1,107 results match your criteria Surgical Innovation [Journal]


Robotic-Assisted Transrectal Cholecystectomy in a Porcine Model.

Surg Innov 2019 Feb 12:1553350619829589. Epub 2019 Feb 12.

1 University of Hong Kong, Queen Mary Hospital, Hong Kong, China.

Background: With increasing experience and technological advancement in surgical instruments, surgeons have explored the feasibility of single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery (NOTES). These techniques aim to further reduce surgical trauma, but are not popular due to their inherent pitfalls including clashing of instruments, lack of counter traction, lengthy operating time, and so on. A novel surgical robotic system was designed to overcome the limitations of the existing technologies. Read More

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http://dx.doi.org/10.1177/1553350619829589DOI Listing
February 2019

Minimally Invasive Multidisciplinary Approach to Chronic Giant Inguinoscrotal Hernias.

Surg Innov 2019 Feb 8:1553350619828888. Epub 2019 Feb 8.

1 Anne Arundel Medical Center, Annapolis, MD, USA.

Background: Giant inguinoscrotal hernias (GIH) are defined as groin hernias extending below the mid-thigh when standing, often significantly encumbering activities of daily living. To date, there are no reports utilizing the combination of progressive pneumoperitoneum (PPP), botulinum toxin A injection (BTI), and enhanced view-totally extraperitoneal (eTEP) technique for GIH repair. In this report, we present 2 such cases of this unique minimally invasive multidisciplinary approach to address GIH. Read More

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http://dx.doi.org/10.1177/1553350619828888DOI Listing
February 2019
1 Read

Laparoscopic Total Devascularization of the Upper Stomach and Splenectomy (Hassab's Procedure) Under Indocyanine Green Fluorescence Imaging: Initial Experience.

Surg Innov 2019 Feb 8:1553350619828912. Epub 2019 Feb 8.

1 Medico Shunju Shiroyama Hospital, Osaka, Japan.

The use of surgical treatment for refractory isolated gastric varices has decreased owing to the development of endoscopic and radiologic procedures, although surgeries are sometimes required as the final method. A 75-year-old Japanese woman was diagnosed with solitary gastric varices. Initially, intraoperative splenic artery embolization was performed using the balloon transcatheter technique under general anesthesia. Read More

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http://dx.doi.org/10.1177/1553350619828912DOI Listing
February 2019

Real-Time Visualization of Ureters Using Indocyanine Green During Laparoscopic Surgeries: Can We Make Surgery Safer?

Surg Innov 2019 Feb 8:1553350619827152. Epub 2019 Feb 8.

1 Zen Multispecialty Hospital, Mumbai, India.

Background: Intraoperative ureteral injury is rare, but a grave complication during laparoscopic surgery. Several methods for intraoperative localization of ureters are described with their own pitfalls. Intraoperative localization using near-infrared (NIR) fluorescence with indocyanine green (ICG) is an easier and assured method during laparoscopic pelvic surgeries. Read More

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http://dx.doi.org/10.1177/1553350619827152DOI Listing
February 2019
1 Read

The Use of Botulinum Toxin in Flap Surgery: A Review of the Literature.

Surg Innov 2019 Feb 8:1553350619828902. Epub 2019 Feb 8.

1 "Campus Bio-Medico di Roma" University, Rome, Italy.

Botulinum neurotoxin-A and botulinum neurotoxin-B have been shown to play a potential role in improving flap survival in animal models. The aim of this study is to review indications as well as to study injection timing, technique, and doses of botulinum neurotoxin-A and botulinum neurotoxin-B in animal models. Seventeen articles describe a total of 266 animals that underwent botulinum toxin injections before or during flap harvesting or vascular anastomosis procedure. Read More

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http://dx.doi.org/10.1177/1553350619828902DOI Listing
February 2019

The Use of Prosthetic Mesh in the Emergency Management of Acute Incarcerated Inguinal Hernias.

Surg Innov 2019 Feb 8:1553350619828900. Epub 2019 Feb 8.

1 Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Introduction: Tension-free hernia repair has been regarded as a gold standard treatment for selected inguinal hernias, but the use of prosthetic mesh in acute incarcerated inguinal hernias is controversial. Our study focused on evaluating the safety and efficacy of the prosthetic mesh repair for emergency cases.

