Novel Skin Prep Technique Reduces OR Preparation Times in a Randomized Trial for Podiatric and Orthopedic Procedures
Surg Technol Int. 2024 Apr 18;44:sti44/1751. Online ahead of print.ABSTRACTThe primary objectives of any high-volume surgery department should be patient safety, block time utilization and operating room efficiency. Reducing preparation time in the OR prior to actual surgery can improve operating room efficiency and utilization, but only if patient safety can be maintained. With this goal, this study evaluated a novel skin preparation technique using a device named ULTRAPREP™, a sterile, medical-grade plastic bag that is applied to the upper or lower extremity in the pre-operative holding area which allows for skin disin...
Source: Surgical Technology International - April 18, 2024 Category: Surgery Authors: Mallory M Przybylski Daniel T Hall Laura H Ikuma Source Type: research

Twenty First Century Technological Toolbox Innovation for Transanal Minimally Invasive Surgery (TAMIS)
Surg Technol Int. 2024 Apr 16;44:sti44/1760. Online ahead of print.ABSTRACTTransanal minimally invasive surgery (TAMIS) is an effective procedure that plays an important role in the care of patients with significant rectal neoplasia and polyps including early-stage cancers. However, it is perhaps underutilised and under threat from both advanced flexible endoscopic procedures and proceduralists (who often act as gatekeepers for referral to colorectal surgeons), as well as from robotic surgery proponents. TAMIS advocates can learn and adopt practice insights from both these fields and incorporate available technological inn...
Source: Surgical Technology International - April 17, 2024 Category: Surgery Authors: Alice Moynihan Patrick Boland Ronan A Cahill Source Type: research

Custom Triflange Acetabular Implants for Complex Hip Revisions: A Case Series
Surg Technol Int. 2024 Apr 8;44:sti44/1784. Online ahead of print.ABSTRACTRevision total hip arthroplasty (THA) presents a formidable challenge when addressing extensive acetabular defects, particularly in severe cases classified under Paprosky types 3A and 3B and American Academy of Orthopaedic Surgeons types 3 and 4. Traditional methods often fall short, prompting the potential use of custom triflange acetabular components or patient-specific acetabular implants (PSAIs). These implants are specifically designed to conform to an individual's anatomy, aiming to enhance defect reconstruction and pelvic stabilization. This c...
Source: Surgical Technology International - April 9, 2024 Category: Surgery Authors: Daniel Hameed Jeremy A Dubin Ignacio Pasqualini Viktor Krebs Nicolas S Piuzzi Michael A Mont Source Type: research

Evaluation of an Initial Robotic-Assisted Direct Anterior Approach Cohort Receiving a New Short Metaphyseal Filling Collared Femoral Implant
CONCLUSION: The use of a metaphyseal-filling collared stem with robotic-assisted DAA resulted in adequate stem version when assessed visually and with CT scan assessments. Version estimation values were improved upon over visual assessments when using the robotic system that maps out the proximal femur and the improvement was also demonstrated when compared to the prior literature. This may also be related to the stem's collar providing a visual guide during stem placement posterior fill of this triple-tapered stem design. Although further follow up is needed to assess longer-term outcomes, at six months postoperatively, p...
Source: Surgical Technology International - April 4, 2024 Category: Surgery Authors: Joshua P Rainey Jeremy M Gililland Kevin Marchand Kelly Taylor Michael A Mont Robert C Marchand Source Type: research

Evaluation of an Initial Robotic-Assisted Direct Anterior Approach Cohort Receiving a New Short Metaphyseal Filling Collared Femoral Implant
CONCLUSION: The use of a metaphyseal-filling collared stem with robotic-assisted DAA resulted in adequate stem version when assessed visually and with CT scan assessments. Version estimation values were improved upon over visual assessments when using the robotic system that maps out the proximal femur and the improvement was also demonstrated when compared to the prior literature. This may also be related to the stem's collar providing a visual guide during stem placement posterior fill of this triple-tapered stem design. Although further follow up is needed to assess longer-term outcomes, at six months postoperatively, p...
Source: Surgical Technology International - April 4, 2024 Category: Surgery Authors: Joshua P Rainey Jeremy M Gililland Kevin Marchand Kelly Taylor Michael A Mont Robert C Marchand Source Type: research

Autologous Blood-Derived Products (ABDPs) for the Treatment of Chronic Wounds
Surg Technol Int. 2024 Mar 29;44:sti44/1752. Online ahead of print.ABSTRACTAutologous blood-derived therapies have emerged as a unique and promising treatment option for chronic wounds. From whole blood clots to spun-down clot constituents, these therapies are highly versatile and tend to have a lower cost profile, allow for point-of-service preparation, and inherently carry minimal to no risk of rejection or allergic reaction when compared to many alternative cellular and matrix-like products. Subsequently, a diversity of processing systems, devices, and kits have surfaced on the market for preparing autologous blood-deri...
Source: Surgical Technology International - April 2, 2024 Category: Surgery Authors: Allegra L Fierro Carolyn Foley Tomer Lagziel John C Lantis Source Type: research