Video-Assisted Jejunostomy Tube Placement With Two Portals: Surgical Technique in Ten Steps.
Abstract Objectives. Endoscopic gastrostomy occasionally presents limitations such as costs, availability of equipment and special materials, and difficult access to the gastric cavity in the setting of obstructive esophageal tumors. Open jejunostomies present high rates of postoperative complications and limited capacity for abdominal evaluation due to reduced incision size. Thus, to reduce procedure-related complications and overall costs and provide a thorough intraoperative evaluation of the peritoneal cavity, we present the following simplified technique. Methods. Video-assisted jejunostomy in ten steps. Resu...
Source: Surgical Innovation - January 2, 2021 Category: Surgery Authors: Abreu P, Ferreira R, Mineli V, Bussyguin DS, Dantas LB, Szutan LA, Preti VB, Vianna RM, Tomasich FDS Tags: Surg Innov Source Type: research

The Anatomical and Biomechanical Superiority of Novel Posterior En Bloc Elevation Cervical Laminoplasty.
Conclusions. Posterior en bloc elevation cervical laminoplasty can enlarge the canal more effectively and preserve better ROM after operation than the ODL procedure. Although technically challenging, the PEEL procedure probably would decrease the common complications associated with ODL laminoplasty. PMID: 33393435 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - January 2, 2021 Category: Surgery Authors: Wang DL, Zhu GQ, Huang AQ, Zhang H, Feng C, Yu X, Zou TM, Shen J Tags: Surg Innov Source Type: research

A Risk-Based Screening Approach to Patients Needing Surgery During the De-Escalation Phase of COVID-19 Pandemic.
Armengol M Abstract Since the outbreak of COVID-19 pandemic, many national and international surgical societies have produced guidelines regarding the management of surgical patients. During the mitigation phase of the pandemic, most documents suggested to consider postponing elective procedures, unless this might have impacted the life expectancy of patients. As awareness and knowledge about COVID-19 are gradually increasing, and as we enter a phase when surgical services are resuming their activities, surgical strategies have to adapt to this rapidly evolving scenario. This is particularly relevant when conside...
Source: Surgical Innovation - December 20, 2020 Category: Surgery Authors: Vilallonga R, Pellino G, Almirante B, Domínguez González JM, Blanco-Colino R, Petrola C, Armengol M Tags: Surg Innov Source Type: research

Surgical Innovation: Heart Transplantation After Cardiac Death.
PMID: 33345738 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 20, 2020 Category: Surgery Authors: Rajab TK, Chen S, N Nadig S, Atkinson C Tags: Surg Innov Source Type: research

Probabilistic Risk Assessment of Prophylactic Surgery Before Extended-Duration Spaceflight.
Discussion. The need for medical evacuation can be viewed as a potential risk for death in the context of a space mission where evacuation is not possible. Because of the higher pEVAC due to SBO and relatively small benefit in the reduction of pLOCL in the prophylactic surgery groups, this analysis does not support the prophylactic removal of appendix and/or gallbladder for spaceflight. Future advances in surgical or medical technique or mission medical capabilities may change these results. This work demonstrates the utility of PRA in providing quantitative answers to "what if" questions where limited informatio...
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Reyes DP, Carroll DJ, Walton ME, Antonsen EL, Kerstman EL Tags: Surg Innov Source Type: research

Options of Surgical Curriculum Structure and Objects During COVID-19 Pandemic.
PMID: 33339486 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Faiz T, Kamel MK, Shebrain S, Ghanem M, Blebea J Tags: Surg Innov Source Type: research

Endobronchial Ultrasound Elastography Combined With Computed Tomography in Differentiating Benign from Malignant Intrathoracic Lymph Nodes.
Conclusions. Endobronchial UE combined with CT and B-mode ultrasound imaging shows a greater diagnostic value in differentiating benign and malignant intrathoracic LNs than either imaging alone. PMID: 33339487 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Fang S, Chang L, Chen F, Mao X, Gu W Tags: Surg Innov Source Type: research

