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
The Science of Stapling: Staple Form
This study describes the technological advancements in surgical stapling from the perspective of staple and cartridge design, assessing the impact of staple design when it changes from the traditional B form (also known as 2D staple form) to a three-dimensional form (known as 3D staple form). The change in configuration helps compress a larger surface area of the tissue. The 3D configuration is designed to optimize compression not only underneath each staple but also across staples and multiple staple lines, including both stapled and unstapled regions of the tissue. By achieving more evenly distributed compression through...
Source: Surgical Technology International - March 28, 2024 Category: Surgery Authors: Prachi Rojatkar Anil K Nalagatla Crystal D Ricketts Jeffrey W Clymer Emily Yosh Source Type: research
An Overview of Research for the Application of a Novel Biofilm-Preventing Surgical Irrigation System for Total Joint Arthroplasty Procedures in Order to Reduce the Risk of Periprosthetic Infection
Surg Technol Int. 2024 Mar 28;44:sti44/1780. Online ahead of print.ABSTRACTPeriprosthetic joint infection (PJI) is a serious postoperative complication in joint arthroplasty procedures that carries substantial morbidity and mortality associated with it. Several strategies have been developed both in the preoperative, perioperative, and postoperative periods to both combat and prevent the development of this devastating complication. Intraoperative irrigation is an important modality used during arthroplasty procedures prior to the implantation of final components that seeks to eradicate any biofilm formation. In this updat...
Source: Surgical Technology International - March 28, 2024 Category: Surgery Authors: Sean B Sequeira Matthew F Myntti Jeanne Lee Michael A Mont Source Type: research
