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
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
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
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
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
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
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
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
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
Use of Near-Infrared Imaging and a Lighted Bougie to Improve Sleeve Gastrectomy Technique
Sarah Assali, DO1, Salim Abunnaja, MD2, Nezar Jrebi, MD2, Lawrence Tabone, MD2, Paolo Fontes, MD2, Nova Szoka, MD2. 1Allegheny General Hospital, 2West Virginia University Ruby Memorial HospitalIntroduction: This pilot study describes a novel use of near infrared imaging in laparoscopic surgery. Specifically, it examines the use of a near infrared camera and lighted bougie during… Continue Reading
Design and utilization of a locking jejunostomy balloon cap to prevent overinflation events.
Matthew D Burstein, MD, PhD, Kevin El-Hayek, MD. Cleveland Clinic FoundationObjective of the device: Overinflation of a jejunostomy tube balloon occurs at a significant rate based on our experience with clinical tube dysfunction and incidental discovery on abdominal imaging during admission or hospital transfers. Additionally, there is a potential for iatrogenic injury when tube feeds… Continue Reading
5mm Port Laparoscopic Appendectomy A Summary of Clinical Experience in 12 Patients
Geoffrey L Bloomfield. Upper Chesapeake Medical CenterObjective: The development of a 5mm diameter stapling device has made it possible to complete laparoscopic appendectomy with a maximum port size of 5mm. This paper presents a 12 patient case series using the JustRight 5mm Stapler in laparoscopic appendectomy across a broad range of patient sizes and weights. … Continue Reading
Using the best wearable sensor in facilitating hands-free, sterile control in the operating room: the TedTrial.
Marilou Jansen, MD1, H.A.W. Meijer, MD1, T.P. Grantcharov, Prof2, M.P. Schijven, Prof1. 1Amsterdam UMC, location AMC, 2St. Michael's HospitalObjective: Interaction with electronically controlled operating room (OR) systems embedded in modern surgical environments is everyday practice for surgeons performing Minimally Invasive Surgery (MIS). While there is a non-sterile operating nurse available in the OR, capable of… Continue Reading
Intelligent Imaging in Robotic-Assisted Liver Resection
Kevin M Sullivan, MD1, Kevin P Labadie, MD1, Kyle Miller, MD, MBA2, James O Park, MD1. 1University of Washington, 2Intuitive SurgicalBackground: Current standards of care in the preoperative planning for liver resection includes two dimensional (2D) cross sectional multiphase, computed tomography (CT) or magnetic resonance (MR) imaging to determine the type of resection based on… Continue Reading
MeshLock Device Simple Suture Mesh Fixation for Laparoscopic Hernia Repair
Michael Kia. Mclaren Regional Medical CenterEvery year approximately 175,000 laparoscopic ventral hernia procedures are performed. There are significant benefits including shorter length of stay and significantly lower infection rates, significant post-operative pain is still an issue with the procedure. Current fixation methods include tacks, absorbable and non-absorbable, along with transfascial fixation. Typically at least… Continue Reading