Unsupervised detection of tool presence in endoscopic video frames
David Z Li1, Masaru Ishii, MD, PhD2, Russell H Taylor, PhD1, Gregory D Hager, PhD1, Ayushi Sinha, PhD1. 1The Johns Hopkins University, 2Johns Hopkins Medical InstitutionsObjective: The aim of our work is to develop an unsupervised approach for tool detection in endoscopic video data. There is an abundance of medical imaging data available, but most of… Continue Reading
Laparoscopic Surgery Trainer for Low and Middle-Income Countries: A Pilot Study in Rural Ethiopia
Jonathan Jou. University of Illinois College of MedicineObjective: Laparoscopic surgeries allow for shorter hospitalizations, earlier mobility, and decreased surgical site infections, advantages well-published in the literature and crucial in rural, agrarian communities. Surgeons practicing in low and middle-income countries (LMIC), where patients stand to benefit from these techniques the most, are often faced with difficult… Continue Reading
Virtual Pointer for Clarity of Instruction in Telementoring
Hannah McGowan1, Azin Semsar, MS1, Yuanyuan Feng, MS1, Hamid Zahiri, DO2, Adrian Park, MD2, Andrea Kleinsmith, PhD1, Helena Mentis, PhD1. 1University of Maryland Baltimore County, 2Anne Arundel Medical CenterOBJECTIVE OF TECHNOLOGY: Advancements in telecommunications has expanded the ability to collaborate remotely. A challenge faced in telecommunication is reduced ability to use nonverbal communication to convey… Continue Reading
The Use of a 5mm Endoscopic Stapler in Laparoscopic Appendectomy
David Coyle, MD, MB, BCh, BAO, MRCSI, Kate B Savoie, MD, Karen A Diefenbach, MD. Nationwide Children's HospitalObjective of the Device: Appendectomy is the most common surgical emergency. In order to mitigate high operating room charges associated with longer surgeries, many surgeons use endoscopic staplers to divide the appendix base and, sometimes, the mesoappendix. Traditionally… Continue Reading
Amnioseal: A novel glue for sealing uterine membranes after fetal interventions
Sally M Winkler, BS1, Vamsi K Aribindi, MD2, Veeshal H Patel, MD3, Michael R Harrison, MD4, Philip B Messersmith, PhD1. 1University of California, Berkeley, 2University of California, San Francisco; Baylor College of Medicine, 3University of California, San Francisco; University of Washington, 4University of California, San FranciscoFetal surgery has the potential to correct or ameliorate developmental… Continue Reading
Differential Advantage of Liver Retraction Method in Laparoscopic Fundoplication – Effectiveness of Fine Needle Devices
Toshio Harumatsu, MD, Masakazu Murakamai, MD, Keisuke Yano, MD, Tokuro Baba, MD, Shun Onishi, MD, PhD, Koji Yamada, MD, Waka Yamada, MD, PhD, Ryuta Masuya, MD, PhD, Seiro Machigashira, MD, Kazuhiko Nakame, MD, PhD, Motoi Mukai, MD, PhD, Tatsuru Kaji, MD, PhD, Satoshi Ieiri, MD, PhD, FACS. Department of Pediatric Surgery, Kagoshima UniversityBackground: Liver retraction… Continue Reading
SINGLE BIDIRECTIONAL BARBED SUTURE WITH MIDLINE LOCKING MECHANISM FOR TRANSANAL TRANSVERSE WOUND CLOSURE
Alberto Arezzo. University of TorinoThe video shows the use of a barbed suture of a novel concept. This first prototype thread developed together with Assut Europe (Roma, Italy) is characterised by a bidirectional 3/0 barbed suture, of 24 cm length overall, with two needles 22 mm in diameter, and ½ circumference. In order to fix the… Continue Reading
Extending the function of bright-field surgical endoscopy for assessing tissue perfusion and scaling tissue viability
