Patient-Specific Implants for Focal Cartilage Lesions in The Knee: Implant Survivorship Analysis up to Seven Years Post-Implantation.
Authors: Ryd L, Flodström K, Manley MT Abstract In the quest for increased surgical precision and improved joint kinematics, Computer-Assisted Orthopedic Surgery (CAOS) shows promising results for both total and partial joint replacement. In the knee, computer-assisted joint design can now be applied to the treatment of younger patients suffering pain and restriction of activity due to focal defects in their femoral articular cartilage. By taking MRI scans of the affected knee and digitally segmenting these scans, we can identify and map focal defects in cartilage and bone. Metallic implants matched to the def...
Source: Surgical Technology International - December 24, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Using Ovine Extracellular Matrix in Difficult to Close Excisions of Common Skin Cancer: an Evolving New Technique.
Authors: Bohn GA Abstract Squamous cell (SCC) and basal cell (BCC) skin cancer are common presentations in elderly patients. Skin cancer are often located in sun exposed areas where damage from exposure has occurred. The sun exposed areas are often difficult to close or would require more complex measures to cover. Skin grafts or rotation flaps are commonly employed for coverage. Having tumor free margins is required to anticipate avoiding local recurrence. Mohs techniques examine the surgical margin to ensure that lesions are completely excised. When reliable frozen section is not available for immediate confirmat...
Source: Surgical Technology International - December 5, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Latest Advances in the Treatment of Bicuspid Aortic Valve.
Authors: Della Corte A, Lo Presti F Abstract Bicuspid aortic valve (BAV) is the most frequent congenital cardiac defect, and affects 0.5-2% of live births. Almost half of BAV subjects develop different degrees of valvular dysfunction during their lifetime. In both echocardiographic cohorts and surgical series, pure aortic regurgitation is significantly less common than stenosis. BAV also carries a higher risk of aortic aneurysm, aortic dissection or aortic valve endocarditis compared to the general population. Once aortic insufficiency reaches threshold criteria for surgical treatment, the valve has to be replaced ...
Source: Surgical Technology International - December 2, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Use of Direct Peritoneal Resuscitation for Intra-Abdominal Catastrophes: A Technical Note.
We present the technique used for DPR in a patient with an intra-abdominal catastrophe, as well as the use of Kerecis® Omega3 Wound graft (Kerecis, Arlington, VA) and wound vacuum-assisted closure (VAC) for creation of a floating stoma. PMID: 33245138 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Surgical Tray Optimization and Efficiency: The Impact of a Novel Sealed Sterile Container and Instrument Tray Technology.
CONCLUSION: Novel sealed sterilization containers demonstrated increased efficiency in the total turnover time of TKA trays. This is important for surgeons participating in bundle payments who perform surgery in a hospital and ambulatory surgery center. Reduced turnover time could potentially increase case load and decrease the need for extra instrumentation or loaner trays. This simple means of increasing efficiency could be used as a model for surgeons wishing to streamline surgical trays and reduce costs. PMID: 33245139 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Evolution of the Circular Stapler in Rectal Cancer Surgery.
Authors: Kajmolli A, McGuirk M, Gachabayov M, Bergamaschi R, Latifi R Abstract The circular stapler has played a critical role in fashioning colorectal anastomoses following low anterior resection for rectal cancer. One of the greatest benefits of the circular stapler has been the feasibility of constructing ultra-low anastomoses, thereby decreasing permanent colostomy rates. A notable US innovation to the original design was the addition of disposable cartridges of various sizes, which greatly decreased assembly time and made the instrument more versatile. Another important modification was the ability to detach t...
Source: Surgical Technology International - November 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Dual Mobility Acetabular Systems for Total Hip Arthroplasty: A Multicenter Study and Technique Report.
CONCLUSIONS: The results of this paper demonstrate that malseating is not a prevalent issue with dual mobility THA when appropriate surgical techniques are used. It is hoped that that this paper clarifies the techniques for implantation of these implants and that excellent results can be achieved when care is taken to ensure that liners are well-seated intraoperatively. PMID: 33245141 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Timing and Type of Bacteria In Surgical Site Infections Following Complex Abdominal Wall Reconstruction.
