoscopic repair, and large direct M3 hernias. Recurrence, complications, unplanned visits / interventions and pain (as per the Visual Analog Scale [VAS]) at discharge, 7-10 days, 30 days, and 3 months postoperatively were recorded. The unit of analysis was the operated groin (case).</p><p><strong>Results: </strong>We analyzed 294 cases in a total of 283 patients at a mean (SD) age of 51.9 (15.9) years, 84.4% of which were men. TAPP repair was performed in 86.4%, and TEP procedure in 13.6% of the patients. There were no instances of hernia recurrence by 3 months postsurgery. Pain decreased over time (<i>P</i> <⁠0.001): mean (SD) VAS score of 1.8 (1.4) at discharge, 1 (1.2) at 7-10 days, 0.5 (1.1) at 30 days, and 0.5 (1) at 3 months postoperatively. At 3 months after the procedure, 78.5% of the individuals reported a VAS score of 0, and 3.1%, a score equal to or greater than 4. Complication rates were below 10% at each time point and were mostly minor; 6.9% or fewer patients required an unplanned visit or intervention by 3 months postoperatively.</p><p><strong>Conclusions: </strong>Fixation-free SWING-Mesh use in TAPP/TEP repair was associated with favorable early outcomes. Twelve-month follow-up will report long-term recurrence and chronic pain.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"29-36"},"PeriodicalIF":1.9,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787306","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}

{"title":"Development of a closed‑circuit transurethral resection system for effective capture of harmful surgical smoke.","authors":"Yohei Okada, Hideki Takeshita, Yutaka Uchijima, Akihiro Yano","doi":"10.20452/wiitm.2026.18011","DOIUrl":"https://doi.org/10.20452/wiitm.2026.18011","url":null,"abstract":"<p><p>Exposure to harmful gases in the operating room (OR) is an occupational risk for health care personnel; however, it remains insufficiently recognized during transurethral resection (TUR) procedures. This study aimed to develop a simple closed -circuit TUR system to prevent exposure to surgical smoke, and evaluate its effectiveness. The system was constructed by connecting a suction tube to a drainage port to contain gases generated during TUR of the prostate (TURP). The collected gases were analyzed using gas chromatography to identify potentially toxic substances. The effect of odor control was assessed by 14 OR staff members during 2 TURP procedures (2 performed with the closed-circuit system, and 2 with the conventional system) using a 6 -point Likert scale. The closed -circuit technique was safely and effectively applied during clinical TURP procedures, successfully capturing surgical smoke containing carcinogenic compounds, such as benzene and ethylbenzene. Median (interquartile range) odor score during TURP was lower with the closed -circuit than conventional system (1 [1-1] vs 4; [3-4]; P <0.01). These results indicate that the closed -circuit TUR system is a practical and effective method for reducing occupational exposure to surgical smoke during TURP.</p>","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"21 1","pages":"105-109"},"PeriodicalIF":1.9,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845201","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}