Small Volume Instillation in Urinary Bladder Is as Accurate as the Standard Volume for Intra-Abdominal Pressure Measuring
Yanyong Thonhongsa, MD, Prompirun Wattanawiggid, MD, Panot Yimcharoen, MD, Apichart Ploysangwal, MD Department of Surgery, Bhumibol Adulyadej Hospital, Bangkok, Thailand Background: Intra-abdominal pressure (IAP) is one of most important physiologic monitoring in the patient at risk of abdominal compartment syndrome. Transvesical measurement of the IAP is the gold standard for indirect IAP measurement. The recent… Continue Reading
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Comprehensive Assessment of Skill-related Physical and Cognitive Ergonomics Associated with Robotic and Traditional Laparoscopic Surgeries
Gyusung Lee, PhD, Mija Lee, PhD, Tameka Clanton, MS, Michael Marohn, DO Johns Hopkins University School of Medicine, Baltimore, MD; University of Maryland School of Medicine Introduction: We conducted the current study to investigate how physical and cognitive workloads exhibited by surgeons would differ between robotic and laparoscopic surgeries and whether any ergonomic differences would… Continue Reading
Fls Tasks Can Be Used to Identify Ergonomic Differences Between Laparoscopic and Robotic Surgery
Ahmed M Zihni, MD, MPH, Ikechukwu Ohu, MS, Jaime A Cavallo, MD, MPHS, Jenny Ousley, BS, Sohyung Cho, PhD, Michael M Awad, MD, PhD Department of Surgery, Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, Missouri; Department of Industrial and Manufacturing Engineering, Southern Illinois University Edwardsville; Edwardsville, IL INTRODUCTION: It has… Continue Reading
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Evaluating Minimally Invasive Surgery (mis) Assessment Metrics
Sami AbuSneineh, PhD, Brent Seales, PhD University of Kentucky The emerging maturity of camera-based systems has the potential to transform solutions to problems in many different areas, including MIS. In this work we built a novel computer-vision based platform to study the problem of the automatic skills assessment of MIS trainees. This system is built… Continue Reading
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Single-incision laparoscopic cholecystectomy using hands-free retraction system, flexible port and pre-bending forceps
Nobumi Tagaya, PhD, Yawara Kubota, MD, Nana Makino, MD, Asami Suzuki, MD, Kosuke Hirano, MD, Kazuyuki Saito, MD, Takashi Okuyama, PhD, Shinichiro Koketsu, PhD, Emiko Takeshita, PhD, Hidemaro Yoshiba, PhD, Yoshitake Sugamata, PhD, Shinichi Sameshima, PhD, Masatoshi Oya, PhD Department of Surgery, Dokkyo Medical University Koshigaya Hospital Introduction: The introduction of new devices is mandatory… Continue Reading
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Plume Characteristics (Emission Direction, Types and Settlement Time) Affects Visual Field Obstruction Generated by Laparoscopic Ultrasonic Devices (LUD).
Fernando J Kim, MD, David Sehrt, Alexandre Pompeo, MD, Wilson Molina, MD Denver Health Medical Center Objective: To characterize laparoscopic ultrasonic device surgical plume emission direction, types (laminar or turbulent) and settlement time affecting visualization. Materials and Methods: The Harmonic ACE, Covidien Cordless Sonicision, Olympus SonoSurg and Thunderbeat were activated 15 -27 times/study using industry… Continue Reading
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Analysis of Surgeon Posture and Stress-Related Force Patterns during Laparoscopic Surgery
Oliver Varban, MD, Thomas Armstrong, PhD University of Michigan Health System INTRODUCTION: Prolonged static exertions during surgery can lead to stressful postures, musculoskeletal pain and fatigue. We used simulation to evaluate biomechanical stresses associated with laparoscopic surgery. METHODS: Static loads imposed by the weight of body segments were estimated for a range of typical laparoscopic… Continue Reading
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Single incision cholecystectomy: Comparative study between Laparoscopic, Robotic and Spider Platforms.