Frank Hartley and his Contribution to Surgery.
Abstract Although Frank Hartley (1856-1913) was mostly known as the deviser of the method of bisecting the ganglion of the trigeminal nerve within the skull for the relief of facial neuralgia, it should be noted that he had also done very important work in the surgical treatment of goiter which was neglected at his times but later followed by his successors. Furthermore, he also had interest in the surgical treatment of clubfoot and the exstrophy of the bladder. PMID: 33339489 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Kostoulas G, Pathiakis I, Mavrommatis E Tags: Surg Innov Source Type: research

Agitation Techniques to Enhance Drainage of Retained Hemothorax.
Conclusion. Agitation techniques, in combination with tPA, may enhance drainage of hemothorax. PMID: 33339490 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Makey IA, Das NA, Jacob S, El-Sayed Ahmed MM, Makey CM, Johnson SB, Thomas M Tags: Surg Innov Source Type: research

Surgical Smoke and Transmission of Coronavirus to Surgical Team Members; a Letter to Editor.
PMID: 33339491 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 18, 2020 Category: Surgery Authors: Imani B, Merajikhah A, Khazaei S, Bouraghi H Tags: Surg Innov Source Type: research

The Potential of a Digital Twin in Surgery.
PMID: 33290181 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 8, 2020 Category: Surgery Authors: Ahmed H, Devoto L Tags: Surg Innov Source Type: research

How to Develop a Risk Prediction Smartphone App.
Conclusions. As proof of concept, we provide a framework for developing a clinical decision support mobile user interface, through the use of clinical and administrative longitudinal data. Point-of-care applications, particularly ones designed with implementation and actionability in mind, have the potential to aid clinicians in identifying and optimizing risk factors that impact the outcome of interest's occurrence, thereby enabling clinicians to take targeted risk-reduction actions. In addition, such applications may help facilitate counseling, informed consent, and shared decision-making, leading to improved patient-cen...
Source: Surgical Innovation - December 8, 2020 Category: Surgery Authors: Mauch JT, Rios-Diaz AJ, Kozak GM, Zhitomirsky A, Broach RB, Fischer JP Tags: Surg Innov Source Type: research

Video-Assisted Modified Ligation of the Intersphincteric Fistula Tract, an Integration of 2 Minimally Invasive Techniques for the Treatment of Parks Type II Anal Fistulas.
Conclusions. We established that video-assisted modified LIFT is superior in repairing Parks type II anal fistulas, with less trauma, quicker recovery, and better anal function. PMID: 33275087 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - December 4, 2020 Category: Surgery Authors: Wu YF, Zheng BC, Chen Q, Chen XD, Ye SS, Lin QY, Ye NH, Rong F Tags: Surg Innov Source Type: research

Improvement in Outlet Obstructive Constipation Symptoms After Vaginal Stent Treatment for Rectocele.
The objective is to determine the possible improvement in outlet obstructive constipation symptoms after vaginal stent treatment for rectocele. Methods. Female patients with rectocele (n = 156) accompanied with outlet obstructive constipation were selected in this study. Longo's obstructed defecation syndrome (ODS) questionnaire, rectoanal pressures, and rectal balloon expulsion (BET) were evaluated at baseline, 1 month follow-up, and 6 months follow-up. Moreover, the side effects and the potential reasons for giving up treatment were also detected. Results. Vaginal stent significantly decreased the straining intensit...
Source: Surgical Innovation - November 30, 2020 Category: Surgery Authors: Yin Y, Xia Z, Luan M, Qin M Tags: Surg Innov Source Type: research

Development of a Semiautomatic Dura Mater Suturing Device for Preventing Cerebrospinal Fluid Leakage in Transsphenoidal Surgery.
Abstract Dural suturing in transsphenoidal surgery requires well-honed technical skills. We have developed a semiautomatic dural suturing device and confirmed its effectiveness by comparing it with the conventional method. This device significantly shortens the suturing time compared with the conventional method. The dural suturing time in transsphenoidal surgery could be decreased significantly by use of this novel device. PMID: 33236655 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 25, 2020 Category: Surgery Authors: Suzuki S, Kobayashi E, Hododuka K, Amano K, Masamune K, Muragaki Y Tags: Surg Innov Source Type: research

