Implementing the Biodesign Process for Medical Device Innovation in Head and Neck Surgery.
Conclusion. The Biodesign process provides a standardized way to turn these needs into solution to advance the field of head and neck surgery and improve the outcome of patients. PMID: 32727301 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 30, 2020 Category: Surgery Authors: Dharmawan R, Ho H, Ng HHM, Iyer NG, Tan HK, Tan NC Tags: Surg Innov Source Type: research

Submental Island Flap Combined With Reconstruction Titanium Plate: A New Way to Treat Mandibular Osteoradionecrosis.
Conclusion. The use of submental flap combined with reconstructive titanium plate for treating the patients with osteoradionecrosis is a feasible, cost-effective, simple, and safe procedure. PMID: 32723212 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 29, 2020 Category: Surgery Authors: Li J, Nie L, Wang L, Xu X, Liu S, Lu Z, Chen J Tags: Surg Innov Source Type: research

Development of a Surgical Sponge Counting System Using Radiographic Images.
Conclusion. The proposed system could accurately count surgical sponges and is a promising option in preventing the accidental retention of surgical sponges. PMID: 32723214 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 29, 2020 Category: Surgery Authors: Kusuda K, Yamashita K, Tanaka S, Tanaka K, Ohta Y Tags: Surg Innov Source Type: research

Paul of Aegina (ca 625-690 ad): Byzantine Surgeon and Pioneer of Surgical Management of Congenital Atresia of the External Auditory Canal.
Abstract Diseases of the ear have been recorded and treated since ancient times. Ex-votos have been offered to heal deafness. Noninvasive treatments have evolved into minor, and later more advanced, surgical techniques to treat head and neck issues. Paul of Aegina (ca 625-690 ad) perfected his medical skills in the School of Alexandria in Egypt. His medical encyclopedia, Medical Compendium, described a broad series of surgical operations, including a chapter "On the atresia of the auditory canal," which vividly described a surgical technique to open the ear canal. This surgery is particularly interesting...
Source: Surgical Innovation - July 28, 2020 Category: Surgery Authors: Tsoucalas G, Michaleas SN, Laios K, Androutsos G, Karamanou M Tags: Surg Innov Source Type: research

The Available Evidence on Outcomes of Early versus Routine Stoma Closure Following Colorectal Resection Is Subject to Type 1 and 2 Errors. We Need More Randomised Controlled Trials.
PMID: 32709215 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 24, 2020 Category: Surgery Authors: Hajibandeh S, Hajibandeh S, Maw A Tags: Surg Innov Source Type: research

A Novel Inexpensive Design for High Definition Intraoperative Videography.
PMID: 32701011 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 23, 2020 Category: Surgery Authors: Hakimi AA, Hong EM, Prasad KR, Standiford L, Chang E, Wong BJF Tags: Surg Innov Source Type: research

Economic Analysis of Noninvasive Tissue Oximetry for Postoperative Monitoring of Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Review.
Conclusion. Tissue oximetry following DIEP flap breast reconstruction can potentially facilitate a decrease in hospital costs since its readings enable physicians to intervene in an early stage of tissue malperfusion, contributing to minimizing complications. Tissue oximetry may eliminate the need for specialized postoperative care. However, based on the current literature, no firm conclusions can yet be drawn regarding cost-effectiveness of standard implementation. PMID: 32701027 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 23, 2020 Category: Surgery Authors: Lindelauf AAMA, Vranken NPA, Rutjens VGH, Schols RM, Heijmans JH, Weerwind PW, van der Hulst RRWJ Tags: Surg Innov Source Type: research

Early versus Routine Stoma Closure in Patients With Colorectal Resection: A Meta-Analysis of 7 Randomized Controlled Trials.
PMID: 32693692 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 21, 2020 Category: Surgery Authors: Li L, Guo Y Tags: Surg Innov Source Type: research

