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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Endoscopic Submucosal Dissection (esd) Using Space Making Balloons and Magnetically Coupled Instruments- the Next Frontier
Rohan A Joseph, MD, Calvin L Lyons, MD, Barbara L Bass, MD, Brian J Dunkin, MD. Department of Surgery, The Methodist Hospital and Methodist Institute for Technology, Innovation and Education (MITIE) Introduction: Endoscopic Submucosal Dissection (ESD) is one of the most challenging procedures to perform endoluminally. Currently used devices have ergonomic challenges that prolong… 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
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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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
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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Transaxillary Endoscopic Thyroid Lobectomy Using the Spider Surgical System
Barnard J Palmer, MD, Bernadette U Laxa, MD, William B Inabnet, MD. Mount Sinai School of Medicine Transaxillary endoscopic thyroidectomy has been used more widely in recent years as technology advances. However, with monetary and time restraints of robotic use and difficulties with techniques of insufflation in a closed subcutaneous space, we utilize an… Continue Reading
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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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
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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Evolution of Hepatic Endo-retractors in Incision Reduction Anti-reflux Surgery
Fausto J Dávila, MD, Daniel Tsin, MD, Guillermo Domínguez, MD, Martha R Dávila, MD, Jose Lemus, MD, Ramiro Jesus, MD. Hosp Regional de Poza Rica, Ver. Mex. Mount Sinai Hospital Queens, NY .USA Fundación Hospitalaria. Buenos Aires. Arg. Hosp Gral Dr. Manuel Gea Gonzalez.DF, Mex. Hosp Reg Zona PEMEX. Poza Rica, Ver Mex Universidad Nacional… Continue Reading
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