Anastomosis Leak: Is There Still a Place for Indocyanine Green Fluorescence Imaging in Colon-Rectal Surgery? A Retrospective, Propensity Score-Matched Cohort Study.
Conclusions. Hypoperfusion is a well-recognized cause of AL. The ICG assessment of colic vascularization is a simple, inexpensive, and side effects free method, which can sensibly reduce both overall AL and type B and type C fistulas when routinely used. PMID: 33236661 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 25, 2020 Category: Surgery Authors: Losurdo P, Mis TC, Cosola D, Bonadio L, Giudici F, Casagranda B, Bortul M, de Manzini N Tags: Surg Innov Source Type: research

Gottlieb Burckhardt (1836-1907): 19th-Century Pioneer of Psychosurgery.
Abstract Gottlieb Burckhardt was a 19th-century Swiss psychiatrist who introduced the psychosurgical method known as topectomy as a means to relieve the symptoms of aggression and agitation in individuals diagnosed with mental disease. Specifically, he performed topical excision of part of the cerebral cortex on 6 patients with chronic schizophrenia. Most of these patients became more approachable and easier to manage, but they also showed signs of aphasia or seizures, and 2 died soon after the surgery. Burckhardt's presentation of the results of his surgical procedures to the Berlin Medical Congress in 1890 cause...
Source: Surgical Innovation - November 25, 2020 Category: Surgery Authors: Michaleas SN, Tsoucalas G, Tzavellas E, Stranjalis G, Karamanou M Tags: Surg Innov Source Type: research

Complete Fundus Mobilization Reduces Dysphagia After Nissen Procedure.
Conclusion. FNF, with complete fundus mobilization, appears to be associated with a lower rate of postoperative persistent dysphagia. PMID: 33236675 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 25, 2020 Category: Surgery Authors: Renzi A, Di Sarno G, d'Aniello F, Brillantino A, Minieri G, Coretti G, Barbato D, Barone G Tags: Surg Innov Source Type: research

The Clinical Effects of Abdominal Binder on Abdominal Surgery: A Meta-analysis.
Abstract Objective. We conducted a meta-analysis to quantitatively evaluate the effects of abdominal binder in abdominal surgeries. Methods. Through literature retrieval in globally recognized databases (MEDLINE, EMBASE, and Cochrane Central), trials investigating the application of abdominal binder in abdominal surgeries were systematically reviewed. The main outcomes, namely, 6-minute walk test (6MWT), visual analog scale (VAS) pain score, and symptom distress scale (SDS) score, were pooled to make an overall estimation. I2 index was calculated to identify heterogeneity, and sensitivity analysis was performed to...
Source: Surgical Innovation - November 25, 2020 Category: Surgery Authors: Jiang N, Hao B, Huang R, Rao F, Wu P, Li Z, Song C, Liu Z, Guo T Tags: Surg Innov Source Type: research

Intraoperative Botulinum Toxin Chemodenervation and Analgesia in Abdominal Wall Reconstruction.
Conclusions. Chemodenervation was the only factor associated with reduced opioid usage compared to a standard group using multimodality analgesia. The role of muscular pain in laparotomy is likely underappreciated and understudied. Intraoperative selective muscular chemodenervation may play a significant role in recovery from abdominal surgery and requires further study. PMID: 33234030 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 24, 2020 Category: Surgery Authors: Blaha L, Chouliaras K, White A, McNatt S, Westcott C Tags: Surg Innov Source Type: research

Preoperative Endoscopic Biliary Stenting Before Pancreaticoduodenectomy: Does Timing Matter?
Conclusions. PBS increases postoperative wound infections when compared with upfront surgery. Patients operated between 4 and 6 weeks after stenting have the highest rate of wound infection. PMID: 33228482 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 23, 2020 Category: Surgery Authors: Bhatti ABH, Jafri RZ, Khan MK, Dar FS Tags: Surg Innov Source Type: research