Combined Gaze Metrics as Stress-Sensitive Indicators of Microsurgical Proficiency.
Conclusions. Combined gaze metrics are applicable for classifying surgical proficiency during a defined task. Pupil dilation is also sensitive to external stress factors; however, the usefulness of blinks is impaired by low blink rates. The results can be translated to surgical education to improve feedback and should be investigated individually in the context of actual performance and in real patient operations. Combined gaze metrics may be ultimately utilized to help microsurgeons monitor their performance and workload in real time-which may lead to prevention of errors. PMID: 32687734 [PubMed - as supplied by publ...
Source: Surgical Innovation - July 20, 2020 Category: Surgery Authors: Koskinen J, Bednarik R, Vrzakova H, Elomaa AP Tags: Surg Innov Source Type: research

Nonliposuction Endoscopic Sentinel Lymph Node Biopsy Through the Periareolar Incision.
Conclusion. Endoscopic technique can be used to accurately assess the status of SLNs in patients with breast cancer. Nonliposuction endoscopic breast-conserving surgery is one of the safe and alternative surgical procedures for early breast cancer. PMID: 32687735 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 20, 2020 Category: Surgery Authors: Liang Y, Xu S Tags: Surg Innov Source Type: research

A Novel Silicone Fixation Dressing: A Possibly Ideal Method for Drainage Tube Fixation.
Conclusion. The novel silicone fixation dressing has graced surgery with innovation by improving on the flaws associated with the traditional drain fixation. Making it a possibly ideal method for drainage tube fixation and highly recommended for clinical use. PMID: 32677864 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 17, 2020 Category: Surgery Authors: David Papa Akuetteh P, Bridgette Akuetteh Y, Shen X, Zhang Q, Zeng Q Tags: Surg Innov Source Type: research

Cadaveric Evaluation of a Device Supporting Gasless Transoral Endoscopic Thyroidectomy.
PMID: 32664791 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 15, 2020 Category: Surgery Authors: Camenzuli C, Attard J, Borg JP, Schembri Wismayer P, Borg J, Calleja Agius J Tags: Surg Innov Source Type: research

Building the Evidence Base for Oxford Surgical Innovation: An Effective Platform for Supporting Innovation in Surgery.
PMID: 32644004 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - July 9, 2020 Category: Surgery Authors: de Andres Crespo M, Hoppe S, McVeigh J, Williams MA, Handa AI Tags: Surg Innov Source Type: research

William Cheselden (1688-1752): 18th-Century Pioneer of Lateral Lithotomy and Iridectomy.
Abstract William Cheselden (1688-1752) was a British surgeon and anatomist who was famous for his rapid and skilful techniques. He emphasized learning through dissection and introduced lateral lithotomy as an effective approach for the removal of bladder stones. Medical practitioners throughout Europe adopted his techniques. Cheselden also has been credited with the first known case of full recovery from blindness using iridectomy. Moreover, a milestone in his career was his indirect instigation for the separation of surgeons from barbers. He is considered the founder of modern British surgery. PMID: 32628559...
Source: Surgical Innovation - July 6, 2020 Category: Surgery Authors: Michaleas SN, Tsoucalas G, Tekiner H, Karamanou M Tags: Surg Innov Source Type: research

Vessel-Sealing Capability of Novel Microwave Sealer: Experimental Study in Animal Models.
This study aims to compare the sealing function of a newly invented forceps-like microwave sealer (MS) with that of currently available UADs. Materials and Methods. MS and 2 examples of UADs (Harmonic Focus+ [HF+] and Sonicision [SNC]) were employed to perform mesenterectomies (in vivo) and sealing sizable vessels (ex vivo). Vessel diameter, seal time, burst pressure (BP), sealing completion, and instrument sticking were recorded. The samples underwent histological investigation for thermal damage evaluation. Results. During mesenterectomies, MS required 3 seconds and 30 W to secure a complete seal. The BP achiev...
Source: Surgical Innovation - July 2, 2020 Category: Surgery Authors: Dang KT, Naka S, Yamada A, Mukaisho KI, Tani T Tags: Surg Innov Source Type: research

The iArmS Robotic Armrest Prolongs Endoscope Lens-Wiping Intervals in Endoscopic Sinus Surgery.
Conclusion. The iArmS robotic armrest is suitable for ESS, prolongs endoscope lens-wiping intervals, and facilitates obtaining continuous clear endoscopic images. PMID: 32603212 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 30, 2020 Category: Surgery Authors: Okuda H, Okamoto J, Takumi Y, Kakehata S, Muragaki Y Tags: Surg Innov Source Type: research