CONCLUSIONS: Surgical site infections with resistant bacteria manifest more frequently post-discharge and require more re-admissions and re-operations. PMID: 33245557 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Estimation of Femoral Version During Total Hip Arthroplasty: Surgeon Visual Assessment versus Robotic-Arm Assisted Technology.
CONCLUSIONS: Visual estimation of femoral implant version differed significantly from measurements captured by three-dimensional robotic-arm assisted imaging. This suggests that estimating stem position intraoperatively by eye is not reliable, even when done by an experienced surgeon. The use of robotic-arm assisted technology may be recommended for determining femoral stem version intraoperatively. PMID: 33238024 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Evolution of 3-Dimensional Functional Planning for Total Hip Arthroplasty with a Robotic Platform.
Authors: Hepinstall MS, Naylor B, Salem HS, Mont MA Abstract Robotic-assisted surgery was introduced to make various mechanical aspects of a total hip arthroplasty more reproducible. When paired with sophisticated three-dimensional preoperative planning, robotic surgery offers the promise that a surgeon might select and reliably achieve targets for component position to optimize hip center-of-rotation, acetabular anteversion and inclination, femoral offset, as well as limb length. This paper describes a patient-specific step-by-step approach to performing these procedures including taking into account pelvic tilt. ...
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Computer Navigation Technique for Simultaneous Total Knee Arthroplasty and Opening Wedge High Tibial Osteotomy in Patients with Large Tibial Varus Deformity.
Authors: Heringou J, Morel X, Heringou P Abstract INTRODUCTION: Total knee arthroplasty (TKA) in patients with established knee osteoarthritis and major varus, mostly due to constitutional proximal deformity, remains a challenging procedure. Orthogonal cuts result in asymmetric bone resection and subsequent bone-related laxity or difficult release. A procedure that combines opening high tibial osteotomy (HTO) and TKA in the same sitting to address such major deformities is possible. But for this combined operation, precise planning and an exact intraoperative transformation of the planning is required. The assumpti...
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Use of Biologic Mesh for the Treatment and Prevention of Parastomal Hernias.
Authors: Gachabayov M, Orujova L, Latifi LA, Latifi R Abstract Parastomal hernia is a frequent complication of ostomy formation with an incidence of up to 56% depending on the type and location of the ostomy as well as the length of follow-up. This review seeks to provide concise insight into the current state of parastomal hernia repair using a hernia mesh, with a particular focus on biologic mesh. Surgical techniques and clinical outcomes of the "keyhole", modified Sugarbaker, and sandwich procedures are described. The current body of evidence on prophylactic biologic mesh placement to prevent parastoma...
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Right Colon Resection: Evolution and Surgical Technique.
Authors: Gachabayov M, Bendl R, Latifi R, Bergamaschi R Abstract This review aims to provide succinct insight into the past, present and near-future of right colon resection. The history of right colon resection as well as the evolution of a laparoscopic approach are described. Standardization of the surgical technique, indications for medial-to-lateral and lateral-to medial mobilization, D2 and D3 lymphadenectomy, iso-peristaltic and antiperistaltic anastomotic configurations, intracorporeal and extracorporeal anastomosis, totally stapled and stapled handsewn techniques, laparoscopic and robotic suturing, mucosa e...
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

A Multicenter Prospective Non-Randomized Study Comparing Ferguson Hemorrhoidectomy and Transanal Hemorrhoidal Dearterialization for Prolapsed, Nonincarcerated, Reducible Hemorrhoids: A Study Protocol.
This study was approved by the Institutional Review Boards of Stony Brook University (previously) and New York Medical College (currently), and registered in ClinicalTrials.gov (NCT03245086). The findings of the study will be published in a peer-reviewed journal. PMID: 33238029 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Opioid Use in Robotic-Arm Assisted Total Knee Arthroplasty: A Comparison to Conventional Manual Total Knee Arthroplasty.