Methods: Patients with acute incarcerated inguinal hernias who underwent emergency prosthetic mesh repair during 2009 to 2014 at our department were included. Read More

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http://dx.doi.org/10.1177/1553350619828900DOI Listing
February 2019
1 Read

Photochemical Tissue Bonding Technique for Improving Healing of Hand Tendon Injury.

Surg Innov 2019 Jan 30:1553350618824448. Epub 2019 Jan 30.

2 Department of Burns and Plastic Surgery, Shanghai Ninth People's Hospital, Institute of Traumatic Medicine, Shanghai Jiao Tong University School of Medicine, China.

Purpose: We utilized a novel approach of combined photochemical tissue bonding (PTB) and human amniotic membrane (HAM) to improve hand tendon repair and also evaluated its efficacy.

Methods: Subei chickens underwent surgical transection of the flexor digitorum profundus tendons and repair by (1) SR (standard Kessler suture; n = 24; 6-0 prolene) and (2) HAM/PTB (n = 24), where a section of HAM was stained with 0.1% Rose Bengal, wrapped around the ruptured tendon and bonded with 532 nm light (0. Read More

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http://dx.doi.org/10.1177/1553350618824448DOI Listing
January 2019
1 Read

Response to Comments by Hathaway and Heinsohn.

Surg Innov 2019 Jan 29:1553350619827150. Epub 2019 Jan 29.

1 University of Sydney, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1177/1553350619827150DOI Listing
January 2019
1 Read

A Pilot Study of Pulmonary Segmentectomy With Indocyanine Green Near-Infrared Angiography.

Surg Innov 2019 Jan 29:1553350618824914. Epub 2019 Jan 29.

1 General Hospital of PLA, Beijing, China.

Objectives: Video-assisted thoracoscopic surgery (VATS) pulmonary segmentectomy is commonly used in treating small ground-glass opacity (GGO) nodules in lung. The identification of the intersegmental plane is one of the challenges. In this pilot study, we aimed to evaluate the feasibility of indocyanine green (ICG) angiography in VATS segmentectomy. Read More

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http://dx.doi.org/10.1177/1553350618824914DOI Listing
January 2019
5 Reads

Tumor Ablation Using 3-Dimensional Electromagnetic-Guided Ultrasound Versus Standard Ultrasound in a Porcine Model.

Surg Innov 2019 Jan 29:1553350619825717. Epub 2019 Jan 29.

1 Washington University, St. Louis, MO, USA.

Introduction: The objective of this study was to compare the placement of ablation needles using 3-dimensional electromagnetic-guided ultrasound (guided) to standard ultrasound guidance (standard) in both laparoscopic surgery and open surgery. Endpoints for this study included targeting accuracy and number of required needle withdrawals and reorientations.

Methods: Using a porcine model, fiducial markers were placed into the kidney and liver to represent tumors. Read More

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http://dx.doi.org/10.1177/1553350619825717DOI Listing
January 2019

Articulated Instruments and 3D Visualization: A Synergy? Evaluation of Execution Time, Errors, and Visual Fatigue.

Surg Innov 2019 Jan 22:1553350618822077. Epub 2019 Jan 22.

3 Department of Gastrointestinal Surgery, Ghent University, Belgium.

Objective: The introduction of advanced endoscopic systems, such as the Storz Image1S and the Olympus Endoeye, heralds a new era of 3-dimensional (3D) visualization. The aim of this report is to provide a comprehensive overview of the neurophysiology of 3D view, its relevance in videoscopy, and to quantify the benefit of the new 3D technologies for both rigid and articulated instruments.

Method: Sixteen medical students without any laparoscopic experience were trained each for a total of 27 hours. Read More

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http://dx.doi.org/10.1177/1553350618822077DOI Listing
January 2019
2 Reads

Say, What Is on Your Mind? Surgeons' Evaluations of Realism and Usability of a Virtual Reality Vertebroplasty Simulator.

Surg Innov 2019 Jan 15:1553350618822869. Epub 2019 Jan 15.

1 Institute and Outpatient Clinic for Occupational, Social, and Environmental Medicine, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany.

Background: Virtual reality (VR)-based simulations offer rich opportunities for surgical skill training and assessment of surgical novices and experts. A structured evaluation and validation process of such training and assessment tools is necessary for effective surgical learning environments.