Learning Curve for Uniportal Thoracoscopic Anatomical Pulmonary Segmentectomy.
Conclusions. The uniportal thoracoscopic segmentectomy is considered to be a feasible and safe surgical procedure that can be taught to surgeons through a proctored learning curve. The data of the present study indicate that the inflection point for completion the learning curve was reached after a considerable number of 57 cases. PMID: 32543293 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 16, 2020 Category: Surgery Authors: Chen L, Pan Y, Zhang Q, Shao F, Ma G, Yang R Tags: Surg Innov Source Type: research

Implantable Agents for Fecal Incontinence: An Age-Matched Retrospective Cohort Analysis of GateKeeper versus SphinKeeper.
Abstract Background. We aim to evaluate morphofunctional changes of the sphincter complex after GateKeeper (GK) and SphinKeeper (SK) procedures and correlate these with symptom improvement. Methods. Ten consecutive females undergoing SK implant were age-matched with a cohort of 10 females who previously underwent the GK procedure. Patients in the SK and GK groups underwent implantation of 10 and 6 prostheses, respectively. Muscle tension (Tm), expressed in millinewtons per centimetre squared, mN (cm2)-1, was calculated using the equation Tm = P(ri)(tm)-1, where P is the average maximum squeeze pressure and ri and ...
Source: Surgical Innovation - June 16, 2020 Category: Surgery Authors: Grossi U, Brusciano L, Tolone S, Del Genio G, Di Tanna GL, Gambardella C, Docimo L Tags: Surg Innov Source Type: research

A Call for Engagement with the Surgical Patient.
PMID: 32539605 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 15, 2020 Category: Surgery Authors: George P, Addo A, Brooks I, Park A Tags: Surg Innov Source Type: research

Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies.
Conclusion. Hybrid NOTES transvaginal cholecystectomy represents a safe and feasible alternative to standard laparoscopic cholecystectomy. Preoperative gynecological examination is no longer routinely necessary, as intraoperative assessment is adequate. PMID: 32538319 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 14, 2020 Category: Surgery Authors: Rössler F, Keerl A, Bieri U, Slieker J, Nocito A Tags: Surg Innov Source Type: research

Postoperative Remote Monitoring with a Transcutaneous Biosensing Patch: Preliminary Evaluation of Data Collection.
Conclusions. Connected telemetry for remote postoperative monitoring is promising. However, it is still limited by data transmission problems. PMID: 32524900 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 11, 2020 Category: Surgery Authors: Vix M, Rodriguez M, Ignat M, Marescaux J, Diana M, Mutter D Tags: Surg Innov Source Type: research

Surgical Treatment of Parostomal Hernias by Means of a 3D Mesh.
n-Cartes JA PMID: 32525449 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 11, 2020 Category: Surgery Authors: Bustos-Jiménez M, Martín-Cartes JA Tags: Surg Innov Source Type: research

Benefits and Challenges of Robotic Pelvic Surgery in a Cardiac Transplant Recipient.
PMID: 32525451 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 11, 2020 Category: Surgery Authors: Parker VL, Parker WAE, Davies HM, Ramshaw HJ, D'Arcy EK, Al-Mohammad A, Mateszko O, Kew FM, Braidley PC Tags: Surg Innov Source Type: research

Modified Stapled Transanal Rectal Resection Procedure for Limited Rectal Prolapse: A Viable Alternative to the Delorme Operation.
Abstract Purpose. The optimal surgical approach for full-thickness rectal prolapse (FTRP) remains controversial. In China, patients with limited FTRP (
Source: Surgical Innovation - June 8, 2020 Category: Surgery Authors: Chen HX, Chen ZQ, Huang L, Han CP, Dou RX, Ren DL, Lin HC Tags: Surg Innov Source Type: research

