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Surgical Innovation

Benjamin De Witte, Franck Di Rienzo, Xavier Martin, Ye Haixia, Christian Collet, Nady Hoyek
Mini-invasive surgery-for example, laparoscopy-has challenged surgeons' skills by extending their usual haptic space and displaying indirect visual feedback through a screen. This may require new mental abilities, including spatial orientation and mental representation. This study aimed to test the effect of cognitive training based on motor imagery (MI) and action observation (AO) on surgical skills. A total of 28 postgraduate residents in surgery took part in our study and were randomly distributed into 1 of the 3 following groups: (1) the basic surgical skill, which is a short 2-day laparoscopic course + MI + AO group; (2) the basic surgical skill group; and (3) the control group...
September 15, 2018: Surgical Innovation
Shahin Hajibandeh, Shahab Hajibandeh, Merili Pugh, David Winters, Nicholas Hobbs, Munir Tarazi, Nilanjan Panda, Sanjay Dalmia, Moustafa Mansour, Sohail Malik
BACKGROUND: Controversy exists regarding the best surgical approach for the management of gastroesophageal reflux disease (GORD) and associated preoperative esophageal dysmotility. Our aim was to conduct a systematic review and meta-analysis to compare the outcomes of Toupet fundoplication (TF) and Nissen fundoplication (NF) in patients with GORD and coexistent preoperative esophageal dysmotility. METHODS: We conducted a systematic search of electronic information sources, including MEDLINE, EMBASE, CINAHL, CENTRAL, ClinicalTrials...
September 12, 2018: Surgical Innovation
Gonca Gokce Menekse Dalveren, Nergiz Ercil Cagiltay, Erol Ozcelik, Hakan Maras
The advantage of simulation environments is that they present various insights into real situations, where experimental research opportunities are very limited-for example, in endoscopic surgery. These operations require simultaneous use of both hands. For this reason, surgical residents need to develop several motor skills, such as eye-hand coordination and left-right hand coordination. While performing these tasks, the hand condition (dominant, nondominant, both hands) creates different degrees of mental workload, which can be assessed through mental physiological measures-namely, pupil size...
September 12, 2018: Surgical Innovation
Jan-Willem Groen, Andrzej A Piatkowski, John H Sawor, Janneke A Wilschut, Roger K Khouri, Rene R J W van der Hulst, Marco J P F Ritt
OBJECTIVE: The aim of this study is to compare the cosmetic evaluation of autologous fat transfer (AFT) for various indications between surgeons and different laymen groups. BACKGROUND DATA: Despite the upsurge in AFT scientific/clinical interest, objectifying satisfaction has only recently progressed beyond simple Likert-type/Visual Analog Scales. Furthermore, differences in satisfaction between laymen and surgeons has not been thoroughly studied. METHOD: A photo comparison study between European plastic surgeons and different laymen groups was conducted to investigate agreement on cosmetic evaluation of AFT...
September 10, 2018: Surgical Innovation
Giovanni Cassata, Vincenzo Palumbo, Luca Cicero, Antonino De Luca, Giuseppe Damiano, Salvatore Fazzotta, Salvatore Buscemi, Attilio Ignazio Lo Monte
INTRODUCTION: The induction of pneumoperitoneum is the first and most critical phase of laparoscopy, due to the significant risk of serious vascular and visceral complications. The closed technique for the creation of pneumoperitoneum could lead to several surgical complications. The present study aimed to overcome the complications associated with the insertion of Veress needle, improving its use, and facilitating the rapid creation of pneumoperitoneum. METHODS: Thirty large white female pigs were enrolled in our study...
September 10, 2018: Surgical Innovation
Hong-Cheng Lin, Liang Huang, Hua-Xian Chen, Qian Zhou, Dong-Lin Ren
PURPOSE: This study is designed to assess the safety, efficacy, and postoperative outcomes of stapled transperineal repair in management of rectovaginal fistula (RVF). METHODS: A prospective database of patients with RVF undergoing stapled transperineal repair between May 2015 and December 2017 was established and studied retrospectively. RESULTS: Seven consecutive RVF patients underwent stapled transperineal repair. The mean operative time was 119 ± 42 minutes...