Objective: To develop and apply a classification system of surgeon-reported experience during operation of a VR vertebroplasty simulator. Read More

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http://dx.doi.org/10.1177/1553350618822869DOI Listing
January 2019
8 Reads

Laser Speckle Contrast Imaging for Intraoperative Quantitative Assessment of Intestinal Blood Perfusion During Colorectal Surgery: A Prospective Pilot Study.

Surg Innov 2019 Jan 13:1553350618823426. Epub 2019 Jan 13.

2 Joint Graduate School of Tokyo Women's Medical University and Waseda University, Tokyo, Japan.

Background: The main limitation of perfusion assessment with indocyanine green fluorescence angiography during colorectal surgery is that the surgeon assesses the quality of perfusion subjectively. The ideal intestinal viability test must be minimally invasive, objective, and reproducible. We evaluated the quantitativity and reproducibility of laser speckle contrast imaging for perfusion assessment during colorectal surgery. Read More

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http://dx.doi.org/10.1177/1553350618823426DOI Listing
January 2019
1 Read

Minimally Invasive Video-Assisted Thyroidectomy: Analysis of Complications From a Systematic Review.

Surg Innov 2019 Jan 11:1553350618823425. Epub 2019 Jan 11.

1 University of Palermo, Palermo, Italy.

Background: Nowadays, minimally invasive video-assisted thyroidectomy (MIVAT) is considered a safe and effective option. However, its complication rate has not been specifically discussed yet. The aim of this systematic review was enrolling a large number of studies to estimate early and late complications (transient and definitive, uni- and bilateral laryngeal nerve palsy; transient and definitive hypocalcemia; cervical hematoma; hypertrophic or keloid scar) of MIVAT compared with conventional technique. Read More

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http://dx.doi.org/10.1177/1553350618823425DOI Listing
January 2019
6 Reads

Comments on "Pilot Study: Detection of Gastric Cancer From Exhaled Air Analyzed With an Electronic Nose in Chinese Patients".

Surg Innov 2019 Jan 11:1553350618822863. Epub 2019 Jan 11.

1 Division of Thoracic Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.

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http://dx.doi.org/10.1177/1553350618822863DOI Listing
January 2019
3 Reads

A Virtual Reality Environment to Visualize Three-Dimensional Patient-Specific Models by a Mobile Head-Mounted Display.

Surg Innov 2019 Jan 11:1553350618822860. Epub 2019 Jan 11.

1 Università degli Studi di Milano, Milan, Italy.

Introduction: With the availability of low-cost head-mounted displays (HMDs), virtual reality environments (VREs) are increasingly being used in medicine for teaching and clinical purposes. Our aim was to develop an interactive, user-friendly VRE for tridimensional visualization of patient-specific organs, establishing a workflow to transfer 3-dimensional (3D) models from imaging datasets to our immersive VRE.

Materials And Methods: This original VRE model was built using open-source software and a mobile HMD, Samsung Gear VR. Read More

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http://dx.doi.org/10.1177/1553350618822860DOI Listing
January 2019
2 Reads

Prospective Randomized Trial Comparing HAL-RAR Versus Excisional Hemorrhoidectomy: Postoperative Pain, Clinical Outcomes, and Quality of Life.

Surg Innov 2019 Jan 9:1553350618822644. Epub 2019 Jan 9.

1 Hospital Plató, Barcelona, Spain.

Purpose: To compare outcomes of hemorrhoid artery ligation with recto-anal repair (HAL-RAR) and excisional hemorrhoidectomy (EH). The primary objective was to compare postoperative pain, and the secondary objectives were the following: symptom resolution rates, postoperative morbidity, recurrence, and changes in quality of life.

Method: Prospective randomized controlled trial, including 40 patients with grades III-IV hemorrhoids who were allocated 1:1 to HAL-RAR and EH. Read More

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http://dx.doi.org/10.1177/1553350618822644DOI Listing
January 2019
8 Reads

Can Smartphones Be Used to Perform Video-Assisted Microanastomosis? An Experimental Study.

Surg Innov 2019 Jan 4:1553350618822626. Epub 2019 Jan 4.

1 State University of Pará, Belém-PA, Brazil.

Background: Smartphone cameras are continuously improving. The present study aimed to evaluate the possibility of using smartphones' magnification system to perform microanastomosis in rats.