Three-Dimensional vs Two-Dimensional Completely Minimally Invasive 2-Stage Esophagectomy With Intrathoracic Hand-Sewn Anastomosis for Esophageal Cancer: Comparison of Intra-and Postoperative Outcomes.
Conclusion. We report reduced blood loss and higher lymph node yield when performing 3D CMIE than 2D CMIE. Other intraoperative and postoperative clinical outcomes were similar in both groups. A randomized controlled trial is needed to validate these findings of superior outcomes from CMIE performed in 3D over 2D. PMID: 33225834 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 22, 2020 Category: Surgery Authors: Abbassi O, Patel K, Jayanthi NV Tags: Surg Innov Source Type: research

An Ancillary Central Catheter Emergency Support Service Team Staffed by Surgical Personnel Improves Workflow During the Coronavirus Disease 2019 Crisis.
Conclusions. The ACCESS team has helped to effectively redistribute surgical staff, provide a learning experience for residents, and improve efficiency for the critical care team during this pandemic. PMID: 33153382 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 6, 2020 Category: Surgery Authors: Schulberg SP, Jaikaran O, Lim D, Robalino RP, Patel R, Sirsi S, Timoney M, Sinha P Tags: Surg Innov Source Type: research

Catamenial Pneumothorax: A Novel Thoracoscopic Uniportal Approach Using a Spiral Device to Stabilize the Diaphragmatic Prosthesis.
PMID: 33153385 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 6, 2020 Category: Surgery Authors: Vannucci J, Mantovani S, Poggi C, Diso D, Bassi M, Amore D, Venuta F, Anile M Tags: Surg Innov Source Type: research

Comparison of Objective Intermediate-Term Outcomes Between per-Oral Endoscopic Myotomy and Laparoscopic Heller Myotomy Show Equivalence.
Abstract INTRODUCTION: The surgical gold standard for esophageal motility disorders is laparoscopic Heller myotomy (LHM). Per-oral endoscopic myotomy (POEM) is a less invasive flexible endoscopic alternative. We compare their intermediate-term outcomes. METHODS: Data were collected on consecutive LHM and POEM patients treated for esophageal motility disorders from January 2015 to December 2019. All patients were invited for a comprehensive workup between 6 and 12 months post-myotomy including symptom evaluation, pH testing off medications, manometry, and esophagogastroduodenoscopy (EGD). Primary outcomes...
Source: Surgical Innovation - November 6, 2020 Category: Surgery Authors: Ward MA, Clothier JS, Ebrahim A, Ogola GO, Leeds SG Tags: Surg Innov Source Type: research

Modification of Stryker T5TM and Stryker Flyte ® Personal Protection Surgical Helmets to Function as Powered Air-Purifying Respirators.
We report the modification of a Stryker T5TM and Stryker Flyte® personal protection surgical helmets as a powered air-purifying respirator. PMID: 33135574 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - November 1, 2020 Category: Surgery Authors: Sachwani-Daswani GR, Atkinson P, Haake RS, Mercer L Tags: Surg Innov Source Type: research

Comparison of Midterm Outcomes Between Open and Robotic Emergent Ventral Hernia Repair.
Abstract Background. There are no studies on the role of robotics in emergency ventral hernia repair (EVHR). We aimed to compare outcomes of robotic EVHR (REVHR) and open (OEVHR). Methods. We performed a retrospective study of EVHRs performed between 2013 and 2019. Patients who underwent ventral hernia repair in an elective setting and patients who had concomitant non-abdominal wall procedures were excluded. Pre-, intra-, and postoperative variables were compared. Univariate and multivariate analyses were performed. Results. In all, 43 patients underwent OEVHR as compared to 35 patients who underwent REVHR. The pa...
Source: Surgical Innovation - October 31, 2020 Category: Surgery Authors: Kudsi OY, Gokcal F, Bou-Ayash N, Chang K Tags: Surg Innov Source Type: research

Methylene blue usage for determining accessory artery ligation in donor kidneys.
We present a technique for determining whether to ligate or preserve accessory arteries in donor kidneys before implantation. Methods. Forty-three living-related donor kidneys in patients from January 2014 to February 2018 at our institution were included, all of which had dual arteries without the same stem. Among them, 19 cases of accessory arterial blood supply were evaluated using methylene blue (MB) perfusion, and accessory arteries supplying less than 10% of the total MB perfusion volume were ligated. The other 24 cases were assessed using a conventional method in which arteries with diameters less than 2 mm wer...
Source: Surgical Innovation - October 30, 2020 Category: Surgery Authors: Li Y, Song Y, Hu W, Wang X, Xiao Y, Huang C Tags: Surg Innov Source Type: research