September 10, 2018: Surgical Innovation
Jason E Crowther, Daniah Bu Ali, Jeremy Bamford, San-Wook Kang, Emad Kandil
Intraoperative neuromonitoring during thyroid surgery has been used to successfully prevent permanent neurological injury by early identification of anatomical variants. Proper interpretation of neuromonitoring data requires knowledge of what factors might affect the data. In this study, we examined the effect of surgical positioning on the latency and amplitude of neural recordings made from the vocalis muscle during thyroid surgery. A retrospective review was performed of 145 patients who underwent thyroid surgery...
September 10, 2018: Surgical Innovation
Konstantinos Laios, Antonis Charalampakis, Konstantinos Manes, Efstathia Lagiou, Evangelos Mavrommatis, Marianna Karamanou
Eugène Louis Doyen (1859-1916) is considered as the reformer of French surgery at the end of 19th and early 20th century. Although he had a short life, dying at the age of 57, he left his mark in the history of French medicine and especially surgery, not only because he introduced many new medical instruments but also for his innovative idea to introduce cinematography in surgical education, which is crucial until today in the education of every surgeon in the world.
September 10, 2018: Surgical Innovation
Mitsuhiro Asakuma, Koji Komeda, Masashi Yamamoto, Tetsunosuke Shimizu, Ryo Iida, Kohei Taniguchi, Yoshihiro Inoue, Fumitoshi Hirokawa, Michihiro Hayashi, Junji Okuda, Yoichi Kondo, Kazuhisa Uchiyama
INTRODUCTION: A recent development in minimally invasive surgery (MIS) is single-port surgery, where a single large multiport trocar is placed in the umbilicus. All medical schools require that students complete an anatomy course as part of the medical curriculum. However, there is limited instruction regarding the detailed parts of the "umbilicus." In several famous anatomy atlases, the umbilicus is not dissected at all and is merely represented as a button. Until now, the true nature of the umbilicus has not been anatomically demonstrated...
September 7, 2018: Surgical Innovation
Xiao-Long Zhu, Pei-Jing Yan, Liang Yao, Rong Liu, De-Wang Wu, Bin-Bin Du, Ke-Hu Yang, Tian-Kang Guo, Xiong-Fei Yang
AIM: The robotic technique has been established as an alternative approach to laparoscopy in colorectal surgery. The aim of this study was to compare short-term outcomes of robot-assisted and laparoscopic surgery in colorectal cancer. METHODS: The cases of robot-assisted or laparoscopic colorectal resection were collected retrospectively between July 2015 and October 2017. We evaluated patient demographics, perioperative characteristics, and pathologic examination...
September 7, 2018: Surgical Innovation
Hong-Cheng Lin, Hua-Xian Chen, Qiu-Lan He, Liang Huang, Zheng-Guo Zhang, Dong-Lin Ren
PURPOSE: This study was designed to assess the safety, efficacy, and postoperative outcomes of the modified Stapled TransAnal Rectal Resection (modified STARR) in patients presenting with cases of limited external rectal prolapse. METHODS: A prospective cohort of patients with mild rectal prolapse undergoing rectal resection with the Tissue-Selecting Technique Stapled TransAnal Rectal Resection Plus (TSTStarr Plus) stapler between February 2014 and September 2016 was reviewed retrospectively...
August 17, 2018: Surgical Innovation
Fabrizio Di Benedetto, Paolo Magistri, Roberto Ballarin, Giuseppe Tarantino, Ilenia Bartolini, Lapo Bencini, Luca Moraldi, Mario Annecchiarico, Francesco Guerra, Andrea Coratti
BACKGROUND: Pancreatic neuroendocrine tumors (PanNETs) are relatively rare neoplasms with a low to mild malignant potential. They can be further divided into functioning and nonfunctioning, according to their secretive activity. Surgery is an optimal approach, but the classic open approach is challenging, with some patients having long hospitalization and potentially life-threatening complications. The robotic approach for PanNETs may represent an option to optimize their management. METHODS: We retrospectively reviewed our prospectively maintained databases from 2 high-volume Italian centers for pancreatic surgery...