Methods: Fifteen rats were randomly divided into 3 groups, according to the magnification system used: Microscope, iPhone 7 smartphone, and Galaxy S7 smartphone. Read More

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http://dx.doi.org/10.1177/1553350618822626DOI Listing
January 2019
1 Read

Performing Surgery Today, "By the Book" or "By the Tube"?

Surg Innov 2019 Jan 4:1553350618822646. Epub 2019 Jan 4.

1 Olympion General Clinic of Patras, Patras, Greece.

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http://journals.sagepub.com/doi/10.1177/1553350618822646
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http://dx.doi.org/10.1177/1553350618822646DOI Listing
January 2019
2 Reads

The Use of Smartphone Applications (Apps) for Enhancing Communication With Surgical Patients: A Systematic Review of the Literature.

Surg Innov 2019 Jan 2:1553350618819517. Epub 2019 Jan 2.

1 University College London, London, UK.

Background: The widespread use and development of smartphones and mHealth apps has the potential to overcome communication deficiencies in health care.

Objective: To carry out a literature review of studies that evaluate patients' experience on the use of perioperative mHealth apps.

Methods: An up-to-date systematic review on studies assessing patients' use of mHealth apps for communicating with the health care team in the perioperative period was performed following the PRISMA statement. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618819517
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http://dx.doi.org/10.1177/1553350618819517DOI Listing
January 2019
3 Reads

Endoscopic Removal of Noneroded Nonadjustable Gastric Bands Using Induced Mucosal Erosion With a Stent, and Review of the Literature.

Surg Innov 2018 Dec 25:1553350618820377. Epub 2018 Dec 25.

1 Center for Advanced Surgery, Baylor Scott & White Health, Dallas, TX, USA.

Background: Laparoscopic removal of noneroded nonadjustable gastric bands (NAGBs) may lead to major life-threatening complications. A minimally invasive approach involving endoscopic removal by induced mucosal erosion with a stent (IMES) has been used in a few publications to remove NAGBs.

Objective: To examine a minimally invasive endoscopic approach to removal of a NAGB. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618820377
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http://dx.doi.org/10.1177/1553350618820377DOI Listing
December 2018
4 Reads

Thermal Coagulation Device for Treating Cervical Dysplasia.

Surg Innov 2018 Dec 20:1553350618819521. Epub 2018 Dec 20.

1 University of Utah, Salt Lake City, UT, USA.

Background: Cervical cancer remains a leading cause of cancer-related deaths worldwide despite being a highly preventable disease. Nine out of every 10 deaths due to cervical cancer occur in developing regions with limited access to medical care and unique resource constraints. To address cervical cancer prevention within the confines of these unique limitations, our team of students and faculty advisors at the University of Utah's Center for Medical Innovation developed a low-cost, portable technology that utilizes thermal coagulation, a form of heat ablation, to treat cervical intraepithelial neoplasia. Read More

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http://dx.doi.org/10.1177/1553350618819521DOI Listing
December 2018
2 Reads

Mycotic Superior Mesenteric Artery Aneurysm: Case Report and Literature Review.

Surg Innov 2018 Dec 19:1553350618817955. Epub 2018 Dec 19.

4 Institute for Surgical Advancement, Florida Hospital, Orlando, FL, USA.

Superior mesenteric artery (SMA) aneurysm is the third most common splanchnic artery aneurysm. A 73-year-old woman presented with a minimally symptomatic SMA aneurysm, which was resected by laparoscopic surgical technique. The patient recovered quickly and remained well after 8 months of follow-up. Read More

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http://dx.doi.org/10.1177/1553350618817955DOI Listing
December 2018
2 Reads

Gatekeeper Improves Voluntary Contractility in Patients With Fecal Incontinence.

Surg Innov 2018 Dec 14:1553350618818924. Epub 2018 Dec 14.

1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Gatekeeper (GK) has shown to be safe and effective in patients with fecal incontinence (FI). We aimed to understand its mechanism of action by comparing pre- and post-implant change in the external anal sphincter (EAS) contractility.

Methods: Study of EAS contractility was conducted in 16 FI females (median age = 69 years) before and after implant of 6 GK prostheses. Read More

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http://dx.doi.org/10.1177/1553350618818924DOI Listing
December 2018
1 Read

Assessment of the Safety of the New Hybrid Pencil Type Energy (NP) Device Used Close to the Recurrent Laryngeal Nerve in a Porcine Model: Comparison With a Conventional Electrosurgical Knife.

