The Routine Use of Newly Developed Miniscope for the Pediatric Microlaparoscopy – Solutions for the Technical and Mechanical Challenges
Salmai Turial, MD, Felix Schier, MD PhD. University Medical Center Mainz, Department of Pediatric Surgery Objective Since February 2009, serially manufactured micro-laparoscope was used routinely for minimally invasive pediatric surgery. Breakage of the scope shaft and mechanical instability of the scope were the main disadvantages compared to using conventional 5 mm scopes. The aim of… Continue Reading
The Use of a Detachable Anvil in Stapled Hemorrhoidectomy
Rebekah Kim, MD, Ferrara Andrea, MD, Itriago Francisco, MD, Renee Mueller, MD, Joseph Gallagher, MD, Paul Williamson, MD, Samuel DeJesus, MD, Robert Stevens, MD, Heidi Bahna, MD, Mark Soliman, MD. Colon and Rectal Clinic of Orlando, Orlando Health Stapled hemorrhoidopexy was first introduced in the 1990’s as an approach to treat prolapsing internal hemorrhoids. The… Continue Reading
Multiple Instrument Guide and 2.8 mm Choledochoscope for LCBDE
Donald E Wenner, MD. Roswell Regional Hospital Introduction: The multiple instrument guide (MIG) was created for laparoscopic surgeons to achieve a practical, safe, organized and efficient LCBDE procedure. The MIG is designed to be used in conjunction with the 2.8 mm choledochoscope. It is useful in both the trans-cystic duct and the choledochotomy approaches to… Continue Reading
Laparoscopic Right Hemicolectomy Through Medial Access Guided By the Landmark of the Superior Mesenteric Vein (SMV): Report of 105 Cases
Shi Yi, Sun Yueming, Bai Jianfeng. department of minimally invasive surgery , first affiliated hospital of Nanjing medical university laparoscopic right hemicolectomy through medial access guided by the landmark of the superior mesenteric vein(SMV): Report of 105 cases BACKGROUND: The laparoscopic approach is increasingly becoming the gold standard for colorectal resections; Although laparoscopic right hemicolectomy… Continue Reading
Single Incision Total Extra-Peritoneal Laparoscopic Inguinal Hernia Repair Using a New Device: A Case Report
David S Lee, MD, Tomasz Rogula, MD PhD. Cleveland Clinic Foundation, Bariatric Metabolic Institute Background: Laparoscopic inguinal hernia repair continues to gain acceptance and has become the preferred approach for bilateral and some recurrent inguinal hernias. Further advances in technology and instrumentation have allowed surgeons to now perform these operations through a single incision. We… Continue Reading
In Vivo Assessment of Knotless Barbed Suture for Enterotomy Closure
Nicole P Ehrhart, VMD MS, Kristina Kaminskaya, MS, Jeffery Miller, MS, Jeff Zaruby, DVM. Colorado State University, Fort Collins, CO and Covidien, North Haven CT Objective of the deviceThe self-anchoring V-LocTM wound closure device is intended to be the next step in intracorporeal suturing during minimally invasive endoscopic surgeries. A knotless barbed wound closure device… Continue Reading
The Summa SILS Inanimate Trainer Box Top
Christopher M Kriebel, BS, Bhavik Shah, BS, Michelle Evancho-Chapman, BS, Tristan L Ula, BS, Mark Pozsgay, DO, John G Zografakis, MD FACS. Summa Health System- Akron City Hospital, Akron OH, USA Moving from multiple ports in the abdomen to a central port in the umbilicus may in fact improve cosmesis and reduce post operative pain/length… Continue Reading
An Information-Rich Technology for Comprehensive Evaluation of the Human-Machine Interaction in Robotic Surgery
Konstantin Umanskiy, MD, Marie Ziesat, MD, William Hrdina, Saeed Richardson, Stephen Small, MD. University of Chicago Departments of Surgery and Anesthesia. University of Chicago Simulation Center Fig. 1 Objective of the technologyThe currently available surgical robot (da Vinci, Intutive Surgical, Sunnyvale, CA) is an electromechanical manipulator that is fully controlled by a human operator. In… Continue Reading
Suction On the Wrong End of the Instrument? It Does Work!
Pradeep Subramanian, MS. Christian Medical College Vellore, Tamil Nadu, India Suction at the wrong end of the instrument? It does work! Pradeep Subramanian MS, Surgical Tutor, Department of Colorectal Surgery, CMCH, Vellore, India The Field of Laparoscopic Surgery has advanced beginning from its cautious application on basic procedures using limited technology to bold new interventions… Continue Reading
Pulleys Do Pull in Laparoscopic Surgery
Pradeep Subramanian, MS. Christian Medical College Vellore, Tamil Nadu, India Pulleys do pull in Laparoscopic Surgery Pradeep Subramanian MS, Surgical Tutor, Department of Colorectal Surgery, CMCH, Vellore, India The Field of Laparoscopic Surgery has advanced beginning from its cautious application on basic procedures using limited technology to bold new interventions and technological innovations which has… Continue Reading
Initial Experience with the Viking 3D/HD Laparoscopic System
Esteban Varela, MD, Gerald Andriole, MD. Department of Surgery Washington University School of Medicine Objective of the technology or device: To provide a non-robotic 3D/HD vision system that enhances stereoscopic depth perception and spatial orientation with superior image quality that improves performance while preserving tactile feedback during basic and advanced minimally invasive procedures. Description of… Continue Reading
Pure NOTES: Transvaginal Tubal Sterilization with a Flexible Endoscope
Jose G Mejias, MD, Pierina B Rosales, MD, Hector Almau, MD, Rafael De La Fuente, MD, Naydeli Garcia, MD, Carlos Bravo, MD. Clinica Briceno Rossi PURE NOTES: TRANSVAGINAL TUBAL STERILIZATION WITH FLEXIBLE ENDOSCOPE José Mejías, Pierina Rosales, Hector Almau, Rafael de la Fuente, Naydeli García, Carlos Bravo. Caracas, Venezuela OBJECTIVES: Tubal sterilization is a permanent… Continue Reading
A Small Camera Guidance System for Observing the Abdominal Cavity Filled with Isotonic Water
Rodiyan G Sentanu, Kohei Horiuchi, Takuro Ishii, Masaki Sekine, Wen-wei Yu, PhD, Tatsuo Igarashi, MD. Faculty of Engineering, Chiba University ObjectivesIn SAGES2009, we reported a new surgical system that replaces carbon dioxide gas into isotonic water in laparoscopic surgery (WaFLES). The method is reported to be advantageous in RFA to the liver tumor by Sasaki… Continue Reading
Laparoscopic Abdominoperineal Resection Without a Perineal Incision
Sonia T Orcutt, MD, Christy L Marshall, MD, Courtney J Balentine, MD, Celia N Robinson, MD, Daniel Albo, MD PhD. Department of Surgery, Baylor College of Medicine, Houston, TX Objective: We present a description of a patient who required an abdominoperineal resection (APR) for resection of rectal cancer involving the anal sphincters. This operation was… Continue Reading
Development of a Shape Tracker for Colonoscopy Navigation
Caroline G Cao, PhD, Peter Y Wong, PhD, Jessica Eisenstein, MS. Tufts University, Medford MA INTRODUCTIONColon cancer is estimated to be the third leading cause of cancer-related death in the US, with the cost of colorectal cancer treatment reaching $8.4 billion annually. Though colonoscopy is the current standard for colon cancer screening and diagnosis, the… Continue Reading