Neovagina creation in congenital vaginal agenesis: New mini-laparoscopic approach applying intraoperative indocyanine green fluorescence.
Conclusion. The mini-laparoscopic modified Vecchietti approach, associated with ICG fluorescence imaging, is feasible and effective in the treatment of congenital vaginal agenesis, as it is a simple and safe procedure with promising outcomes. PMID: 33124521 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 30, 2020 Category: Surgery Authors: Fontoura Oliveira A, Ferreira H Tags: Surg Innov Source Type: research

Comparison of bursting pressure on sleeve gastrectomy staple lines between stapling, buttressing, and oversewing.
Abstract Backgrounds. One of the major complications after laparoscopic sleeve gastrectomy (LSG) is represented by leaks along the staple line. Several reinforcement techniques have been proposed, but scarce data about the real strengthening offered are present. Thus, we aimed to evaluate if different reinforcements produced different bursting pressures after LSG, and then to verify if the clinical application of the stronger reinforcement produced a reduction in leakage rate. Methods. We prospectively enrolled all consecutive obese patients that underwent LSG. We tested 3 different types of staple lines, as follo...
Source: Surgical Innovation - October 24, 2020 Category: Surgery Authors: Tolone S, Gambardella C, Del Genio G, Brusciano L, Ruggiero R, Lucido FS, Docimo L Tags: Surg Innov Source Type: research

Effects of Warmed and Humidified CO2 Surgical Site Insufflation in a Novel Experimental Model of Magnetic Compression Colonic Anastomosis.
Conclusions. WH-CO2 was effective to preserve core temperature. However, it did not improve anastomotic healing. PMID: 33095686 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 23, 2020 Category: Surgery Authors: Marchegiani F, Noll E, Riva P, Kong SH, Saccomandi P, Vita G, Lindner V, Namer IJ, Marescaux J, Diemunsch P, Diana M Tags: Surg Innov Source Type: research

The LOCalizer Radiofrequency Identification System: An Effective New Technology for Localizing Non-Palpable Breast Lesions for Surgery.
Conclusion. The LOCalizer RFID is an effective and safe wire-free localization method for non-palpable breast lesions. PMID: 33085567 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 21, 2020 Category: Surgery Authors: Cullinane CM, Byrne J, Akmenkalne L, O' Leary DP, Connors AM, Corrigan MA, Redmond HP, Kelly L, O' Sullivan MJ Tags: Surg Innov Source Type: research

3D-Printed Surgical Steel Curettes for the Treatment of Perianal Fistula.
Conclusion. The results obtained are significantly better than those offered by the techniques in current use for the treatment of complex fistulas, without prejudice to outcomes such as anal continence and morbidity and mortality. PMID: 33085575 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 21, 2020 Category: Surgery Authors: Pérez Lara FJ, Diaz de Tuesta Revilla I, Moya Donoso FJ, Hernández González JM, Prieto-Puga Arjona T Tags: Surg Innov Source Type: research

Periodic Kinesthetic Guidance Cannot Expedite Learning Surgical Skills.
This study examined whether inter-user feedback delivered from an expert to a novice would facilitate skill acquisition of the novice in learning laparoscopic surgery and expedite it compared to traditional methods. Methods. We recruited fourteen novices and divided them into 1 of 2 training groups with 6 half-hour training sessions. The task was precision cutting adopted from one of the tasks listed in Fundamentals of Laparoscopic Surgery using laparoscopic instruments. In the haptic feedback group (haptic), 8 subjects had the chance to passively feel an expert's performance before they started to practice in each trainin...
Source: Surgical Innovation - October 21, 2020 Category: Surgery Authors: Lu F, Wang B, Sanchez P, Kathrada AI, Tavakoli M, Zheng B Tags: Surg Innov Source Type: research