The Association Between Total Relative Value Unit and 90-Day Mortality After Noncardiac Surgery: A Hospital Data Registry Study.
Conclusions. In conclusion, TRVUs were not associated significantly with a 90-day mortality rate after noncardiac surgery and have a low predictive ability for 90-day mortality after noncardiac surgery alone. PMID: 32510279 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 8, 2020 Category: Surgery Authors: Oh TK, Song IA, Choi Y Tags: Surg Innov Source Type: research

Rectosigmoid Endometriosis Vascular Patterns at Intraoperative Indocyanine Green Angiography and their Correlation with Clinicopathological Data.
The objective of the study was to evaluate the presence of different rectosigmoid endometriosis (RSE) vascular patterns using intraoperative indocyanine green (ICG) angiography and their correlation with clinicopathological data. Material and Methods. A prospective pilot study on 30 consecutive symptomatic women affected by RSE and scheduled for minimally invasive surgery between May 2018 and January 2019. ICG was used for the intraoperative evaluation of RSE vascularization. Perfusion grade was classified as follows: 0-1 = no or low fluorescence (hypovascular pattern); 2 = regular fluorescence, similar to healthy surround...
Source: Surgical Innovation - June 5, 2020 Category: Surgery Authors: Raimondo D, Mastronardi M, Mabrouk M, Cafagna G, Salucci P, Arena A, Iodice R, Borghese G, Casadio P, Del Forno S, Giaquinto I, Caprara G, Seracchioli R Tags: Surg Innov Source Type: research

A Newly Designed Ruler for Planning Incision Markings in Abdominoplasty Surgery.
PMID: 32501186 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 5, 2020 Category: Surgery Authors: Horta R, Domingues CS, Dias CC, Barreiro D Tags: Surg Innov Source Type: research

Mini-Laparoscopic Gynecological Surgery Using Smaller Ports Minimizes Incisional Pain and Postoperative Scar Size: A Paired Sample Analysis.
Conclusion. Mini-laparoscopic gynecologic surgery using smaller ports resulted in decreased postoperative incisional pain and superior cosmetic appearance. PMID: 32501743 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 5, 2020 Category: Surgery Authors: Boza A, Urman B, Vatansever D, Ceyhan M, Mısırlıoglu S, Koca S, Çapraz K, Tunga Dogan A, Taskıran C Tags: Surg Innov Source Type: research

Transoral Endoscopic Thyroidectomy Vestibular Approach: A Single-institution Experience of the First 50 Cases.
Conclusion. The TOETVA is a safe and reproducible procedure. For selected patients, this technique is a viable alternative to conventional thyroidectomy. PMID: 32496175 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 4, 2020 Category: Surgery Authors: Fernandez-Ranvier G, Meknat A, Guevara D, Taye A, Suh H, Inabnet WB Tags: Surg Innov Source Type: research

Comment on: "A Novel Evaluation Model for a Mixed-Reality Surgical Navigation System: Where Microsoft HoloLens Meets the Operating Room".
Comment on: "A Novel Evaluation Model for a Mixed-Reality Surgical Navigation System: Where Microsoft HoloLens Meets the Operating Room". Surg Innov. 2020 Jun 03;:1553350620927607 Authors: Salmas M, Chronopoulos E, Chytas D PMID: 32490724 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 3, 2020 Category: Surgery Authors: Salmas M, Chronopoulos E, Chytas D Tags: Surg Innov Source Type: research

Intraoperative Use of Indocyanine Green Fluorescence Imaging for Detecting Superficial Liver Hemangioendothelioma.
PMID: 32490729 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 3, 2020 Category: Surgery Authors: Machado MAC, Lobo Filho MM, Mattos BH, Makdissi FF Tags: Surg Innov Source Type: research

Development and Evaluation of Motion-activated System for Improved Chest Drainage: Bench, In Vivo Results, and Pilot Clinical Use of Technology.
Conclusions. The MAS showed optimal performance at bench and better drainage profile in vivo. The clinical trial showed patients' tolerance to the MAS and device safety. PMID: 32490739 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 3, 2020 Category: Surgery Authors: Karimov JH, Dessoffy R, Fukamachi K, Okano S, Idzior L, Lobosky M, Horvath D Tags: Surg Innov Source Type: research