Authors: Greiner JJ, Wang JF, Mitchell J, Hetzel SJ, Lee EJ, Illgen RL Abstract INTRODUCTION: Opioids are frequently prescribed in the postoperative management of total knee arthroplasty (TKA) with multiple factors influencing postoperative opioid use. Robotic-arm-assisted TKA (raTKA) was developed with the goal of improving alignment and outcomes while decreasing soft tissue injury. The purpose of this study was to compare postoperative opioid consumption in raTKA and conventional manual TKA (mTKA) cohorts. MATERIALS AND METHODS: A consecutive series of unilateral primary TKAs performed 1/1/16 to 12/31/17 were...
Source: Surgical Technology International - November 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Right Colon Resection: Evolution and Surgical Technique.
Authors: Gachabayov M, Bendl R, Latifi R, Bergamaschi R Abstract This review aims to provide succinct insight into the past, present and near-future of right colon resection. The history of right colon resection as well as the evolution of a laparoscopic approach are described. Standardization of the surgical technique, indications for medial-to-lateral and lateral-to medial mobilization, D2 and D3 lymphadenectomy, iso-peristaltic and antiperistaltic anastomotic configurations, intracorporeal and extracorporeal anastomosis, totally stapled and stapled handsewn techniques, laparoscopic and robotic suturing, mucosa e...
Source: Surgical Technology International - November 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Predictors of Functional Outcome After Microfracture Treatment of Cartilage Defects of the Knee.
The objective of this study was to determine the prognostic factors of functional outcomes after MFx treatment of knee cartilage defects ≤ 4 cm2. MATERIALS AND METHODS: Forty-eight patients who were to be treated by MFx for knee cartilage defects ≤ 4 cm2 were prospectively included. The mean follow-up was 5.7 years (3.7-9.5). Demographics, sport practiced, time from diagnosis to surgery and associated lesions were collected. The cartilage defect was graded according to the ICRS classification. The MOCART score was calculated from a one-year MRI. The subjective VAS and IKDC scores were collected preoperatively and...
Source: Surgical Technology International - November 18, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Thoracic Aortic Endografts: Past, Present, and Future.
CONCLUSION: TEVAR has evolved to overcome technical challenges and offer expanded applicability to different types of thoracic aortic pathologies and enhanced accuracy of deployment. PMID: 33180954 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 14, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Can Preoperative Factors Be Used to Determine Optimal Implant Design for Total Knee Arthroplasty?
CONCLUSION: Our results showed that no preoperative medical comorbidities or demographic factors predicted use of the UC bearing; however, postoperative tibial slope was increased for a greater number of patients who received the UC implant. PMID: 33180955 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 14, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Surgical Technique for One-Anastomosis Gastric Bypass.
This article is based on the approach to bariatric surgery at the Department of General Surgery at Vienna Medical University. We focus on patient preparation before a bariatric/metabolic procedure with mandatory and optional examinations to decrease the patient's risk and find the procedure best suited for each individual patient. Next, the surgical technique itself is described, including positioning of the patient, positioning of the trocars and related tips, tricks, and technical highlights, as well as the specifics of the postoperative course. OAGB is an effective procedure for weight loss and remission of comorbiditie...
Source: Surgical Technology International - November 14, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

New Therapies for the Treatment of Diabetic Foot Ulcers: Updated Review of Clinical Trials.
Authors: Stratman S, Schneider C, Kirsner RS Abstract Diabetic foot ulcers (DFU) are the most costly and serious complication for patients with Diabetes Mellitus (DM). Among patients with DM, 4% annually and up to one third in their entire lifetime may experience a DFU. The majority of DFU do not heal in a timely fashion and non-healing is associated with complications including skin, soft tissue, bone and systemic infection as well as the need for amputation. While education and advances in standard care for DFU have occurred, more research is critical to identify new and better therapies for patients with DFU. In...
Source: Surgical Technology International - November 12, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Oblique Lateral Retroperitoneal Lumbar Pre-Psoas Approach for Vertebrectomy in Cancer Patients: Surgical Technique.