Anthony M Gonzalez, MD, FACS, FASMBS, Juan-Carlos Verdeja, MD, FACS, Jorge R Rabaza, MD, FACS, FASMBS, Rupa Seetharamaiah, MD, FACS, Charan Donkor, MD, FACS, Rey Romero, MD, Radomir Kosanovic, MD, Francisco Perez-Loreto, MD, Jonathan Arad, MD Baptist Health South Florida, Florida International University Herbert Wertheim College of Medicine INTRODUCTION: The benefits of Single Incision Cholecystectomy… Continue Reading
Application of the HyperEye Medical System for endoscopic low anterior resection
Michiya Kobayashi, MD, PhD, Takayuki Sato, MD, PhD, Takeki Sugimoto, MD, PhD, Ken Okamoto, MD, PhD, Daisuke Nakamura, Ken Dabanaka, MD, PhD, Tsutomu Namikawa, MD, PhD, Kazuhiro Hanazakki, MD, PhD Kochi Medical School INTRODUCTIONWe developed a new imaging system (HyperEye Medical System [HEMS]; MIZUHO, Tokyo, Japan) for the simultaneous capture of near-infrared (NIR) indocyanine green… Continue Reading
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A Randomised Controlled Trial to Evaluate the Impact of Instrument and Laparoscope Length on Performance and Learning Curve in Single Incision Laparoscopic Surgery
Sathyan Balaji, BSc, Pritam Singh, MBBS, MA, MRCS, Mikael H Sodergren, MBBS, MRCS, PhD, Harry Corker, BSc, Richard M Kwasnicki, BSc, Ara Darzi, MBBS, MD, KBE, FMedSci, FRCS, FACS, Paraskevas Paraskeva, MBBS, PhD, FRCS Imperial College London, London, United Kingdom Introduction: This randomised controlled trial evaluated the effect of varying instrument length on simulated Single… Continue Reading
The Ergonomics of Women in Surgery
Erica R Sutton, MD, Myra Irvin, BS, Craig Ziegler, MA, Gyusung Lee, PhD, Adrian Park, MD Hiram C. Polk Jr. Department of Surgery, University of Louisville School of Medicine, Louisville, KY, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, Department of Surgery, Anne Arundel Medical Center, Annapolis, MD Introduction: We hypothesize… Continue Reading
Comparision of Single-site and Traditional Laparoscopic Access for Intracorporeal Suturing and Knotting Technique
Istvan Gal, MDPhD, Zoltan Szabo, PhD, Miklos Czobel, MD, Gyorgy Weber, MD, PhD Telki Privat Hospital, Telki Hungary, M.O.E.T. Institute, San Francisco, CA, USA,Department of Surgical Research and Technique,Semmelweis Medical School of Budapest, Hungarye Single-site laparoscopy is recently developed and evolving technique in minimally invasive surgery. Severe physical and ergonomic constrains for the surgeon are… Continue Reading
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Eightyeven cents slip-knot instead of endo-loop
I. Bulent Cetindag, MD, Abraham Sayon, Chad Gonczy, MD, Imran Hassan, MD Southern Illinois University School of Medicine Laparoscopic disposable instrument have been added to the cost of laparoscopic procedures. Safe and easily applicable modifications of these may help reduce cost. We have start using vicryl ties instead of endoloops by using this technique. Two… Continue Reading
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Driving experiment of an improved prototype hydraulic-driven capsule colonoscope
Kazuhiko Shinohara, MD, PhD Tokyo University of Technology , School of Health Sciences Background and Objective: To minimize discomfort and injury during colonoscope insertion, we developed a prototype hydraulic-driven, capsule-shaped colonoscope and a feasibility study of the hydraulic insertion of the colonoscope was performed. Initial experiments with the first prototype revealed that a weighted capsule… Continue Reading
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Preliminary Results of PET/MRI in Assessing Gastrointestinal Cancer: New Technology to Advance Our Staging Ability?
Sasan Partovi, MD, Deborah S Keller, MD, Raj Paspulati, MD, Rodney Ellis, MD, Brian Traughber, MD, Peter Faulhaber, MD, Conor P Delaney, MD, MCh, PhD University Hospitals-Case Medical Center Background: MRI and PET are excellent options for staging gastrointestinal malignancies. Hybrid PET/MRI is a novel option, with few scanners available in the US. PET/MRI leverages… Continue Reading
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