Comparison of FLS Surgical Skills Performance Using a Motorised Instrument by Conventional Laparoscopy and by Single Port Access
Patrice Crochet, MD, Rajesh Aggarwal, PhD, Sophie Knight, MD, Karine Baumstarck, MD, Maxime Marcelli, MD, Jean-Philippe Estrade, MD, Eric Lambaudie, PhD, Alexandre Lazard, MD, Aubert Agostini, MD. 1. Department of Gynecology, La Conception Hospital, Assistance Publique des Hopitaux de Marseille, France. 2. Department of Surgery, Perelman School of Medicine, University of Pennsylvania. Introduction : Single… Continue Reading
Ergonomic Analysis of Basic and Advanced Laparoscopic Procedures
Ahmed M Zihni, MD, MPH, Jaime A Cavallo, MD, MPHS, Ikechukwu Ohu, BS, Sohyung Cho, PhD, Michael M Awad, MD, PhD. Department of Surgery, Washington University School of Medicine; Department of Engineering, Southern Illinois University Edwardsville. INTRODUCTION: A majority of laparoscopic surgeons report chronic musculoskeletal complaints. These complaints are associated with high laparoscopic case volume.… Continue Reading
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Ergonomic Enhancements for Laparoscopic Surgery Using Surgical Platforms
Charles B Becker, BS, MEM, J Scott Roth, MD. University of Kentucky College of Medicine. Introduction. Traditionally, the operating room environment requires the surgeon to stand adjacent to an operating room table. Although this interface was suitable for open operations, the dynamics of laparoscopic surgery may require alternative solutions. Surgical platforms are apparatuses designed to… Continue Reading
ETrack: An Affordable Ergonomic Assessment Tool for Surgical Settings
Timothy R Coles, PhD, Caroline G Cao, PhD, Cedric Dumas, PhD. Commonwealth of Scientific and Industrial Research Organisation, Wright State University. Introduction Ergonomic assessment for surgeons and evidence based medical simulation are increasingly recognized as enablers for more productive and safer clinical operations. These can be performed by gathering in-depth information about practitioner’s interactions within… Continue Reading
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Evaluating the Effect of Implementatioon of Ergonomic Principles Into Laparoscopic Tool Handle Design On Surgeon Performance and Efficiency
Kryztopher D Tung, MS, Rami M Shorti, MS, Earl C Downey, MD, Donald S Bloswick, PhD, Andrew S Merryweather, PhD. Mechanical Engineering Dept., University of Utah, Salt Lake City, UT, USA. Introduction: A multitude of factors can affect a surgeon’s performance in the operating room; these may include surgeon comfort and skill level, tool handle… Continue Reading
Evaluation of eye & hand fatigue in 3D vs. 2D display systems for surgical novices during laparoscopic suturing; a Randomised Control Trial
Adham Youssef, Walid Elbakbak, Amina Bouhelal, Bijen Patel. Queen Mary, University of London. Background: The available data reports the efficacy of the 3D vision system and its superiority to 2D. However the physiological effect of 3D on surgeons remains unaddressed. Aims: We aimed to objectively investigate the effect of 3D on ocular and hand muscles… Continue Reading
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Evaluation of Vessel Sealing Performance of Ultrasonic Devices in a Porcine Model
D Meiselman, Mr, R Tanaka, MD, PhD, M Zapf, Mr, C Karras, Mr, B Abar, Mr, M Feinberg, Mr, J Zhao, MD, M Ujiki, MD. NorthShore Health Care System, Department of Surgery. INTRODUCTION: As new technologies emerge, it is imperative to define which new devices are most likely to provide a reproducible, effective result for… Continue Reading
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Fatigue Quantification in Laparoscopic Surgery: A Recurrence-analysis Based Approach
Ikechukwu Ohu, BS, Ali K Panahi, BS, Ahmed M Zihni, MD, MPH, Jaime A Cavallo, MD, MPHS, Sohyung Cho, PhD, Michael M Awad, MD, PhD. Washington University in St Louis, Department of Surgery; Southern Illinois University Edwardsville, Department of Engineering. INTRODUCTION: Muscle fatigue is an important consideration for minimally invasive surgeons with expanding case volumes.… Continue Reading
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Laparoscopic Peritoneal Entry After Abdominoplasty; a New Technique
Sebastriano Cassaro, MD, Laura S Bernstein, MD, Nichole S Meissner, MD. Albert Einstein College of Medicine-Beth Israel Medical Center, Kaweah Delta Health Care District. Introduction Vertical midline fascial plication is a procedure commonly used during standard abdominoplasty in order to correct diastasis of the rectus abdominus muscles. This permanently distorts the fascial anatomy of the… Continue Reading
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Motion Sickness in the Operating Rooms – Effect of Minimally Invasive Techniques
Osama Alsaied, MD, Ken Yoshida, PhD, Connie C Shmitz, PhD, David Radosevich, PhD, Sayeed Ikramuddin, MD, Jeffery Chipman, MD. University of Minnesota - Department of Surgery. Introduction: The incidence of visually induced motion sickness in health care providers in the era of minimal invasive interventions has not been previously studied. Anecdotal reports suggest that motion… Continue Reading
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Operating in the Comfort Zone: Interns Perform Better with Straight over Articulating Instruments
Bethany R Lowndes, Bernadette McCrory, PhD, Chad A LaGrange, MD, David R Farley, MD, Raaj K Ruparel, MD, Yazan N AlJamal, MBBS, Susan Hallbeck, PhD. Mayo Clinic, University of Nebraska Medical Center, University of Nebraska - Lincoln. Introduction: Laparoendoscopic Single-Site surgery (LESS) is a surgical technique performed using a single, small incision typically within the… Continue Reading
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Real-time intra-operative endoscopic fluorescence imaging for evaluation of bowel perfusion in the setting of ischemic colitis
Sam Atallah, MD, FACS, FASCRS, Francisco Quinteros, MD, Henry Schoonyoung, MD, Beatriz Martin-Perez, MD, Lawna Hunter, BA, Sergio Larach, MD. Florida Hospital. A patient with multiple co-morbidities presented with the dual diagnosis of left-sided ischemic colitis extending to the splenic flexure and a bulky neoplasm in the distal sigmoid colon. During laparoscopic sigmoid resection, the… Continue Reading
Robot-assisted Surgical Task Performance Confers Ergonomic Benefits Compared to Laparoscopic Task Performance
Ahmed M Zihni, MD, MPH, Jaime A Cavallo, MD, MPHS, Ikechukwu Ohu, BS, Sohyung Cho, PhD, Michael M Awad, MD, PhD. Department of Surgery, Washington University School of Medicine; Department of Engineering, Southern Illinois University Edwardsville. INTRODUCTION: Surgeons suffer significant ergonomic stress when performing laparoscopic procedures. Robotic surgery has been touted for the potential ergonomic… Continue Reading
Surgeon stress performing single-port vs traditional laparoscopic cholecystectomies
Bethany R Lowndes, Juliane Bingener, MD, Susan Hallbeck, PhD. Mayo Clinic. INTRODUCTION There is an increasing preference for and documentation of benefits to patients undergoing laparoscopy, these benefits come at the expense of the surgeon in terms of posture as well as increased fatigue- with a higher load for single incision surgery over traditional laparoscopy,… Continue Reading
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