Use of the ORBEYETM Exoscope in General Surgery: The Advent of Video-Assisted Open Surgery.
Conclusion. To the best of our knowledge, ours is the very first report on the employment of the ORBEYE exoscope during general surgery. Our experience assures us that this highly ergonomic technology with its high-resolution 4K 3D optical system allows the surgeon to perform safe and precise surgery in several dedicated steps in which adequate magnification is required with no adverse effects to the surgeon or the surgical procedure itself. PMID: 33054634 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 15, 2020 Category: Surgery Authors: Corcione F, Silvestri V, Merola G, Dambra M, Lionetti R, Pirozzi N, Peltrini R, Pontecorvi E, Bracale U Tags: Surg Innov Source Type: research

Teaching Operative Surgery to Medical Students Using Live Streaming During COVID-19 Pandemic.
PMID: 33040715 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 10, 2020 Category: Surgery Authors: Faiz T, Marar O, Kamel MK, Vance S Tags: Surg Innov Source Type: research

Incidence of Silent Deep Venous Thrombosis after Laparoscopic Bariatric Surgery in Patients Who Received Combined Mechanical and Chemical Thromboprophylaxis Compared to Patients Who Received Mechanical Thromboprophylaxis Only.
Conclusion. Combined mechanical and mechanical thromboprophylaxis is effective and safe in the prevention of silent DVT after laparoscopic bariatric surgery. Trial registration: The trial was registered in the Thai Clinical Trials Registry (TCTR20200127002) on January 20, 2020 retrospectively. PMID: 33035103 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 9, 2020 Category: Surgery Authors: Ahmad KS, Zayed ME, Faheem MH, Essa MS Tags: Surg Innov Source Type: research

Approach to Surgical Patients in a COVID-19 Pandemic Hospital.
PMID: 33035106 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 9, 2020 Category: Surgery Authors: Sari R, Kaya S, Hargura AS, Altin O, Kucuk HF Tags: Surg Innov Source Type: research

The Use of Twisting and Tightening Tool to Strengthen the Cerclage and Tension Band Wiring.
This study was performed on a total of 30 cerclage loops. In group A (n = 15), the cerclage wire was tightened manually by a clipper, while in group B (n = 15), it was tightened using the twisting and tightening tool. In biomechanical tests, the cerclage loops were pulled apart by 2 hooks connected to the biomechanical device. The velocity was adjusted to 20 mm/min. On statistical analysis, there was a significant difference in the ultimate strength (P = .03) and the mean tensile strength (P = .01) between groups A and B. It was found that the strength of the cerclage wire can be increased by maintaining more regular ...
Source: Surgical Innovation - October 9, 2020 Category: Surgery Authors: Uygur E, Yayla MA, Yürektürk Y, Akpinar F Tags: Surg Innov Source Type: research

Obalon Balloon Removal: A Novel Operative Technique.
PMID: 33031023 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 8, 2020 Category: Surgery Authors: Reddy V, Nguyen A, Ibikunle C Tags: Surg Innov Source Type: research

Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (Minimally Invasive Surgery: Laparoscopy and Robotic) during the COVID-19 Pandemic.
The objective of this review was to discuss the modifications required in the operating room during COVID-19 times for minimal access, laparoscopy, and robotic surgery, especially with regard to minimally invasive surgical instruments, buffalo filter, trocars with smoke evacuator, and special personal protection equipment. We have discussed the safety measures to be followed for the suspected or confirmed COVID-19 patient. In addition to surgical patients, health care workers should also protect themselves by following the guidelines and recommendations while treating these patients. Although there is little evidence of vi...
Source: Surgical Innovation - October 7, 2020 Category: Surgery Authors: Somashekhar SP, Acharya R, Manjiri S, Talwar S, Ashwin KR, Rohit Kumar C Tags: Surg Innov Source Type: research

Gasless Laparoscopic Surgery for Minimally Invasive Surgery in Low-Resource Settings: Methods for Evaluating Surgical Field of View and Abdominal Wall Lift Force.
PMID: 33021887 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 6, 2020 Category: Surgery Authors: Bolton WS, Aruparayil NK, Chauhan M, Kitchen WR, Gnanaraj KJN, Benton AM, Hutchinson SE, Burke JR, Gnanaraj J, Jayne DG, Culmer PR Tags: Surg Innov Source Type: research