Surg Innov 2018 Dec 12:1553350618817646. Epub 2018 Dec 12.

1 Keio University, School of Medicine Tokyo, Japan.

Background: Recurrent laryngeal nerve (RLN) paralysis is mainly associated with esophagectomy, and it may result in not only other morbidities, such as aspiration pneumonia, but also in long-term issues. Therefore, an approach to prevent RLN paralysis is necessary. The present study was designed to determine the technical usability of the new hybrid pencil type energy (NP) device developed by Olympus Corporation (Tokyo, Japan) and compare it with a conventional electrosurgical knife (EK) for resection around the RLN lymph nodes. Read More

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http://dx.doi.org/10.1177/1553350618817646DOI Listing
December 2018
6 Reads

Meta-analysis Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy and Conventional Thyroidectomy.

Surg Innov 2018 Dec 3:1553350618817145. Epub 2018 Dec 3.

1 Department of Surgery, The Second Hospital of Shandong University, Jinan, Shandong, China.

Objective: Despite gaining popularity, bilateral axillo-breast approach robotic thyroidectomy (BABA RT) remains controversial. We performed a meta-analysis to evaluate the safety and effectiveness of BABA RT compared with open thyroidectomy (OT) in thyroid disease.

Methods: A literature search was conducted using various databases, including PubMed, Web of Science, and Cochrane Library, up to February 2018. Read More

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http://dx.doi.org/10.1177/1553350618817145DOI Listing
December 2018
6 Reads

Colorectal Cancer Surgery Using the Da Vinci Xi and Si Systems: Comparison of Perioperative Outcomes.

Surg Innov 2018 Dec 3:1553350618816788. Epub 2018 Dec 3.

1 Taipei Medical University, Taiwan.

Purpose: Robotic surgery for colorectal cancer is an emerging technique. Potential benefits as compared with the conventional laparoscopic surgery have been demonstrated. However, experience with the previous da Vinci Si robotic system revealed several unsolved problems. Read More

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http://dx.doi.org/10.1177/1553350618816788DOI Listing
December 2018
6 Reads

Medicare Accountable Care Organizations and Use of Potentially Low-Value Procedures.

Surg Innov 2018 Nov 30:1553350618816594. Epub 2018 Nov 30.

1 University of Michigan, Ann Arbor, MI, USA.

Objective: To evaluate the effect of Accountable Care Organizations (ACOs) on the use of vertebroplasty and arthroscopic partial meniscectomy, 2 procedures for which randomized controlled trials suggest similar outcomes to sham surgery and therefore may provide low value. Medicare Shared Savings Program ACOs aim to improve quality and decrease health care spending. Reducing the use of potentially low-value procedures can accomplish both of these goals. Read More

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http://dx.doi.org/10.1177/1553350618816594DOI Listing
November 2018
2 Reads

A Multimodality Navigation System for Endoscopic Fetal Surgery: A Phantom Case Study for Congenital Diaphragmatic Hernia.

Surg Innov 2018 Nov 28:1553350618813244. Epub 2018 Nov 28.

2 King's College Hospital, Fetal Medicine Research Institute, London, UK.

This article presents a multi-modality tracking and navigation system achieved by merging optical tracking and ultrasound imaging into a novel navigation software to help in surgical pre-planning and real-time target setting and guidance. Fetal surgeries require extensive experience in coordination of hand-eye-ultrasound-surgical equipment, knowledge, and precise assessment of relative anatomy. While there are navigation systems available for similar constrained working spaces in arthroscopic and cardiovascular procedures, fetal minimally invasive surgery does not yet have a dedicated navigation platform capable of supporting robotic instruments that can be adapted to the set of unique procedures. Read More

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http://dx.doi.org/10.1177/1553350618813244DOI Listing
November 2018
3 Reads

Decrease in VEGF-Induced Pericardial Adhesion Formation Using Bevacizumab After Surgery.

Surg Innov 2018 Nov 26:1553350618813451. Epub 2018 Nov 26.

2 Department of physiology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Objectives: Some degrees of postoperative cardiac adhesions occur in response to the first cardiac surgery in patients that may limit surgeons for subsequent operations and increase the risk of heart injury. In this article, we established a model of postoperative pericardial adhesions, and because vascular endothelial growth factor (VEGF) seems to initiate adhesion formation through inflammatory responses, we used an anti-VEGF antibody, that is, bevacizumab, to examine its effects on postoperative adhesion formation.

