Surgical innovation
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Surgical innovation · Sep 2011
EditorialOriginal technique to close the transrectal viscerotomy access in a NOTES transrectal and transgastric segmental colectomy.
Segmental colectomy is an ideal procedure for natural orifice transluminal endoscopic surgery (NOTES). Transanal endoscopic approaches have enabled rectosigmoid colectomy through a viscerotomy that is resected with the specimen. To extend NOTES segmental colectomy to the entire colon and beyond, a rectal viscerotomy will have to be safely and effectively closed at the end of the procedure. A new technique for rectal viscerotomy closure using a circular EEA hemorrhoid and prolapse stapler with DST series technology (Covidien) is described.
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Surgical innovation · Dec 2010
Controlled Clinical TrialThe effect of music on robot-assisted laparoscopic surgical performance.
Music is often played in the operating room to increase the surgeon's concentration and to mask noise. It could have a beneficial effect on surgical performance. Ten participants with limited experience with the da Vinci robotic surgical system were recruited to perform two surgical tasks: suture tying and mesh alignment when classical, jazz, hip-hop, and Jamaican music were presented. ⋯ Subjects improved their performance significantly when they listened to either hip-hop or Jamaican music. In conclusion, music with high rhythmicity has a beneficial effect on robotic surgical performance. Musical environment may benefit surgical training and make acquisition of surgical skills more efficient.
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Surgical innovation · Dec 2010
Efficacy of different hemostatic devices for severe liver bleeding: a randomized controlled animal study.
Correct hemostasis in liver surgery is hard to achieve because of the oozing bleeding. The aim of this study was to compare the potential benefits of a new compress to the 2 commercial hemostatic compresses. ⋯ BoCo showed significantly better hemostatic effect than PECo and OxCe.
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Surgical innovation · Dec 2009
Comparative StudyLaparoscopic partial nephrectomy using FloSeal for hemostasis: technique and experiences in 102 patients.
The authors report their techniques, perioperative data, and oncological outcome for laparoscopic partial nephrectomy in a single-center experience with 3 different surgeons. ⋯ Laparoscopic partial nephrectomy with the use of FloSeal is a feasible and safe method for treatment of small renal masses. The technique is reproducible by surgeons who are used to complex laparoscopic procedures. Patient outcome during follow-up was comparable with data published for open standard procedures.