Authors: Telera S, Raus L, Crispo F, Galarza M, Gazzeri R Abstract Due to the longer survival of cancer patients secondary to improved systemic treatments, there has been a recent increase in the incidence of spinal metastases. Metastatic disease involves the anterior vertebral body in 80% of cases. Progressive osseous invasion may result in pathologic vertebral fractures and neural structure compression. Surgical indications are spinal cord and cauda equina compression or spinal instability in patients with an expected survival of at least 6 months. Tumor resection and spine reconstruction in the lumbar region are...
Source: Surgical Technology International - November 12, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted versus Manually Implanted Total Hip Arthroplasty: A Clinical and Radiographic Comparison.
Authors: Hadley CJ, Grossman EL, Mont MA, Salem HS, Catani F, Marcovigi A Abstract INTRODUCTION: Component positioning during THA is one of the more critical surgeon-controlled factors as malposition has been associated with higher rates of hip dislocations, poor biomechanics, accelerated wear rates, leg length discrepancies (LLDs), and revision surgeries. In order to reduce the rates of component malposition and improve surgical accuracy, robotic-assisted THA has developed increased interest. The primary objective of this study was to compare patient outcomes following THA using the Mako Stryker robotic system (St...
Source: Surgical Technology International - November 12, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Evolution of Cryoneurolysis for the Treatment of Shoulder, Hip, and Knee Pain: Where Are We Now and Where Will We Go? A Systematic Review.
Authors: McMillan S, Dwyer T, Amin NH, Ford E Abstract Cryoneurolysis, otherwise known as cryoanalgesia, is a process of addressing nerve-related pain via disruption of nerve conduction utilizing extreme cold temperatures. Throughout the literature, cryoneurolysis has been described for decades across various specialties. Within the past few years, a growing movement of its application within orthopedics has provided pain relief solutions in both the non-surgical and surgical space. A review of the literature utilizing multiple medical search engines was performed to identify relevant orthopedic articles related to...
Source: Surgical Technology International - November 7, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

An Economic Evaluation of Over 200,000 Revision Total Hip Arthroplasties: Is the Current Model Sustainable?
CONCLUSION: This study indicates substantial increases in charges and reimbursements over a 10-year period for patients undergoing rTHA. However, reimbursement increased at a lower rate than that of charges, resulting in major net losses. This study highlights the need to reevaluate the economic models behind rTHA for longer-term sustainment. PMID: 33137839 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Ileus, Gastrointestinal Bleeding and Clostridium difficile Colitis after Hip and Knee Replacement - a Systematic Review.
CONCLUSION: The complications investigated in this systematic review are rare and have a reported incidence of up to 2% each. Even though there are some recommendations for reducing the complication rate, due to the complex nature of the arthroplasty setting, there is a need for further investigation of these risk factors and how they can be reduced. PMID: 33137840 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - November 4, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Design and Implementation of an 11mm Improvised Laparoscopic System for Performing a Single-Port Laparoscopic Hysterectomy through the Smallest Incision Ever Reported.
In this report, we explain how we designed and ultimately used an improvised 11mm laparoscopic single-port system to perform a single-port hysterectomy through a bluntly created 11mm incision. The system was completely devised using currently available and easily obtainable surgical equipment approved in the United States, to maximize the reproducibility of the surgery. The surgery includes the creation of a working incision using an 11mm blunt laparoscopic trocar, to consistently produce a repeatedly small footprint. The surgery was performed successfully and without complication. To the best of our knowledge, this is the...
Source: Surgical Technology International - October 23, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparotomy Closure: A Review of Available Education Training Models.
CONCLUSION: Each model has practical benefits in its ability to mimic in vitro anatomy and the experiential similarities to actual laparotomy closure. However, there are also limitations and potential cost-prohibitive factors for individual models. Overall, while there have been some advances in synthetic and virtual models, human cadaver and porcine models remain the most similar to human abdominal wall closures. PMID: 33091953 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - October 23, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic Surgery for Urologic Deep Infiltrating Endometriosis: A Review and Case Presentations.