Evaluation of 2 Low-cost High-definition Video Systems for Venous Anastomosis.
Conclusion. It is possible to perform a venous anastomosis in rats through video system magnification, with a satisfactory success rate comparable with that for procedures performed under microscopes; however, the kind of video system has a great influence on the final patency. PMID: 32484396 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - June 2, 2020 Category: Surgery Authors: Teixeira RKC, Leal RA, Sabbá MF, Yamaki VN, Lemos MVV, de Barros RSM Tags: Surg Innov Source Type: research

The Use of Enhanced Technologies in Robotic Surgery and Its Impact on Outcomes in Rectal Cancer: A Systematic Review.
This article focuses on the current status of applications of new modalities and technology development in robotic rectal surgery. A systematic literature search was performed using PubMed, MEDLINE, and cochrane database. The studies included were considered based on the following (1) articles written in English, (2) full text is available, (3) whether the topic is related to the use of novel technologies during robotic rectal surgery, and (4) sample: adult patients and malignant rectal disease. The primary end point was to analyse the current use of technological advances in robotic rectal surgery. Only a few studies are ...
Source: Surgical Innovation - June 2, 2020 Category: Surgery Authors: Tejedor P, Sagias F, Khan JS Tags: Surg Innov Source Type: research

Professor William Macewen (1848-1924): The Scottish Pioneer of Surgery.
Abstract Professor William Macewen (1848-1924) is one of the most important figures in world's surgery during 18th and early 19th century. He managed to provide numerous innovative techniques and instruments in various fields of surgery such as general surgery, orthopedic surgery, neurosurgery, and thoracic surgery. His innovations had a great impact after his time and constituted the fundaments for further surgical developments. He also was a pioneer in clinical photography with the creation of a huge archive. During his surgical career, he received many honors. PMID: 32484757 [PubMed - as supplied by publis...
Source: Surgical Innovation - June 2, 2020 Category: Surgery Authors: Laios K, Xanthoulis P, Mavrommatis E, Manes K, Karambas V, Androutsos G Tags: Surg Innov Source Type: research

Editorial.
PMID: 32397897 [PubMed - in process] (Source: Surgical Innovation)
Source: Surgical Innovation - May 14, 2020 Category: Surgery Authors: Swanstrom L, Park A Tags: Surg Innov Source Type: research

Intersphincteric Resection Versus Abdominoperineal Resection for Low Rectal Cancer: A Meta-Analysis.
Abstract Background. Abdominoperineal resection (APR) has been the standard surgery for ultra-low rectal cancer for a century. In recent years, intersphincteric resection (ISR) has been increasingly used to avoid the permanent colostomy. Up to now, there is no relevant meta-analysis comparing the clinical efficacy of ISR and APR. This meta-analysis aimed to compare the outcomes of these 2 procedures. Methods. A comprehensive search of online databases was performed on PubMed, EMBASE, and the Cochrane Library to obtain comparative studies of ISR and APR. Then the data from studies that met the inclusion criteria we...
Source: Surgical Innovation - May 11, 2020 Category: Surgery Authors: Peng B, Lu J, Wu Z, Li G, Wei F, Cao J, Li W Tags: Surg Innov Source Type: research

Effects of Peroral Endoscopic Myotomy on Esophageal Function in the Treatment of Achalasia.
This study aimed to examine the esophageal function and anatomical changes of patients with achalasia treated with POEM. This was a retrospective study of 43 patients with achalasia treated with POEM between January 2013 and January 2016 at the Second Affiliated Hospital of Xi'an Jiaotong University. The patients were grouped as previous treatments for achalasia (n = 19) versus no previous treatment (n = 24). Surgical success (defined as Eckardt score ≤3 points or decreased by>3 points compared with baseline), recurrence, and reintervention were analyzed. Three patients (7.0%) were Eckardt grade I, 16 (37.2%) were gr...
Source: Surgical Innovation - April 10, 2020 Category: Surgery Authors: Zou BC, Zhang L, Qin B, Wang SH, Cheng Y, Zhao HL Tags: Surg Innov Source Type: research