August 1, 2018: Surgical Innovation
Aysen Boza, Selim Misirlioglu, Cagatay Taskiran, Bulent Urman
OBJECTIVE: To evaluate clinical and operative outcomes of transvaginal extraction (TVE) and contained power morcellation (CPM) for myoma retrieval after laparoscopic myomectomy. MATERIALS AND METHODS: Prospective data from 35 consecutive cases using CPM were compared with retrospective data of all cases using TVE from December 2014 to January 2017. Patients were matched 1:1 based on myoma diameter. A total of 62 women were included in the final analysis. Specimen retrieval was performed using the TVE or CPM within an insufflated isolation bag...
July 26, 2018: Surgical Innovation
Carlo Ratto
No abstract text is available yet for this article.
July 26, 2018: Surgical Innovation
Alban Zarzavadjian Le Bian, David Fuks, Renato Costi, Manuela Cesaretti, Audrey Bruderer, Philippe Wind, Claude Smadja, Christian Hervé
BACKGROUND: Surgical innovation from surgeon's standpoint has never been scrutinized as it may lead to understand and improve surgical innovation, potentially to refine the IDEAL (Idea, Development, Exploration, Assessment, Long-term Follow-up) recommendations. METHODS: A qualitative analysis was designed. A purposive expert sampling was then performed in organ transplant as it was chosen as the ideal model of surgical innovation. Interviews were designed, and main themes included the following: definition of surgical innovation, the decision-making process of surgical innovation, and ethical dilemmas...
July 1, 2018: Surgical Innovation
Wolfgang Kunert, Thomas Auer, Pirmin Storz, Manuel Braun, Andreas Kirschniak, Claudius Falch
BACKGROUND: To regain 2-eyed vision in laparoscopy, dual-channeled optics have been introduced. With this optics design, the distance between the 2 front lenses defines how much stereoscopic effect is seen. This study quantifies the impact of an enhanced and a reduced stereo effect on surgical task efficiency. METHODS: A prospective single-blinded study was performed with 20 laparoscopic novices in an inanimate experimental setting. A standard bichannelled stereo system was used to perform a suturing and knotting task...
July 1, 2018: Surgical Innovation
Andrea H Stone, Udai S Sibia, James H MacDonald
BACKGROUND: Patient-specific instruments (PSIs) were developed to improve mechanical axis alignment for patients undergoing total knee arthroplasty (TKA) as neutral alignment (180°) is a predictor of long-term success. This study examines alignment accuracy and functional outcomes of PSI as compared with standard instruments (SIs). METHODS: We retrospectively reviewed a consecutive series of TKA procedures using PSI. A total of 85 PSI procedures were identified, and these were compared with a matched cohort of 85 TKAs using SI...
July 1, 2018: Surgical Innovation
Verena Müller, Martina Mogl, Philippa Seika, Thomas Jöns, Igor Sauer, Johann Pratschke, Angkoon Anuwong, Ricardo Zorron
BACKGROUND: Minimally invasive thyroid and parathyroid resections are rarely performed. Promising new endoscopic transoral approaches to the anterior neck (transoral endoscopic thyroidectomy vestibular approach [TOETVA]) have been described with good results and few complications. This study evaluates a new device to allow the safe entrance of trocars in the subplatysmal space for TOETVA in a cadaver model. METHODS: The technique was performed in 4 unilateral thyroidectomies in female cadavers...
July 1, 2018: Surgical Innovation
Gabriella Giarratano, Edoardo Toscana, Claudio Toscana, Giuseppe Petrella, Mostafa Shalaby, Pierpaolo Sileri
No abstract text is available yet for this article.
July 1, 2018: Surgical Innovation
Hiroaki Matsumoto, Hiroaki Minami, Hiroaki Hanayama, Yasuhisa Yoshida
AIM: Endoscopic surgery for acute subdural hematoma (ASDH) has recently been performed in elderly patients. Unlike other reported procedures, we used the endoscope's fixation device to ensure hemostasis because the surgeon can then use a surgical instrument with each hand. To date, there have no reports that prove lesser invasiveness or noninferiority of endoscopic surgery based on direct comparison with a large craniotomy. In this study, we investigated whether our endoscopic procedure was effective and safe...
July 1, 2018: Surgical Innovation
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