Workload Assessment of Surgeons: Correlation Between Nasa Tlx and Blinks
Bin Zheng, MD PhD, Xianta Jiang, Msc, Geoffery Tien, Msc, Adam Meneghetti, MD, Neely Panton, MD, Stella Atkins, PhD. University of British Columbia Objective: Blinks are known as an indicator of visual attention and stresses. When an operator is overloaded, he will tend to blink less, and quickly. In this study, surgeons’ mental workloads… Continue Reading
Magnetically Anchored Camera and Percutaneous Instruments Maintain Triangulation and Improve Cosmesis Compared to Single-site and Conventional Laparoscopic Cholecystectomy
Nabeel A Arain, MD MBA, Luisangel Rondon, MD, Deborah C Hogg, BS, Jeffrey A Cadeddu, MD, Richard Bergs, MS, Raul Fernandez, PhD, Daniel J Scott, MD. University of Texas Southwestern Medical Center at Dallas (Departments of Surgery and Urology), University of Texas at Arlington (Texas Manufacturing Assistance Center) Introduction: The purpose of this study… Continue Reading
Radiofrequency Energy Coupling to Common Laparoscopic Instruments: Beware of the Camera Tip
Edward L Jones, MD, Thomas N Robinson, MD, Paul N Montero, MD, Henry R Govekar, MD, Greg V Stiegmann. University of Colorado School of Medicine, Aurora, CO INTRODUCTION: Radiofrequency energy delivered by the monopolar “bovie” is used in virtually every laparoscopic operation. Electromagnetic coupling can occur between the active electrode and conductive laparoscopic instruments… Continue Reading
Universal Multifunctional Hd Video System for Minimally Invasive, Open and Micro Surgery
Nicholas N Nissen, MD, Vijay Menon, MD, James Williams, BA, Steven D Colquhoun, MD, George Berci, MD. Cedars-Sinai Medical Center, Los Angeles, CA Introduction: Laparoscopy provides an important tool in the management of abdominal pathology, both as a method of staging prior to laparotomy and, increasingly, as a method of tumor removal. Some of… Continue Reading
Determination of the Ideal Posture for the Surgeon During Laparoscopic Surgery
Cas Van 't Hullenaar, MD, Maarten Van Alphen, BSc, Matthijs Hendriks, BSc, Ivo Broeders, Professor. Meander Medical Center, Amersfoort / University Medical Center Utrecht/ Twente University, Eschede Abstract Background: Physical discomfort is frequently reported by surgeons performing endoscopic procedures. Musculoskeletal fatigue and other physical complaints during laparoscopy can result in work related injuries for… Continue Reading
Comparison of Surgical Plume Generation of First Generation Cordless (sonicision) Versus Traditional Laparoscopic Harmonic Scalpel Devices Using a Novel Real-time Digital Quantification Technique
Fernando J Kim, MD, David E Sehrt, BS, Shalini Tayal, MD, Wilson R Molina, MD. Denver Health Medical Center, Tony Grampsas Cancer Center, University of Colorado Health Sciences Center Introduction:To quantify the amount of obstruction by surgical plume generated from the first generation cordless and traditional ultrasonic harmonic scalpels (HS) on laparoscopic visibility and… Continue Reading
First Case Series of Microlaparoscopic Adjustable Gastric Banding: Maintaining Ergonomics and Laparoscopic Prinicples of Triangulation While Reducing Scars
Emma J Patterson, MD, Jamie Laut, MEd. Oregon Weight Loss Surgery LLC, Portland OR; Legacy Good Samaritan Medical Center, Portland OR; Wilshire Surgery Center, Portland OR INTRODUCTIONMany recent potential advances such as single incision laparoscopic surgery (SILS) require additional (often disposable) devices or for the surgeon to employ a less ergonomic approach. Microlaparoscopic Adjustable… Continue Reading
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30-30 Cut/coag – Is Electrosurgical Monopolar Energy Technology Underused?
