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REVIEW
Ajay A Myneni, Taylor Brophy, Brooks Harmon, Joseph D Boccardo, Matthew D Burstein, Steven D Schwaitzberg, Katia Noyes, Aaron B Hoffman
INTRODUCTION: Accurate disclosure of conflicts of interest (COI) is critical to interpretation of study results, especially when industry interests are involved. We reviewed published manuscripts comparing robot-assisted cholecystectomy (RAC) and laparoscopic cholecystectomy (LC) to evaluate the relationship between COI disclosures and conclusions drawn on the procedure benefits and safety profile. METHODS: Searching Pubmed and Embase using key words "cholecystectomy", laparoscopic" and "robotic"/"robot-assisted" retrieved 345 publications...
February 2023: Surgical Endoscopy
#22
JOURNAL ARTICLE
S Swaroop Vedula, Ahmed Ghazi, Justin W Collins, Carla Pugh, Dimitrios Stefanidis, Ozanan Meireles, Andrew J Hung, Steven Schwaitzberg, Jeffrey S Levy, Ajit K Sachdeva
BACKGROUND: Artificial intelligence (AI) methods and AI-enabled metrics hold tremendous potential to advance surgical education. Our objective was to generate consensus guidance on specific needs for AI methods and AI-enabled metrics for surgical education. STUDY DESIGN: The study included a systematic literature search, a virtual conference, and a 3-round Delphi survey of 40 representative multidisciplinary stakeholders with domain expertise selected through purposeful sampling...
June 1, 2022: Journal of the American College of Surgeons
#23
JOURNAL ARTICLE
Yuanyuan Gao, Hanqing Chao, Lora Cavuoto, Pingkun Yan, Uwe Kruger, Jack E Norfleet, Basiel A Makled, Steven Schwaitzberg, Suvranu De, Xavier Intes
Significance: Functional near-infrared spectroscopy (fNIRS), a well-established neuroimaging technique, enables monitoring cortical activation while subjects are unconstrained. However, motion artifact is a common type of noise that can hamper the interpretation of fNIRS data. Current methods that have been proposed to mitigate motion artifacts in fNIRS data are still dependent on expert-based knowledge and the post hoc tuning of parameters. Aim: Here, we report a deep learning method that aims at motion artifact removal from fNIRS data while being assumption free...
October 2022: Neurophotonics
#24
JOURNAL ARTICLE
Taylor Kunkes, Basiel Makled, Jack Norfleet, Steven Schwaitzberg, Lora Cavuoto
BACKGROUND: Proper airway management is an essential skill for hospital personnel and rescue services to learn, as it is a priority for the care of patients who are critically ill. It is essential that providers be properly trained and competent in performing endotracheal intubation (ETI), a widely used technique for airway management. Several metrics have been created to measure competence in the ETI procedure. However, there is still a need to improve ETI training and evaluation, including a focus on collaborative research across medical specialties, to establish greater competence-based training and assessments...
April 21, 2022: JMIR perioperative medicine
#25
David V Feliciano, Steven D Schwaitzberg, Joseph J DuBose
No abstract text is available yet for this article.
2022: Trauma Surgery & Acute Care Open
#26
JOURNAL ARTICLE
Iman Simmonds, Lorin M Towle-Miller, Ajay A Myneni, Justin Gray, Jeffrey M Jordan, Steven D Schwaitzberg, Aaron B Hoffman, Katia Noyes
BACKGROUND: There are an estimated 100,000 cases of abdominal injury (ABI) in the USA, annually resulting in over $12 billion in direct medical cost and $18 billion in lost productivity. This study assesses the timeliness, safety, and efficacy of the surgical management of abdominal injuries (ABIs), hollow viscus injuries (HVIs), and colonic injuries (CIs) for patients residing in New York State (NYS). METHODS: Using data from NYS's Statewide Planning and Research Cooperative System (SPARCS), we identified all trauma patients with ABI admitted between 2006 and 2015...
January 7, 2022: Surgical Endoscopy
#27
JOURNAL ARTICLE
Pushpinder Walia, Yaoyu Fu, Steven D Schwaitzberg, Xavier Intes, Suvranu De, Lora Cavuoto, Anirban Dutta
Fundamentals of Laparoscopic Surgery (FLS) is a prerequisite for board certification in general surgery in the USA. In FLS, the suturing task with intracorporeal knot tying is considered the most complex task. Transcranial direct current stimulation (tDCS) of the dorsolateral prefrontal cortex (PFC) has been shown to facilitate FLS surgical skill acquisition where 2mA tDCS for 15min with the anode over F3 (10/10 EEG montage) and cathode over F4 has improved performance score in an open knot-tying task. Since PFC has a functional organization related to the hierarchy of cognitive control, we performed functional near-infrared spectroscopy (fNIRS) to investigate PFC sub-domain activation during a more complex FLS suturing task with intracorporeal knot tying...