Methods: Twenty Wistar rats were divided in 2 groups: control and bevacizumab. Read More

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http://dx.doi.org/10.1177/1553350618813451DOI Listing
November 2018
4 Reads
1.338 Impact Factor

Establishment of a Rabbit Model of Giant Abdominal Wall Hernia.

Surg Innov 2018 Nov 25:1553350618814090. Epub 2018 Nov 25.

1 Beijing Chao-Yang Hospital, Beijing, China.

Purpose: Animal models play an important role in abdominal wall hernia research. However, there is still no standard animal models for abdominal wall hernia. This study aimed to introduce a novel rabbit model of giant abdominal wall hernia. Read More

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http://dx.doi.org/10.1177/1553350618814090DOI Listing
November 2018
1 Read

Investigating Capnography Innovation for Better Patient Monitoring in the Resource Limited Surgical Setting.

Surg Innov 2018 Nov 25:1553350618813252. Epub 2018 Nov 25.

1 University of Utah, Salt Lake City, UT, USA.

Background: Access to basic anesthetic monitoring in the developing world is lacking, which contributes to the 100 times greater anesthesia-related mortality in low- and middle-income countries. We hypothesize that an environmental sensor with a lower sampling rate could provide some clinical utility by providing CO levels, respiratory rate, and support in detection of clinical abnormalities.

Materials And Methods: A bench-top lung simulation was created to replicate CO waveforms, and an environmental sensor was compared with industry-available technology. Read More

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http://dx.doi.org/10.1177/1553350618813252DOI Listing
November 2018
1 Read

Pierre Franco (1505-1578): An Innovative Surgeon of the 16th Century in the Treatment of Hernia and Lithotomy.

Surg Innov 2019 Feb 25;26(1):129-133. Epub 2018 Nov 25.

4 Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

Pierre Franco (1505-1578) was a brilliant surgeon of the Renaissance, a contemporary of Ambroise Paré. He made an impact on the history of surgery with his innovative approaches in the treatment of hernia, lithotomy, and the use of the suprapubic incision. The purpose of this study is to present a detailed account of his work, innovations, and achievements as well as the impact he made on the surgery of the Renaissance. Read More

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http://dx.doi.org/10.1177/1553350618812280DOI Listing
February 2019
2 Reads

Intraoperative Probe-Based Confocal Endomicroscopy to Histologically Differentiate Thyroid From Parathyroid Tissue Before Resection.

Surg Innov 2018 Nov 23:1553350618814078. Epub 2018 Nov 23.

1 University Hospital of Strasbourg, Strasbourg, France.

Background: Frozen section is the standard method to histologically distinguish parathyroid tissue from thyroid tissue during endocrine neck surgery. Frozen section can be time-consuming and costly. Its drawback is that it is to be performed only after the removal of a suspected pathological tissue. Read More

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http://dx.doi.org/10.1177/1553350618814078DOI Listing
November 2018
13 Reads

A Novel Wireless In-Ear Device for Surgical Care: An Innovative Idea to Improve Operating Room Miscommunication.

Authors:
Marc Levin Yung Lee

Surg Innov 2018 Nov 22:1553350618814089. Epub 2018 Nov 22.

1 Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.

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http://dx.doi.org/10.1177/1553350618814089DOI Listing
November 2018
1 Read

Telementoring of Surgeons: A Systematic Review.

Surg Innov 2018 Nov 22:1553350618813250. Epub 2018 Nov 22.

1 Imperial College London, London, UK.

Background: Telementoring is a technique that has shown potential as a surgical training aid. Previous studies have suggested that telementoring is a safe training modality. This review aimed to review both the technological capabilities of reported telementoring systems as well as its potential benefits as a mentoring modality. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618813250
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http://dx.doi.org/10.1177/1553350618813250DOI Listing
November 2018
4 Reads

Human Factors-Based Mobile Application Design for Global Health.

Surg Innov 2018 Nov 22:1553350618814643. Epub 2018 Nov 22.