High-Volume, Low-Concentration Intraperitoneal Bupivacaine Study in Emergency Laparoscopic Cholecystectomy: A Double-Blinded, Prospective Randomized Clinical Trial.
Abstract Background. Laparoscopic cholecystectomy (LC) often results in postoperative pain, especially in the abdomen. Intraperitoneal local anesthesia (IPLA) reduces pain after LC. Acute cholecystitis-associated inflammation, increased gallbladder wall thickness, dissection difficulties, and a longer operative time are several reasons for assuming a benefit in pain scores in urgent LC with IPLA application. The aim was to determine the postoperative analgesic efficacy of high-volume, low-dose intraperitoneal bupivacaine in urgent LC. Materials and Methods. Fifty-seven patients who were American Society of Anesthe...
Source: Surgical Innovation - April 3, 2020 Category: Surgery Authors: Yahya Gumusoglu A, Ferahman S, Gunes ME, Surek A, Yilmaz S, Aydin H, Gezmis AC, Aliyeva Z, Donmez T Tags: Surg Innov Source Type: research

Radiofrequency Thermal Ablation of Benign Thyroid Nodules: The Correlation Between Ultrasound Nodule Characteristics and Results.
Abstract Background. The aim of this observational study was to investigate for which nodules a better response to radiofrequency thermoablation (RFA) for nonfunctioning benign thyroid nodules is likely. Methods. Aesthetic score, compressive score, and volume of 32 benign nodules from 32 patients were registered during follow-up at baseline, 1, 3, 6, and 12 months. Results. A volume reduction rate (VRR) of 72.56% at 12 months after the procedure (P = .009) was registered. A significant (P
Source: Surgical Innovation - April 2, 2020 Category: Surgery Authors: Feroci F, Guagni T, Coppola A, Perini D, Conforti B, Genzano C, Belliti D, Petrucci A, Sarno A, Cantafio S Tags: Surg Innov Source Type: research

Concomitant Anterior and Posterior Component Separations: Absolutely Contraindicated?
Abstract Many experts in abdominal wall reconstruction believe that the combination of simultaneous ipsilateral anterior component separation (ACS) and posterior component separation (PCS) is contraindicated. We performed ipsilateral endoscopic ACS and either endoscopic or open PCS-transversus abdominis release (TAR) in 5 fresh cadaver models. The full length of the semilunar line and the lateral abdominal wall remained well reinforced by 2 complete layers, comprising the internal oblique (IO) and TA muscles and their investing fasciae. Myofascial releases occurred 4 cm (median) apart. Additionally, we reviewed co...
Source: Surgical Innovation - March 23, 2020 Category: Surgery Authors: Daes J, Winder JS, Pauli EM Tags: Surg Innov Source Type: research

An Unmodulated Very-Low-Voltage Electrosurgical Technology Creates Predictable and Ultimate Tissue Coagulation: From Experimental Data to Clinical Use.
Conclusions. The voltage of the VLV mode consistently stays under 200 V, resulting in tissue coagulation with minimal vaporization or carbonization. Therefore, the VLV mode produces more predictable tissue coagulation and minimizes undesirable collateral thermal tissue effects, enabling nerve- and function-preserving surgery. The use of VLV mode through better understanding of minimally invasive way of using electrosurgery may lead to better surgical outcomes. PMID: 32186463 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - March 18, 2020 Category: Surgery Authors: Watanabe Y, Fuchshuber P, Homma T, Bilgic E, Madani A, Hiki N, Cammack I, Noji T, Kurashima Y, Shichinohe T, Hirano S Tags: Surg Innov Source Type: research

Endoscopic Versus Percutaneous Preoperative Biliary Drainage in Patients With Klatskin Tumor Undergoing Curative Surgery: A Systematic Review and Meta-Analysis of Short-Term and Long-Term Outcomes.
Abstract Aims. To compare short-term and long-term outcomes of preoperative endoscopic biliary drainage (EBD) and percutaneous biliary drainage (PBD) in patients with Klatskin tumor undergoing curative surgery. Methods. We conducted a search of electronic information sources to identify all studies comparing EBD and PBD in patients with Klatskin tumor undergoing curative surgery. We used the Newcastle-Ottawa Scale to assess the risk of bias observational studies. Random-effects or fixed-effects modeling was applied as appropriate to calculate pooled outcome data. Results. We identified 9 observational studies, enr...
Source: Surgical Innovation - March 14, 2020 Category: Surgery Authors: Hajibandeh S, Hajibandeh S, Satyadas T Tags: Surg Innov Source Type: research