Evaluating Operative Skills Using Video-Recording-Aided Objective Test.
PMID: 33021888 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - October 6, 2020 Category: Surgery Authors: Tuma F Tags: Surg Innov Source Type: research

Is Mesenteric Ischemia In COVID-19 Patients A Surprise?
Conclusion. The presence of hypercoagulation status in critical COVID-19 patients should be observed closely, and anticoagulation therapy can be considered in selected patients. More clinical data are needed to examine the role of anticoagulation in COVID-19 treatment. PMID: 32996834 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 29, 2020 Category: Surgery Authors: Vartanoglu Aktokmakyan T, Tokocin M, Meric S, Celebi F Tags: Surg Innov Source Type: research

Pros and Cons of the Exoscope for Otologic Surgery.
Conclusions. The quality of the images and movies in the exoscope was considered to be high and improved; therefore, the exoscope was considered as a useful educational tool in otologic surgery. Similar to otologic endoscopic surgery, all the members such as the operator and assistants could head up and share 1 image. PMID: 32990502 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 28, 2020 Category: Surgery Authors: Kanzaki S, Takahashi S, Toda M, Yoshida K, Ogawa K Tags: Surg Innov Source Type: research

Identification of Meaningful Data for Providing Real-Time Intraoperative Feedback in Laparoscopic Surgery Using Delphi Analysis.
Conclusions. Surgeons performing laparoscopy are uniform in their opinion that they need to be alarmed immediately when patients' vital parameters are becoming aberrant. Surgeons state that information regarding supporting equipment is best displayed on an additional monitor. PMID: 32967570 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 23, 2020 Category: Surgery Authors: Jansen M, Barsom EZ, van Dalen AHM, Zondervan PJ, Schijven MP Tags: Surg Innov Source Type: research

Near-Infrared Fluorescence Cholangiography can be a Useful Adjunct during Emergency Cholecystectomies.
Conclusion. Intraoperative augmented visualisation of biliary anatomy with ICG cholangiography can be a useful technology tool, with the potential to extend the 72 hours window of safety for emergency cholecystectomies. PMID: 32936054 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 15, 2020 Category: Surgery Authors: Di Maggio F, Hossain N, De Zanna A, Hussein D, Bonomo L Tags: Surg Innov Source Type: research

Suture and Fixation of the Transversalis Fascia during Robotic-Assisted Transabdominal Preperitoneal Hernia Repair to Prevent Seroma Formation after Direct Inguinal Hernia Repair.
Conclusions. In the treatment of direct inguinal hernia with R-TAPP, suturing and anchoring the transversalis fascia to the Cooper ligament are safe, feasible and recommendable in order to prevent postoperative seromas. PMID: 32936065 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 15, 2020 Category: Surgery Authors: Pini R, Mongelli F, Proietti F, Cianfarani A, Garofalo F, Di Giuseppe M, La Regina D Tags: Surg Innov Source Type: research

Single-Incision Proximal Gastrectomy With Double-Flap Esophagogastrostomy Using Novel Laparoscopic Instruments.
Conclusion. Double-flap PG is technically feasible through a single incision with the use of articulating laparoscopic devices and intra-abdominal organ retractors to assist in intracorporeal anastomosis. PMID: 32938322 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 15, 2020 Category: Surgery Authors: Kang SH, Won Y, Lee K, Youn SI, Min SH, Park YS, Ahn SH, Kim HH Tags: Surg Innov Source Type: research

Design, Fabrication, and Testing of a Novel Surgical Handwashing Machine.
Conclusion. The preliminary experiments with this new handwashing machine show promising results for its application in surgical hand scrub. PMID: 32921227 [PubMed - as supplied by publisher] (Source: Surgical Innovation)
Source: Surgical Innovation - September 11, 2020 Category: Surgery Authors: Amiraslani S, Darbemamieh G, Karimian F, Tabatabai Ghomsheh F Tags: Surg Innov Source Type: research