1 University of Utah, Salt Lake City, UT, USA.

Background: The rapid adoption of smartphones and software applications (apps) has become prevalent worldwide, making these technologies nearly universally available. Low-cost mobile health (M-health) platforms are being rapidly adopted in both developed and emerging markets and have transformed the health care delivery landscape. Human factors optimization is critical to the safe and sustainable adoption of M-health solutions. Read More

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http://dx.doi.org/10.1177/1553350618814643DOI Listing
November 2018
8 Reads

Use of an Interdisciplinary Student Medical Innovation and Entrepreneurship Program to Create Affordable Global Health Care Solutions.

Surg Innov 2018 Nov 21:1553350618813437. Epub 2018 Nov 21.

1 University of Utah, Salt Lake City, UT, USA.

Background: Bench to Bedside is a 7-month-long medical innovation and entrepreneurship program at the University of Utah in which teams comprising students from various disciplines work together to identify health care problems and develop novel technology solutions. Student teams are provided a small prototyping budget, access to device development workshops, prototyping facilities, and expert faculty and industry mentors. Teams then compete for seed funding at the Bench to Bedside competition at the end of the program. Read More

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http://dx.doi.org/10.1177/1553350618813437DOI Listing
November 2018
7 Reads

The Importance of Design Validation in Global Health Surgical Innovation.

Surg Innov 2018 Nov 21:1553350618814644. Epub 2018 Nov 21.

1 University of Utah, Salt Lake City, UT, USA.

Introduction: Medical technology development requires an understanding of user needs and environmental requirements. Accurately capturing market requirements, user needs, and design specifications are multifactorial and challenging. On-site observation and design validation may lead to development of more effective solutions to improve health care. Read More

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http://dx.doi.org/10.1177/1553350618814644DOI Listing
November 2018
12 Reads

Feasibility Study of a Newly Developed Hybrid Energy Device Used During Laparoscopic Liver Resection in a Porcine Model.

Surg Innov 2018 Nov 12:1553350618812298. Epub 2018 Nov 12.

1 Keio University School of Medicine, Tokyo, Japan.

Background: Although various devices have been clinically used for laparoscopic liver resection (LLR), the best device for liver parenchymal transection remains unknown. Olympus Corp (Tokyo, Japan) developed a laparoscopic hybrid pencil (LHP) device, which is the first electric knife to combine ultrasound and electric energy with a monopolar output. We aimed to evaluate the feasibility of using the LHP device and to compare it with the laparoscopic monopolar pencil (LMP) and laparoscopic ultrasonic shears (LUS) devices for LLR in a porcine model. Read More

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http://dx.doi.org/10.1177/1553350618812298DOI Listing
November 2018
10 Reads

Surgical Loupe at 4.0× Magnification in Pancreaticoduodenectomy-Does It Affect the Surgical Outcomes? A Propensity Score-Matched Study.

Surg Innov 2018 Nov 12:1553350618812322. Epub 2018 Nov 12.

1 Mansoura University, Mansoura, Egypt.

Background: There is paucity of data about the impact of using magnification on rate of pancreatic leak after pancreaticoduodenectomy (PD). The aim of this study was to show the impact of using magnifying surgical loupes 4.0× EF (electro-focus) on technical performance and surgical outcomes of PD. Read More

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https://www.researchgate.net/publication/277370316_Classific
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http://journals.sagepub.com/doi/10.1177/1553350618812322
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http://dx.doi.org/10.1177/1553350618812322DOI Listing
November 2018
11 Reads

Pelvic and Lower Gastrointestinal Tract Anatomical Characterization of the Average Male.

Surg Innov 2018 Nov 12:1553350618812317. Epub 2018 Nov 12.

1 Virginia Tech-Wake Forest University Center for Injury Biomechanics, Winston-Salem, NC, USA.

Objective: Colorectal surgeons report difficulty in positioning surgical devices in males, particularly those with a narrower pelvis. The objectives of this study were to (1) characterize the anatomy of the pelvis and surrounding soft tissue from magnetic resonance and computed tomography scans from 10 average males (175 cm, 78 kg) and (2) develop a model representing the mean configuration to assess variability.

Methods: The anatomy was characterized from existing scans using segmentation and registration techniques. Read More

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http://dx.doi.org/10.1177/1553350618812317DOI Listing
November 2018
13 Reads

An Automatic Suturing Machine for Intestinal Anastomosis: Advantages Compared With Hand-Suturing Technique.

Surg Innov 2018 Oct 26:1553350618808007. Epub 2018 Oct 26.