Thunderbeat-Assisted Hemorrhoidectomy in Symptomatic Prolapsing Hemorrhoids: A Pilot Trial.
PMID: 32146865 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - March 7, 2020 Category: Surgery Authors: Heyerick L, Van de Putte D, De Visschere M, Pattyn P, Tate DJ, Van Vlierberghe H, De Looze D Tags: Surg Innov Source Type: research

Dimitrios Mavrokordatos Disproving the Hemostatic Myth of Aqua Binelli.
Abstract "Aqua Binelli" or "Aqua Balsamica Arterialis" was a hemostatic compound invented by the Italian Fedele Binelli in 1797. Its hemostatic properties were viewed as the solution to treating hemorrhage in cases of wounds and surgical operations. Those who opposed the compound were persuaded of its total lack of effectiveness, supporting the view that hemostasis could be achieved by exerting pressure on, stitching, and ligating a vessel. The publications of Karl Ferdinand von Gräfe, Professor at the University of Berlin and fervent advocate of Aqua Binelli, helped spread the use of the ...
Source: Surgical Innovation - March 6, 2020 Category: Surgery Authors: Tsiamis C, Sgantzou I, Popoti P, Papavramidou N, Sgantzos M Tags: Surg Innov Source Type: research

Caiman Versus LigaSure Hemorrhoidectomy: Postoperative Pain, Early Complications, Long-Term Follow-up, and Costs.
Conclusions. According our initial experience, Caiman can be a safe and cheaper alternative to LigaSure for hemorrhoidectomy. PMID: 32133936 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - March 5, 2020 Category: Surgery Authors: Eberspacher C, Mascagni P, Di Nardo D, Pironi D, Pontone S, Martellucci J, Naldini G, Mascagni D Tags: Surg Innov Source Type: research

Robotic Transaxillary Hemithyroidectomy Using the da Vinci SP Robotic System: Initial Experience With 10 Consecutive Cases.
Conclusions: Robotic transaxillary thyroidectomy using the da Vinci SP robotic system is technically feasible and safe with a short length of incision, shorter than what earlier reported. To our knowledge, this is the first study to use a single-port robotic system for thyroidectomy. To verify the superior operative outcomes, further clinical trials are necessary. PMID: 32129140 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - March 4, 2020 Category: Surgery Authors: Kim K, Kang SW, Kim JK, Lee CR, Lee J, Jeong JJ, Nam KH, Chung WY Tags: Surg Innov Source Type: research

The Emerging Role of Neutral Argon Plasma (PlasmaJet) in the Treatment of Advanced Stage Ovarian Cancer: A Systematic Review.
Conclusions. Preliminary data on the use of PlasmaJet for ablation of ovarian cancer implants in the peritoneal cavity showed its safety and presented with promising outcomes in achieving complete cytoreduction. PMID: 32129144 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - March 4, 2020 Category: Surgery Authors: Prodromidou A, Pandraklakis A, Iavazzo C Tags: Surg Innov Source Type: research

Early Versus Routine Stoma Closure in Patients With Colorectal Resection: A Meta-Analysis of 7 Randomized Controlled Trials.
Conclusions. ESC is a safe and effective therapeutic approach in patients who have undergone colorectal surgery; it is associated with a reduced risk of bowel obstruction but a higher risk of wound complications. PMID: 32100636 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - February 26, 2020 Category: Surgery Authors: Guo Y, Luo Y, Zhao H, Bai L, Li J, Li L Tags: Surg Innov Source Type: research

Commercially Available Head-Mounted Displays Are Unsuitable for Augmented Reality Surgical Guidance: A Call for Focused Research for Surgical Applications.
PMID: 32037972 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - February 9, 2020 Category: Surgery Authors: Carbone M, Piazza R, Condino S Tags: Surg Innov Source Type: research