Authors: Tamhane N, Roberts B, Wiegand L, Mikhail E Abstract Urologic involvement is seen in 1.2-3.9% of women with endometriosis. The bladder (84%) is the most common location of urinary tract endometriosis and the retro-trigone and dome of the bladder are the most frequently affected sites. Ureteral involvement is commonly extrinsic and leads to compression and fibrosis of peri-ureteral tissue, leading to obstruction. Robotic-assisted laparoscopy provides additional advantages of 3D visualization, shorter learning curve compared to conventional laparoscopy, improved dissection in tight pelvic spaces, and facilita...
Source: Surgical Technology International - October 23, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Identification of the Sensory Dependent Locations of the Shoulder Joint to Optimize Surgical Approaches and Reduce Postoperative Pain: A Systematic Review.
CONCLUSION: This review examined the origin of pain in the shoulder, the location of cutaneous pain receptors, and receptors in each major part of the shoulder. Providing analgesia to these densely innervated areas of the shoulder can potentially reduce pain associated with surgical trauma. In addition, knowledge of the sensory dependent areas of the shoulder may elicit consideration of alternative incision sites and surgical protocols to decrease the insult to nociceptors in these locations. These changes could possibly decrease the narcotic requirement in the postoperative period. PMID: 33080040 [PubMed - as supplied...
Source: Surgical Technology International - October 22, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Indocyanine Green Fluorescence in Elective and Emergency Laparoscopic Cholecystectomy. A Visual Snapshot.
This report shows that ICG-fluorescence can be helpful in identifying the extrahepatic biliary anatomy during the dissection of Calot's triangle in both elective and emergency cases. PMID: 33031562 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - October 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Transcatheter Mitral Valve Replacement for Degenerated Bioprosthetic Valves and Failed Annuloplasty Rings.
In this report, we give an overview of current interventional techniques, available evidence and reported outcomes for transcatheter mitral valve replacement for degenerated bioprosthetic valves and failed annuloplasty rings. PMID: 32944920 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Use and Efficacy of Hemostats in Neurosurgery.
Authors: Signorelli F, Montano N Abstract Hemostasis plays a central role throughout neurosurgery. In microneurosurgery, a bloodless operating field under an operating microscope allows fast and effective surgery, thereby reducing the risk of postoperative hemorrhage. Apart from mechanical methods, such as positioning of the patient's head and body, bone plugging, suction, and metal clips, neurosurgical hemostasis is achieved mainly with bipolar coagulation, which permits optimal control of hemorrhage, allows for fine coagulation of small vessels and is safe in patients with pacemakers and defibrillators. Gelatin s...
Source: Surgical Technology International - September 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

First Clinical Use of 5 mm Articulating Instruments with the Senhance ® Robotic System.
CONCLUSION: Senhance ® (TransEnterix) 5 mm articulating instruments are technically stable and can be safely used in various abdominal procedures. The initial results suggest that these 5 mm articulating instruments can be a supportive tool in further robotic surgery, providing advantages in suturing and dissection with less risk of injury to surrounding tissue. PMID: 32926398 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 16, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Sensor-guided Knee Surgery Provides Improved Patient Outcomes and Cost Savings in a 90-day Bundle.
Authors: Law TY, Marshall L, Rosas S, Vakharia RM, Toma JJ Abstract In an era when the costs of surgical care are becoming increasingly scrutinized, the introduction of new technologies that may improve clinical outcomes can be limited due to economic constraints. Thus, bundled care payment models have emerged to reduce costs, improve outcomes and increase overall value. Since a bundle is a single reimbursement per episode of care that includes the surgical costs, as well as postoperative care and rehabilitation, cost savings are generally achieved through a reduction of services, complications and/or materials use...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Robotic-Assisted versus Manual Total Knee Arthroplasty in a Crossover Cohort: What Did Patients Prefer?