November 2021: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
#28
JOURNAL ARTICLE
Stephen Chiang, Matthew Eschbach, Robert Knapp, Brian Holden, Andrew Miesse, Steven Schwaitzberg, Albert Titus
The incorporation of sensors onto the stapling platform has been investigated to overcome the disconnect in our understanding of tissue handling by surgical staplers. The goal of this study was to explore the feasibility of in vivo porcine tissue differentiation using bioimpedance data and machine learning methods. In vivo electrical impedance measurements were obtained in 7 young domestic pigs, using a logarithmic sweep of 50 points over a frequency range of 100 Hz to 1 MHz. Tissues studied included lung, liver, small bowel, colon, and stomach, which was further segmented into fundus, body, and antrum...
January 2021: Journal of electrical bioimpedance
#29
COMPARATIVE STUDY
Aaron B Hoffman, Ajay A Myneni, Lorin M Towle-Miller, Syed A Karim, Arianne T Train, Matthew Burstein, Steven D Schwaitzberg, Katia Noyes
OBJECTIVE: The aim of this study was to examine real-life patterns of care and patient outcomes associated with robot-assisted cholecystectomy (RAC) in New York State (NYS). BACKGROUND: Although robotic assistance may offer some technological advantages, RACs are associated with higher procedural costs and longer operating times compared to traditional laparoscopic cholecystectomies (LCs). Evidence on long-term patient outcomes after RAC from large population-based datasets remains limited and inconsistent...
September 1, 2021: Annals of Surgery
#30
Arun Nemani, Anil Kamat, Yuanyuan Gao, Meryem Yucel, Denise Gee, Clairice Cooper, Steven Schwaitzberg, Xavier Intes, Anirban Dutta, Suvranu De
[This corrects the article DOI: 10.1117/1.NPh.8.1.015008.].
July 2021: Neurophotonics
#31
JOURNAL ARTICLE
Jeffrey B Matthews, Patrice Gabler Blair, E Christopher Ellison, Eric Andrew Elster, Alisa Nagler, Steven D Schwaitzberg, Mohsen M Shabahang, Anton N Sidawy, Kathryn Spanknebel, Steven C Stain, L D Britt, Ajit K Sachdeva
No abstract text is available yet for this article.
October 2021: Journal of the American College of Surgeons
#32
JOURNAL ARTICLE
Yuanyuan Gao, Lora Cavuoto, Anirban Dutta, Uwe Kruger, Pingkun Yan, Arun Nemani, Jack E Norfleet, Basiel A Makled, Jessica Silvestri, Steven Schwaitzberg, Xavier Intes, Suvranu De
Acquisition of fine motor skills is a time-consuming process as it is based on learning via frequent repetitions. Transcranial electrical stimulation (tES) is a promising means of enhancing simple motor skill development via neuromodulatory mechanisms. Here, we report that non-invasive neurostimulation facilitates the learning of complex fine bimanual motor skills associated with a surgical task. During the training of 12 medical students on the Fundamentals of Laparoscopic Surgery (FLS) pattern cutting task over a period of 12 days, we observed that transcranial direct current stimulation (tDCS) decreased error level and the variability in performance, compared to the Sham group...
2021: Frontiers in Neuroscience
#33
JOURNAL ARTICLE
Brian R Quaranto, Michael Lamb, John Traversone, Jinwei Hu, James Lukan, Clairice Cooper, Steven Schwaitzberg
Introduction. Teaching surgical skills has historically been a hands-on activity, with instructors and learners in close physical proximity. This paradigm was disrupted by the COVID-19 pandemic, requiring innovative solutions to surmount the challenges of teaching surgical skills remotely. In this work, we describe our institution's path and early results of developing an interactive remote surgical skills course for medical students in the surgical clerkship. Methods. 31 third-year medical students were distributed a set of surgical equipment and 3D printed phone dock...
March 29, 2021: Surgical Innovation
#34
JOURNAL ARTICLE
Arun Nemani, Anil Kamat, Yuanyuan Gao, Meryem Yucel, Denise Gee, Clairice Cooper, Steven Schwaitzberg, Xavier Intes, Anirban Dutta, Suvranu De
Significance: Surgical simulators, both virtual and physical, are increasingly used as training tools for teaching and assessing surgical technical skills. However, the metrics used for assessment in these simulation environments are often subjective and inconsistent. Aim: We propose functional activation metrics, derived from brain imaging measurements, to objectively assess the correspondence between brain activation with surgical motor skills for subjects with varying degrees of surgical skill. Approach: Cortical activation based on changes in the oxygenated hemoglobin (HbO) of 36 subjects was measured using functional near-infrared spectroscopy at the prefrontal cortex (PFC), primary motor cortex, and supplementary motor area (SMA) due to their association with motor skill learning...