1 Amirkabir University of Technology, Tehran, Iran.

One of the main procedures in intestinal surgery is anastomosis, which is mostly performed by stapling or hand suturing. Due to limitations of these methods, a novel automatic suturing machine was designed and fabricated in this study, equipped with a needle-driving system; a thread control mechanism, and a linear mechanism, which is applicable in intestinal anastomosis by making continuous sutures. The main advantages of the fabricated machine are employing biocompatible suture, from the tissue's adaptation point of view, and making a uniform suturing pattern, independent of surgeon's skill, and thus offering a greater strength than the hand-sutured specimen. Read More

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http://dx.doi.org/10.1177/1553350618808007DOI Listing
October 2018
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Permacol Collagen Paste Injection for Treatment of Complex Cryptoglandular Anal Fistulas: An Observational Cohort Study With a 2-Year Follow-up.

Surg Innov 2018 Oct 19:1553350618808120. Epub 2018 Oct 19.

1 "S. Maria dei Battuti" Hospital, Conegliano (TV), Italy.

Background: Permacol paste injection is a novel treatment approach for complex cryptoglandular anal fistulas. This study was performed to evaluate the long-term clinical outcomes of treatment with Permacol paste for complex cryptoglandular fistulas.

Methods: Patients with primary or recurrent complex cryptoglandular anal fistulas treated with Permacol paste from 2014 to 2016 were retrospectively analyzed. Read More

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http://dx.doi.org/10.1177/1553350618808120DOI Listing
October 2018
5 Reads

Interpretation of Optical Coherence Tomography Images for Breast Tissue Assessment.

Surg Innov 2018 Oct 7:1553350618803245. Epub 2018 Oct 7.

3 Johns Hopkins Hospital, Baltimore, MD, USA.

Purpose: Initial studies have shown that optical coherence tomography (OCT) is an effective margin-evaluation tool for breast-conserving surgery, but methods for the interpretation of breast OCT images have not been directly studied. In this work, breast pathologies were assessed with a handheld OCT probe. OCT images and corresponding histology were used to develop guidelines for the identification of breast tissue features in OCT images. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618803245
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http://dx.doi.org/10.1177/1553350618803245DOI Listing
October 2018
7 Reads

A New Software Suite in Orthognathic Surgery : Patient Specific Modeling, Simulation and Navigation.

Surg Innov 2018 Oct 1:1553350618803233. Epub 2018 Oct 1.

3 Laboratory of Engineering Science, Computer Science and Imaging, CNRS, University of Strasbourg, France.

Orthognathic surgery belongs to the scope of maxillofacial surgery. It treats dentofacial deformities consisting in discrepancy between the facial bones (upper and lower jaws). Such impairment affects chewing, talking, and breathing and can ultimately result in the loss of teeth. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618803233
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http://dx.doi.org/10.1177/1553350618803233DOI Listing
October 2018
2 Reads

Toward Holographic-Guided Surgery.

Surg Innov 2018 Sep 27:1553350618799552. Epub 2018 Sep 27.

1 Radboud University Medical Center, Nijmegen, Netherlands.

The implementation of augmented reality (AR) in image-guided surgery (IGS) can improve surgical interventions by presenting the image data directly on the patient at the correct position and in the actual orientation. This approach can resolve the switching focus problem, which occurs in conventional IGS systems when the surgeon has to look away from the operation field to consult the image data on a 2-dimensional screen. The Microsoft HoloLens, a head-mounted AR display, was combined with an optical navigation system to create an AR-based IGS system. Read More

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http://journals.sagepub.com/doi/10.1177/1553350618799552
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http://dx.doi.org/10.1177/1553350618799552DOI Listing
September 2018
3 Reads

European Survey Study Among Plastic/Breast Surgeons on the Use of and Opinion Toward Autologous Fat Transfer: With Emphasis on Breast Surgery.

Surg Innov 2018 Sep 24:1553350618799553. Epub 2018 Sep 24.

1 Department of Plastic, Reconstructive and Hand Surgery/ GROW: School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, Netherlands.

Objective: The aim of this study is to examine the experience of European surgeons on autologous fat transfer (AFT) and highlight differences between countries and levels of experience.

Background Data: The popularity of AFT causes an increase in sophisticated scientific research and clinical implementation. While results from the former are well-documented, important aspects of the latter are far less recognized. Read More

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http://dx.doi.org/10.1177/1553350618799553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293441PMC
September 2018
2 Reads