Authors: Pelkowski JN, Wilke BK, Crowe MM, Sherman CE, Ortiguera CJ, Ledford CK Abstract BACKGROUND: Robotic-assisted total knee arthroplasty represents an increasingly utilized surgical technology; however, there remains clinical question whether the technique produces improved clinical and patient-reported outcomes. The purpose of this study was to evaluate early clinical outcomes and patient preference of robotic-assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA) in a direct crossover cohort of patients who underwent consecutive TKAs by each technique. MATERIALS AND METHODS: A retrospective cha...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Stercoraceous transmission of SARS-CoV-2 (Coronavirus).
Authors: Felsenreich DM, Lee H, Gachabayov M, Kumar A, Bergamaschi R PMID: 32894517 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Bio-Derived Apatite As a Bone Graft for Vertebral Trauma.
CONCLUSIONS: The spondylodesis rate following surgery in which the BGS was used in PLF, whether alone, mixed with local bone, or mixed with ICBG is comparable to the rates that have been reported for iliac crest autograft in these indications. The data indicates that the BGS provides a useful adjunct in PLF for the treatment of traumatic spine vertebral injuries. The use of BGS also allows for shorter time in surgery, which may reduce resource utilization and thus lower the total costs of the procedure. CLINICAL RELEVANCE: Posterolateral fusion can be obtained with the use of a bio-derived BGS while reducing the time i...
Source: Surgical Technology International - September 9, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Prognostic Value of Lymph Node Status for Actual Long-Term Survival in Resected Pancreatic Cancer.
Authors: Durán H, Olivares S, Ielpo B, Quijano Y, Caruso R, Ferri V, Malavé L, Fabra I, Díaz E, D'Ovidio A, Angresott R, Vicente E Abstract BACKGROUND: The prognostic factors for long-term survival after curative resection of pancreatic adenocarcinoma are still poorly understood. The purpose of this study was to identify the prognostic factors of long-term survival after resection of pancreatic adenocarcinoma based on actual 5-year survival including different lymph node status classifications. METHOD: A total of 106 patients who underwent pancreatectomy were enrolled at our institution and...
Source: Surgical Technology International - August 27, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Biomechanical Assessment of a Novel Posterior Soft Tissue Repair Technique in Primary Total Hip Arthroplasty.
Authors: Sutphen SA, White PB, Ranawat AS Abstract INTRODUCTION: Instability is one of the most common complications after total hip arthroplasty (THA), particularly when using the posterior approach. Repair of the posterior capsule has proven to significantly decrease the incidence of posterior hip dislocation. The purpose of the present study is to evaluate if a racking hitch knot utilizing a 2mm braided polyblend suture provides a stronger repair of the posterior soft tissues when compared to a traditional repair utilizing a non-absorbable suture after a posterior approach to the hip. MATERIALS AND METHODS: ...
Source: Surgical Technology International - August 26, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Laparoscopic Repair with Mesh Reinforcement is a Feasible Alternative for Epigastric Hernia: A Retrospective Study Comparing Laparoscopic with Open Repair.
Authors: van den Dop LM, de Smet GHJ, Bus MPA, Lange JF, Hueting WE Abstract BACKGROUND: Epigastric hernias may lead to discomfort and pain. The mainstay of treatment is surgical repair with mesh reinforcement. The primary aim of this study was to compare the recurrence rates of laparoscopic epigastric hernia repair (LEHR) and conventional open epigastric hernia repair (OEHR) with mesh reinforcement. Secondary aims were to evaluate perioperative outcomes and quality of life. METHODS: Ninety-nine patients (58% female) from two non-academic hospitals were retrospectively reviewed. The Short-Form 36 Health Survey ...
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Long-Term Survival and Outcomes According to VARC-2 Criteria for Subclavian, Direct Aortic, Femoral, and Apical Implantation: An 8-Year United Kingdom TAVI Surgical Experience.
CONCLUSIONS: This was a large study that compared outcomes and long-term survival among different TAVI surgical approaches in a national real-world setting. According to our results, SF provided the best survival. While SC provided worse survival than SF, it was still better than TA and DA, and thus may represent the safest non-femoral access if use of the femoral approach is precluded. PMID: 32819023 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

A Newly Developed Chest Drainage Unit with an Integrated CO2 Detector.