January 2021: Neurophotonics
#35
JOURNAL ARTICLE
Horacio J Asbun, Mohammad Abu Hilal, Filipe Kunzler, Domenech Asbun, Jaap Bonjer, Kevin Conlon, Nicolas Demartines, Liane S Feldman, Salvador Morales-Conde, Andrea Pietrabissa, Aurora D Pryor, Christopher M Schlachta, Patricia Sylla, Eduardo M Targarona, Yolanda Agra, Marc G Besselink, Mark Callery, Sean P Cleary, Luis De La Cruz, Philippe Eckert, Chad Evans, Ho-Seong Han, Daniel B Jones, Tong Joo Gan, Daniel Koch, Keith D Lillemoe, Davide Lomanto, Jeffrey Marks, Brent Matthews, John Mellinger, William Scott Melvin, Eduardo Moreno-Paquentin, Claudio Navarrete, Timothy M Pawlik, Patrick Pessaux, Walter Ricciardi, Steven Schwaitzberg, Paresh Shah, Joseph Szokol, Mark Talamini, Ricardo Torres, Alessandro Triboldi, Suthep Udomsawaengsup, Federica Valsecchi, Jean-Nicolas Vauthey, Michael Wallace, Steven D Wexner, Michael Zinner, Nader Francis
OBJECTIVE: The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities. BACKGROUND: The COVID-19 pandemic has caused marked disruptions in the delivery of surgical care worldwide. A thoughtful, structured approach to resuming surgical services is necessary as the impact of COVID-19 becomes better controlled. The Coronavirus Global Surgical Collaborative sought to formulate, through rigorous scientific methodology, consensus-based recommendations in collaboration with a multidisciplinary group of international experts and policymakers...
July 1, 2021: Annals of Surgery
#36
JOURNAL ARTICLE
Carrie E Ryan, Csaba Gajdos, Leili Pourafkari, Steven D Schwaitzberg, Nader D Nader
No abstract text is available yet for this article.
February 2, 2021: Journal of Gastrointestinal Surgery
#37
JOURNAL ARTICLE
Paula Costa, Linda Harris, David H Rothstein, Melissa Beckman, William Flynn, Aaron Hoffman, James Lukan, Aimee Gardner, Katelyn Cavanaugh, Brian Dunkin, Steven D Schwaitzberg
INTRODUCTION: In order to recruit high-potential trainees, surgery residency and fellowship programs must first understand what competencies and attributes are required for success in their respective programs. This study performed a systematic analysis to define organizational culture and competency expectations across training programs within one academic surgery department. METHODS: Subject matter experts rated the importance and frequency of 22 competencies and completed a 44-item organizational culture inventory along 1 to 5 Likert-type scales...
October 24, 2020: American Journal of Surgery
#38
RANDOMIZED CONTROLLED TRIAL
Arianne T Train, Jinwei Hu, J Reinier F Narvaez, Lorin M Towle-Miller, Gregory E Wilding, Lora Cavuoto, Katia Noyes, Aaron B Hoffman, Steven D Schwaitzberg
INTRODUCTION: The benefits of minimally invasive surgery are numerous; however, considerable variability exists in its application and there is a lack of standardized training for important advanced skills. Our goal was to determine whether participation in an advanced laparoscopic curriculum (ALC) results in improved laparoscopic suturing skills. METHODS AND PROCEDURES: Study design was a prospective, randomized controlled trial. Surgery novices and trainees underwent baseline FLS training and were pre-tested on bench models...
October 2021: Surgical Endoscopy
#39
JOURNAL ARTICLE
Kenny J Oh, Csaba Gajdos, Goda E Savulionyte, Mark Hennon, Steven D Schwaitzberg, Nader D Nader
No abstract text is available yet for this article.
September 18, 2020: Journal of Gastrointestinal Surgery
#40
REVIEW
Yuanyuan Gao, Lora Cavuoto, Steven Schwaitzberg, Jack E Norfleet, Xavier Intes, Suvranu De
Transcranial electrical stimulation (tES) is a promising tool to enhance human motor skills. However, the underlying physiological mechanisms are not fully understood. On the other hand, neuroimaging modalities provide powerful tools to map some of the neurophysiological biomarkers associated with tES. Here, a comprehensive review was undertaken to summarize the neuroimaging evidence of how tES affects human motor skills. A literature search has been done on the PubMed database, and 46 relative articles were selected...
2020: Frontiers in Neuroscience
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