Paul N Montero, MD, Matthew Fox, MD, Thomas Robinson, MD, Gregory V Stiegmann, MD. University of Colorado School of Medicine Objective: Our hypothesis is that monopolar electrosurgery technology is underused, and that the "standard" setting of Coag 30 remains the most commonly used generator setting. Despite advances in monopolar elecrosurgical energy devices, surgeons routinely… Continue Reading
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Comparing the Biomechanical Characteristics of Manual and Powered Laparoscopic Stapler Designs
Donald R Peterson, PhD, Drew R Seils, BS, Tarek Tantawy, BS, Angela S Kueck, MD, M Kurt E Roberts, MD. University of Connecticut Health Center, Yale University INTRODUCTION: The incidence of musculoskeletal disorders among laparoscopic surgeons is increasing and may be a result of an increase in surgical procedures performed and the biomechanical risks… Continue Reading
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Review of Surgical Ergonomics Research Associated With Minimally Invasive Surgery
Donald R Peterson, PhD, Tarek Tantawy, BS, Drew R Seils, BS, Angela S Kueck, MD, M Kurt E Roberts, MD. University of Connecticut Health Center, Yale University INTRODUCTION: The widespread acceptance of minimally invasive surgical procedures has led to an increase in its popularity and demand. The growing number of surgical procedures performed coupled… Continue Reading
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Development of an Ergonomic Instrument for Laparoscopic and Less Surgery
Jakeb D Riggle, Adam E De Laveaga, Jake Kaufman, Chad A Lagrange, MD, Dmitry Oleynikov, MD FACS, M Susan Hallbeck, PhD PE CPE. University of Nebraska - Lincoln and University of Nebraska Medical Center The most common laparoscopic surgical tools in use have been shown to be detrimental to surgeons’ health, causing hand and… Continue Reading
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Single Port Access (SPA) Laparoscopic Cholecystectomy Versus Three-port Laparoscopic Cholecystectomy: a Prospective Randomized Study
Raymund Andrew G Ong, MD FPCS FPALES, Winston S Vequilla, MD DPBS. Department of Surgery, FEU-NRMF Medical Center, Philippines Objectives: Laparoscopic cholecystectomy has replaced open cholecystectomy as the standard procedure for gallbladder removal whenever possible. Recent developments regarding laparoscopic cholecystectomy have been directed toward reducing the size or number of ports to achieve the… Continue Reading
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Sterilisation and Disinfection Acceptation Test of Reusable Single Port and Miniport Laparoscopic Instruments
D A Van Dam, MD, S Beeksma, W J Meijerink, MD PhD. VU University Medical Centre Amsterdam Objective: to determine if newly designed reusable laparoscopic HiQ LS (Olympus, Hamburg Germany) for single port surgery and AdTech®mini (BBraun, Melsungen Germany) miniport instruments meet the disinfections and sterilisation standards used in the VU university medical centre,… Continue Reading
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Development of the Hypereye Medical System for Endoscopic Surgery
Michiya Kobayashi, MD PhD, Takayuki Sato, MD PhD, Takeki Sugimoto, MD PhD, Ken Okamoto, MD PhD, Ken Dabanaka, MD, Tsutomu Namikawa, MD PhD, Takehiro Okabayashi, MD PhD, Kazuhiro Hanazaki, MD PhD. Department of Human Health and Medical Sciences, Hospital Administration Section, Department of Cardiovascular Control, and Department of Surgery, Kochi Medical School INTRODUCTIONWe developed… Continue Reading
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The New Fexible Trocar for Single Port Surgery
M. Yamagata, title, M. Matsuda, title, S. Hayashi, title, K. Hagiwara, MD, T. Takayama, PhD. Department of digestive surgery,Nihon Universuty SPG spreads explosively now. However, maximal problem is in single port surgery that all of the operation is performed from an isologues direction and operative degree of difficulty increase with distance between navel and… Continue Reading
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