A New Magnetic Camera-Robot Enabling a Multi-Instrument Procedure in Single Incision Laparoscopic Surgery: Preliminary Experience
Giancarlo Basili (1), MD, Pietro Valdastri (2), PhD MScEE, Dario Pietrasanta (1), MD, Irene Mosca (1), MD, Massimiliano Simi (2), MScBE, Arianna Menciassi (2), Prof, Paolo Dario (2), Prof, Orlando Goletti (1), Prof. General Surgery Unit, Pontedera Hospital, Health Unit 5 Pisa (1) - CRIM Lab, Research Center of Industrial BioEngineering, Scuola Superiore Sant'Anna, Pisa… Continue Reading
Laser Guided Laparoscopic Ventral Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Excellence in laparoscopic ventral herniorrhaphy (LVH) requires precise mesh placement and meticulous transfascial suture placement. Yet despite these demanding requirements, LVH is routinely performed using nothing more than visual estimations, leading to inadequate mesh coverage, inaccurate suture placement and… Continue Reading
New Device for Flexible Laparoscopy with Strength and Stability: Spider® Vertebral Endomechanical System
Juan-Carlos Verdeja, MD. South Miami Hospital Objective of the device:Initial technologies for single incision laparoscopy have primarily been access devices with multiple instrument ports crowded together for “inline” operation without the triangulation usually achieved via multiple trocars at the abdominal wall. The initial version of the SPIDER® surgical system (TranEnterix, Durham, NC) approved in 2008… Continue Reading
Leto Medical’s™ Continent Ostomy System – A Preclinical Update of a Novel Electrical Stimulation Device to Restore Continence Control to Individuals with Colostomy
Jaime Cavallo, MD, John Minasi, MD, James Schneider, MBA, Seung Hyuk Baik, MD, Alyssa Fajardo, MD, Logan McKenna, BS, Michael Talcott, DVM, James Fleshman, MD. Leto Medical, LLC (Fernandina Beach, FL) and Washington University School of Medicine in St. Louis, Division of General Surgery - Colon & Rectal and Division of Comparative Medicine (St. Louis,… Continue Reading
A Novel Endoscopic Esophageal Reconstruction Technique
Silvana Perretta, MD, James Wall, MD, Bernard Dallemagne, MD, Jacques Marescaux, MD FRCS FACS. IRCAD Department of Digestive and Endocrine Surgery, University of Strasbourg Objective: Esophageal reconstruction presents a significant clinical challenge in patients ranging form neonates with long-gap esophageal atresia to adults after esophageal resection. Both gastric and colonic replacement conduits carry significant morbidity.… Continue Reading
Transabdominal, Transcolonic Polypectomies in a Porcine Model: Avoiding Unnecessary Bowel Resections with the Use of the Minilap Device
Donald M Davis, MD, James JL Mateka, Jorge E Marcet, MD. University of South Florida Introduction: Many benign colorectal polyps cannot be positioned correctly or reached by the endoscope for polypectomy. Accordingly, patients undergo surgical resection of involved bowel. Due to this fact, we have attempted to develop minimally invasive techniques in porcine models to… Continue Reading
Novel Technique for Significant Cost Reduction in Laparoscopic Inguinal Hernia Repair
dmitry nepomnayshy, MD, anton galitsky, MD, desmond birkett, MD. lahey clinic OBJECTIVES: Growth in healthcare costs is a significant concern for sustainable healthcare delivery around the world. In our institution, we have seen a 50% -100% rise in the costs of operating room supplies over the last decade. For the first time, we were made… Continue Reading
Endoscopic Infrared Coagulation: Broad Range of Novel and Practical Utility Ranging From Internal Hemorrhoids to NOTES