CONCLUSION: The chest drainage unit described here was easily implemented in the clinic and clearly confirmed true air leakage in all patients with air leakage after lung surgery. It allowed safe and appropriate timing for chest tube removal with no need for reinsertion in a broad cohort of patients referred for thoracic surgery. PMID: 32819024 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Effectiveness of a Simple Auditory Feedback Insole (Sim-Insole) for Touchdown Weight-Bearing Training in At-Risk Volunteers with Poor Compliance: A Crossover Study.
CONCLUSION: Sim-Insole is effective for TDWB training. This device significantly improved WB compliance with regard to excessive WB, walking speed, and the confidence of volunteers in the high-risk group with poor compliance. PMID: 32819025 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Should Surgeons Evaluate the Anatomy of Drummond Marginal Artery and Riolan's Arch Preoperatively?
CONCLUSION: Evaluating and stating whether the Drummond marginal artery and the Riolan's arch are seen in thin section abdominal computed tomography (CT) and CT angiographies preoperatively may help in planning appropriate resections and can reduce unwanted postoperative morbidity. PMID: 32819026 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - August 21, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Pain Management During Office Hysteroscopy: A Survey of Hysteroscopists.
CONCLUSION: Our results are consistent with poor evidence from published studies that there is a low prevalence of routine analgesia use during outpatient hysteroscopy. PMID: 32715446 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Cryopreserved Allograft Use in Vascular Surgery.
Authors: Lee J, Chan MC, James C, Lantis JC Abstract In vascular surgery, bypass procedures are standard treatments for many arterial and venous diseases. The choice of conduit for the bypass operation is fundamental in planning for the appropriate intervention for each individual patient. Although an autogenous conduit is superior, this option is not available in many patients, and prosthetic grafts have been the preferred conduit in a variety of clinical situations. However, since prosthetic graft infections are seen in all realms of vascular surgery, from arteriovenous access to aortic graft infections and lower...
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

The Use of New Technology for Wound Management Following Total Knee Arthroplasty: Implications for the COVID-19 Crisis.
This article provides a concise review of the current closure and wound management methods for each of the following three layers and dressing: 1) deep fascia layer, or arthrotomy; 2) subdermal layer or subcutaneous layer; 3) skin and subcuticular layer; and 4) dressing application. By introducing a comprehensive and systematic approach to TKA wounds, this report also incorporates newer modalities such as barbed sutures and adhesive dressings, which have increasingly replaced traditional suture and staple methods. Furthermore, we examine how various layers of modern wound closure compare to conventional methods while discu...
Source: Surgical Technology International - July 28, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Active Robotic Total Knee Arthroplasty (TKA): Initial Experience with the TSolution One ® TKA System.
Active Robotic Total Knee Arthroplasty (TKA): Initial Experience with the TSolution One ® TKA System. Surg Technol Int. 2020 Jun 17;37: Authors: Chan J, Auld TS, Long WJ, Kreuzer S, Campanelli V, Liebelt R, Kissin YD Abstract Several recent advances, including the use of robotic devices, have been explored to improve outcomes in total knee arthroplasty (TKA). The TSolution One ® Total Knee Application (THINK Surgical, Inc., Fremont, CA, USA) introduces an active robotic device that supports an open implant platform and CT-based preoperative planning workflow, and requires minimal surgeon interv...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research

Machine Learning in the OR: A Collaborative Environment for Surgical Interventions in Visceral Medicine.
Authors: Ostler D, Wilhelm D, Bernhard L, Fuchtmann J, Kranzfelder M, Vogel T, Feussner H Abstract Modern surgical methods are becoming increasingly sophisticated and the number of technical devices that are used during these interventions is increasing. However, the surgical operating room (OR) remains a mere conglomerate of unconnected medical devices. The increase in the complexity of device functionality, in addition to the demands of surgery, pushes human mental capacity to its limit. Hence, an "intelligent" collaborative support system would be more than welcome. We envision a "human-like"...
Source: Surgical Technology International - July 20, 2020 Category: Surgery Tags: Surg Technol Int Source Type: research