1,118 results match your criteria Surgical Innovation [Journal]


Full Robot-Assisted Living Donor Nephrectomy and Kidney Transplantation in a Twin Dedicated Operating Room: Initial Experience From a High-Volume Robotic Center.

Surg Innov 2019 Apr 25:1553350619835429. Epub 2019 Apr 25.

2 Department of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy.

Purpose: To describe our initial experience with a full robot-assisted approach for living donor nephrectomy (RALDN) and kidney transplantation (RAKT) in a dedicated twin operating room.

Methods: From January to December 2017, 5 cases of RALDN and RAKT were performed in a single high-volume robotic center. All patients underwent a standard left RALDN. Read More

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http://dx.doi.org/10.1177/1553350619835429DOI Listing

Corrigendum.

Authors:

Surg Innov 2019 Apr 7:1553350619844739. Epub 2019 Apr 7.

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http://dx.doi.org/10.1177/1553350619844739DOI Listing

Association Between Perioperative Fluid Balance and 30-Day Unplanned Readmission After Major Abdominal Surgery.

Surg Innov 2019 Mar 28:1553350619836856. Epub 2019 Mar 28.

1 Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Perioperative positive fluid balance (FB) increases postoperative complication and length of hospital stay. We aimed to investigate 30-day unplanned readmission after major abdominal surgery based on perioperative FB (%) on postoperative days (POD) 0 to 3. This retrospective cohort study analyzed medical records of patients who underwent elective major abdominal surgery (surgery time >2 hours, estimated blood loss >500 mL) at a single tertiary academic hospital from January 2010 to December 2017. Read More

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http://journals.sagepub.com/doi/10.1177/1553350619836856
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http://dx.doi.org/10.1177/1553350619836856DOI Listing
March 2019
3 Reads
1.338 Impact Factor

There Is No BOX: An Alternative Route for Innovative Surgery to Find Its Way to Translation.

Authors:
Ricardo Zorron

Surg Innov 2019 Mar 28:1553350619835341. Epub 2019 Mar 28.

1 Klinikum Ernst von Bergmann, Potsdam, Germany.

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http://dx.doi.org/10.1177/1553350619835341DOI Listing

Gastrointestinal Hormones Manipulation to Counteract Metabolic Syndrome Using Duodenal Targeted Embolization.

Surg Innov 2019 Mar 28:1553350619838098. Epub 2019 Mar 28.

1 IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.

Purpose: Targeted embolization of gastrointestinal (GI) arteries can modify hormonal production. We aimed to evaluate the impact of the embolization of the gastroduodenal artery (GDA) on the activity of foregut mucosa.

Methods: The GDA's duodenal branch was embolized in 12 Yucatan pigs using 100-300 µm (group A; n = 4) or 300-500 µm (group B; n = 4) microspheres, followed by coiling of the branch. Read More

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http://dx.doi.org/10.1177/1553350619838098DOI Listing
March 2019
1 Read

Praxagoras of Cos (4th Century BC) and His Innovative Method of a Diverting Enterocutaneous Fistula to Relieve Small Bowel Obstruction.

Surg Innov 2019 Mar 27:1553350619834836. Epub 2019 Mar 27.

2 University of Crete, Crete, Greece.

Born in an island with huge medical tradition in ancient Greece, Praxagoras of Cos became an esteemed medico-philosopher and surgeon. The evolution made by the Hippocratic School of Medicine further boosted his talent and helped him perform surgical operations, which were believed impossible for his era. Praxagoras introduced an innovative surgical technique to confront small bowel obstruction, by creating an enterocutaneous fistula. Read More

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http://dx.doi.org/10.1177/1553350619834836DOI Listing
March 2019
1 Read

Novel Approach for 2-Port Laparoscopic Hysterectomy.

Surg Innov 2019 Mar 24:1553350619827693. Epub 2019 Mar 24.

5 George Washington University, Washington, DC, USA.

Background And Objectives: To describe a novel technique for a port-reducing laparoscopic hysterectomy. The 2-port laparoscopic hysterectomy (TPH) is performed through two 5-mm ports without the use of any multiport channels. We demonstrate outcomes via a large case series. Read More

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http://dx.doi.org/10.1177/1553350619827693DOI Listing
March 2019
1 Read
1.338 Impact Factor

Efficacy of New Polylactic Acid Nonwoven Fabric as a Hemostatic Agent in a Rat Liver Resection Model.

Surg Innov 2019 Mar 21:1553350619833582. Epub 2019 Mar 21.

1 Keio University School of Medicine, Tokyo, Japan.

Background: During minimally invasive surgery, efficient and nontoxic hemostats are important for difficult to access bleeding areas. Polylactic acid is an ecofriendly hemostatic agent and we aimed to evaluate the efficacy of a polylactic acid nonwoven fabric (PLAF) developed by Toray Industries, Inc, on liver hemostasis in a preclinical study.