Elisabeth C McLemore, MD, Sonia Ramamoorthy, MD, Rudy Rai, MD, Junaid Siddiqui, MD, P Patrick Basu, MD, Mousab Tabbaa, MD, Michael S Epstein, MD. University of California, San Diego Objective: A novel endoscopic delivery system for infrared coagulation therapy has recently been designed and approved by the Food and Drug Administration for use in human… Continue Reading
Reconstruction of Human Anatomy Using 3-Dimensional Printing: Aorta and Liver Models
Rahul Gupta, MBBS MS DNB, Robert A Andrews, MD, Theodore Korelitz, Crispin Weinberg, PHD, Kung Justin, MD, Scott Johnson, MD, Daniel B Jones, MD MS FACS. Beth Israel Deaconess Medical Center ObjectiveTo create clinically relevant 3 dimensional models from CT Scans. MethodsWith IRB exemption, our group acquired various de-identified images of interesting anatomic pathology in… Continue Reading
Endoscopic Submucosal Dissection of Gastric Lesion By Using a Master and Slave Transluminal Endoscopic Robot (MASTER): A Survival Study
DAVIDE LOMANTO, MD PhD FAMS Surg, SOO JAY PHEE, PhD, RAJAT GOEL, MBBS MS DNB, ANDY PRIMA KENCANA, B Eng, SOON CHIANG LOW, PhD, kHEK YU-HO, MD. Dep.of Surgery and Dept. Of Medicine, Y L L School of Medicine, National University of Singapore; School of Mechanical and Aerospace Engineering, Nanyang Technological University, Singapore Endoscopic Submucosal… Continue Reading
A Novel Snake Robot for NOTES
Michael M Awad, MD PhD, Shyam Thakkar, MD, Howie Choset, PhD. Washington University in St. Louis, Drexel University, Carnegie Mellon University OBJECTIVE The emergence of laparoendoscopic technology has revolutionized the practice of surgery over the last 20 years. However, many complex procedures are still performed in an open fashion because of limitations of this technology.… Continue Reading
Intraoperative Distensibility As Measured Using a Novel Functional Luminal Imaging Probe: Endoflip
Andrei Ilczyszyn, MBBS BScHons MRCSEng, Abrie Botha, MD FRCS. Department of Upper GI Surgery, St Thomas' Hospital, London, UK Objective of the Device Several mechanisms have been proposed to explain the effectiveness of laparoscopic anti-reflux surgery (LARS), including esophageal lengthening, changing intra-esophageal pressure, hiatal repair and addition of an extra-anatomical wrap. Although LARS is associated… Continue Reading
A Novel Endoscopic Surgical Device for Real-Time Measurement of Hernia Defects and Other Anatomic Geometries
Gyusung Lee, PhD, Ivan M George, Adrian Park, MD. University of Maryland Objective of the technology or device.At the University of Maryland we are developing a novel device (US patent pending) that will allow surgeons to measure the size and shape of a hernia defect so that mesh size and potentially shape can be more… Continue Reading
Use of a Novel Endoscopic Suturing Device to Oversew a Large Marginal Ulceration
Pichamol Jirapinyo, Christopher C Thompson, MD. Brigham and Women's Hospital, Boston, MA, USA Objective: Severe marginal ulceration is traditionally treated surgically. Here we describe the use of a novel endoscopic suturing device to oversew a large stomal ulcer and avert a complicated surgical revision.Technology Description: Ulcer oversewing was performed using a novel endoscopic suturing system… Continue Reading
Intraoperative Real-Time Ultrasound-Elastography of the Pancreas: A Method for ‘Visual Palpation’
Paolo Abitabile, MD, Christoph A Maurer, Prof. Department of Surgery, Kantonsspital Liestal, CH-4410 Liestal, Switzerland ObjectiveFirst experience with intraoperative real time ultrasound-elastography (USEG) in pancreatic surgery is reported. MethodsReal-time elastography is based on standard diagnostic ultrasound equipment. Backscattered signals along the longitudinal axis of the ultrasound transducer are analysed. The time-delay at compression and decompression… Continue Reading