Liohai Chen, PhD, Roberto Bustos, MD, Valentina Valle, MD, Gabriela Aguiluz, MD, Xiwei Hao, Antonio Gangemi, MD, Pier C Giulianotti, MD, FACS. University of Illinois at ChicagoObjective: Alteration in perfusion is a major biomarker to indicate the function of an injured, resected or transplanted organ. Currently, tissue perfusion and viability are estimated from the tissue… Continue Reading
Development of a training simulator for the Step-by-Step TaTME
Shinichiro Imai, Masaaki Ito, Nobuyoshi Takeshita, Koji Ikeda, Yuichiro Tsukada, Yuji Nishizawa, Takeshi Sasaki. National Cancer Center East, Department of Colorectal surgeryBackground: Transanal total mesorectal excision (TaTME) for rectal cancer is gaining in popularity among colorectal surgeons in Japan. This procedure carries the advantages of good visualization in the narrow pelvic cavity and ease of… Continue Reading
Artificial Intelligence Assisted Colonoscopy Can Increase Adenoma Detection Rate
Xiao Xiao, PhD, JingJia Liu. Shanghai Wision AI Co., Ltd.Realtime automatic polyp detection during colonoscopy reduces the number of missed colon polyp/adenoma in the visual field, which help to improve adenoma detection and thus decrease the risk of interval colorectal cancer.? Real-time automatic polyp-detection system detects each colon polyp with a blue hollow box on… Continue Reading
The Sufentanil Sublingual Tablet 30 mcg for Management of Post-operative Pain Following A Range of Abdominal Surgeries
Jacob Hutchins, MD1, David Leiman, MD2, Karen DiDonato, MSN, RN3, Pamela Palmer, MD, PhD3. 1University of Minnesota, 2Victoria Medical Center, 3AcelRx PharmaceuticalsOBJECTIVE: Following completion of a comprehensive clinical program, the Sufentanil Sublingual Tablet 30 mcg (“SST 30 mcg”; DSUVIA™) was recently approved by the U.S. FDA for management of acute pain in adults severe enough… Continue Reading
Subcutaneous endoscopic assisted ligation for inguinal hernia repairs in children – first large US experience and matched comparison with open hernia repair
Raghavendra Rao, MD, Michael Smith, Troy Markel, MD, Brian Gray, MD, Matthew Landman, MD. IUIntroduction: The subcutaneous endoscopic assisted ligation (SEAL) is a technique of pediatric laparoscopic hernia repair which has recently been incorporated by pediatric surgeons. This technical details of SEAL remain controversial. We present the outcomes of our large experience with this technique in… Continue Reading
Negative Pressure Inflatable Balloon Stent
Michael C Morris, MD. Lone Star Surgical, P.A.The most difficult aspect of surgery is undoubtedly complications. Of all complications the gastro-intestinal leak is one of the most feared by patients and surgeons alike. Sleeve gastrectomy represents a simple and effective bariatric operation with few long term consequences and multiple potential conversional options although its leak has… Continue Reading
USE OF ALTERNATIVE, COST-EFFECTIVE LAPAROSCOPIC STAPLER RELOAD CARTRIDGES IN BARIATRIC SURGERY : A PROSPECTIVE, TWO-CENTER PILOT
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Joel S Frieder, MD2, Stacy Brethauer, MD1, Emanuele Lo Menzo, MD2, Samuel Szomstein, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic FloridaObjective: The United States Food & Drug Administration (FDA) has approved the first new brand of a compatible laparoscopic staplers under the 510(k) process as… Continue Reading
The development of a high-fidelity training simulator of laparoscopic surgery for choledocal cyst and biliary atresia
Satoshi Ieiri, MD, PhD, FACS, Koji Yamada, MD, Masakazu Murakami, MD, Keisuke Yano, MD, Toshio Harumatsu, MD, Tokuro Baba, MD, Shun Onishi, MD, PhD, Waka Yamada, MD, PhD, Ryuta Masuya, MD, Seiro Machigashira, MD, Kazuhiko Nakame, MD, PhD, Motoi Mukai, MD, PhD, Tatsuru Kaji, MD, PhD. Department of Pediatric Surgery, Kagoshima UniversityBackground and Aim: Recently,… Continue Reading