Materials And Methods: PLAF consists of both 1-µm diameter fibers and 100-µm diameter beaded fibers. Read More

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http://dx.doi.org/10.1177/1553350619833582DOI Listing
March 2019
2 Reads

Extended Postoperative Antibiotics Versus No Postoperative Antibiotics in Patients Undergoing Emergency Cholecystectomy for Acute Calculous Cholecystitis: A Systematic Review and Meta-Analysis.

Surg Innov 2019 Mar 15:1553350619835347. Epub 2019 Mar 15.

2 Royal Bolton Hospital, Bolton, UK.

Objectives: To compare the outcomes of extended postoperative antibiotics versus no postoperative antibiotics in patients with acute calculous cholecystitis undergoing emergency cholecystectomy.

Methods: We performed a systematic review and conducted a search of electronic information sources to identify all randomized controlled trials comparing outcomes of extended postoperative antibiotics versus no postoperative antibiotics in patients with acute calculous cholecystitis undergoing emergency cholecystectomy. Postoperative infectious complications and surgical site infections were primary outcome measures. Read More

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http://journals.sagepub.com/doi/10.1177/1553350619835347
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http://dx.doi.org/10.1177/1553350619835347DOI Listing
March 2019
6 Reads

Antoine Ferrein (1693-1769)-His Life and Contribution to Anatomy and Physiology: The Description of the Vocal Chords and Their Function.

Surg Innov 2019 Mar 13:1553350619835346. Epub 2019 Mar 13.

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

The purpose of this study is to summarize the life and work of the French anatomist and surgeon Antoine Ferrein (1693-1769). Ferrein made an impact in the history of anatomy and physiology through his work and especially with the description of phonation, renal anatomy, and liver and biliary structure. He also made an impact on ophthalmology with the description of the eyelid and its diseases. Read More

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http://dx.doi.org/10.1177/1553350619835346DOI Listing

Non-Cross-Linked Collagen Mesh Performs Best in a Physiologic, Noncontaminated Rat Model.

Surg Innov 2019 Mar 5:1553350619833291. Epub 2019 Mar 5.

1 Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

Background: In laparoscopic incisional hernia repair, direct contact between the prosthesis and abdominal viscera is inevitable and may lead to adhesions. Despite the large variety of mesh prosthesis, little is known about their in vivo behavior. Biological meshes are considered to have many advantages, but due to their price they are rarely used. Read More

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http://dx.doi.org/10.1177/1553350619833291DOI Listing
March 2019
8 Reads

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
3 Reads

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
4 Reads

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
1 Read

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
2 Reads

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
2 Reads

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
2 Reads

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

Surg Innov 2019 Apr 30;26(2):153-161. 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
April 2019
2 Reads

Response to Comments by Hathaway and Heinsohn.

Surg Innov 2019 Apr 29;26(2):267. 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
April 2019
8 Reads

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
19 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 Apr 15;26(2):234-243. 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
April 2019
13 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
3 Reads

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
12 Reads

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

Surg Innov 2019 Apr 11;26(2):268-269. 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
April 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
13 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
4 Reads

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 Apr 2;26(2):244-259. 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
April 2019
3 Reads

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

Surg Innov 2019 Apr 25;26(2):162-167. 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
April 2019
6 Reads

Thermal Coagulation Device for Treating Cervical Dysplasia.

Surg Innov 2019 Apr 20;26(2):149-152. 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
April 2019
2 Reads

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

Surg Innov 2019 Apr 19;26(2):260-264. 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
April 2019
3 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
2 Reads

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 2019 Apr 12;26(2):219-226. 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
April 2019
14 Reads

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

Surg Innov 2019 Feb 3;26(1):112-123. 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
February 2019
6 Reads

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

Surg Innov 2019 Apr 3;26(2):192-200. 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
April 2019
7 Reads

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

Surg Innov 2019 Apr 30;26(2):227-233. 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
April 2019
3 Reads

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

Surg Innov 2019 Feb 28;26(1):27-36. 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
February 2019
8 Reads

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

Surg Innov 2019 Feb 26;26(1):21-26. 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
February 2019
15 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 2019 Feb 25;26(1):124-128. 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
February 2019
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
3 Reads

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

Surg Innov 2019 Apr 23;26(2):141-148. 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
April 2019
19 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 2019 Feb 22;26(1):134-135. 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
February 2019
2 Reads

Telementoring of Surgeons: A Systematic Review.

Surg Innov 2019 Feb 22;26(1):95-111. 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
February 2019
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
15 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
14 Reads